치매 친화적 환경으로서 ‘치매안심마을’에 대한 정책적 고찰 = The Policy implications on dementia care village as dementia-friendly environment

다국어 초록 (Multilingual Abstract)

The purpose of this study is to discuss policy implications for the development of dementia management policy focused on dementia care village. In doing so, we formed elements of dementia management based on person-centered care and analyzed the Hogeweyk dementia village case in Netherlands by using the elements. Specifically, we made five person-centered care components such as routineness, sociality, autonomy, individuality, and staff expertise. We conducted content analysis using 12 overseas data on Hogeweyk to find out how those abstract evaluation criteria were executed in practice. The principles of Hogeweyk can be described as making a space, where patients still can enjoy their lives, rather than simply having prolonged lives, and creating an environment focusing on what patients still can do to improve their quality of life. Considering person-centered care elements and Hogeweyk case analysis comprehensively, we suggested implications for dementia management policy as follows: 1) developing an activity model based on one’s daily routine; 2) changing perspectives on space for dementia care center as a daily living environment; 3) constructing safe environment for autonomous behavior and offering selective care program; 4) supporting establishment of localized dementia care village, considering differences in individual characteristics and living environment; 5) expanding the concept of dementia care partners; and 6) establishing village-based nursing homes for severe dementia patients and a test operation of the facility.

국문 초록 (Abstract)

본 연구는 인간중심케어에 기반을 둔 치매관리 평가 요소를 도출하여, 평가 항목에 따라네덜란드의 호그벡 치매 마을 사례를 분석하고, 치매안심마을에 초점을 맞추어 국내 치매관리정책 개발에 필요한 정책적 시사점 도출을 목표로 하였다. 이를 위해, 인간중심케어 관련연구 및 WHO의 치매 관리에 관한 액션플랜 검토를 통해 일상성, 사회성, 자율성, 개별성, 인력의 전문성이라는 다섯 가지 인간중심케어 구성요소를 도출하였고, 호그벡 관련 12개의해외 자료에 관한 내용분석을 실시하여, 추상적인 인간중심케어 구성요소들이 호그벡에서어떠한 형태로 구체화되어 나타나고 있는지를 살펴보았다. 호그벡의 원칙은 첫째, 연명공간이 아닌 여전히 삶을 즐길 수 있는 공간, 둘째, 삶의 질 향상을 위해 환자들이 여전히 할 수있는 것에 초점을 둔 운영으로 요약된다. 인간중심케어 구성요소 도출 및 호그벡 사례 분석을 종합적으로 고찰하여, 국내 치매관리정책에 관한 시사점으로 첫째, 일상 활동 모델 개발, 둘째, 치매안심센터 공간의 변화, 셋째, 독립적 행동이 가능한 안전한 환경 조성과 선택적케어 프로그램 지원, 넷째, 개인 및 생활환경 차이를 고려한 지역별 치매안심마을 모델 개발지원, 다섯째, 치매 파트너즈 개념의 확대, 여섯째, 중증치매환자를 위한 마을형 요양시설 건립과 시범 운영 추진을 제안하였다.

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