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Comparison among Wide-area Local Governments of Needs for Integrated Care for Older Adults

광역 지자체별 노인의 통합돌봄 요구 비교

  • Oh, Hyun Jeong (Program in Public Health, Graduate School, Korea University) ;
  • Kim, Hyeongsu (Department of Preventive Medicine, School of Medicine, Konkuk University) ;
  • Ko, Young (College of Nursing, Gachon University) ;
  • Shin, Eunyoung (Department of Public Health Administration, Hanyang Women's University) ;
  • Son, Miseon (Department of Nursing, Graduate School, Konkuk University)
  • 오현정 (고려대학교 일반대학원 보건학협동) ;
  • 김형수 (건국대학교 의학전문대학원 예방의학교실) ;
  • 고영 (가천대학교 간호학과) ;
  • 신은영 (한양여자대학교 보건행정과) ;
  • 손미선 (건국대학교 일반대학원 간호학과)
  • Received : 2020.06.10
  • Accepted : 2020.08.20
  • Published : 2020.08.28

Abstract

This study was conducted to identify and compare the needs of the integrated by local government, and to provide basic data for the provision of integrated care services. This is a secondary data analysis study using data from 10,299 elderly people living in 17 local governments who participated in the '2017 National Survey on the Aged People in Korea'. The difference in medical needs, daily living support needs, and social activity support needs were 2.4, 6.0, and 2.0 times higher in the highest regions than in the lowest regions. In addition, the size of the medical needs group, welfare needs group, and integrated care needs group varied by region. Through this study, it was confirmed that the level of integrated care needs varied by region. Therefore, in order to efficiently provide the services at the national level, it is necessary to accurately assess the needs of the aged in each local government, and accordingly, prioritize and identify available resources within the care service and appropriate allocation.

이 연구는 광역 지자체별 노인의 통합돌봄 요구수준을 파악하고, 비교하여 향후 광역 지자체 수준에서 노인대상 지역사회 통합돌봄의 필요성에 대한 객관적인 근거를 제시하고자 시도되었다. 한국보건사회연구원의 '2017년 노인 실태조사'에 참여한 17개 광역 지자체 노인 10,299명의 설문자료를 이용한 이차자료 분석연구이며, 분석은 SAS 프로그램을 이용하였다. 의료 요구, 일상생활 수행지원 요구, 사회적 활동 지원요구의 지역간 차이는 최저 지역에 비해 최고지역에서 각각 2,4배, 6.0배, 2.0배 높게 나타났다. 이에 따라 의료요구군, 복지요구군, 통합돌봄 요구군의 크기도 지역별로 매우 다양하였다. 이 연구의 결과를 통해 통합돌봄 요구는 광역 지자체별로 차이가 있음이 확인되었다. 따라서 통합돌봄 서비스를 전국적 수준에서 효율적으로 제공하기 위해서는 광역 지자체별 대상자 요구수준을 정확히 파악하고 이에 따라 돌봄 서비스 내에서 우선 순위 선정과 활용 가능한 자원 파악 및 적절한 배분이 뒤따라야 할 것이다.

Keywords

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