Prospects and Promises of Supply Model on the Joined-up Services with Social Care and Health

Abstract

□ 돌봄서비스와 보건의료 연합서비스(Joined-up Services)의 개념적 고찰 □ 선행연구 및 해외사례의 고찰 □ 돌봄ㆍ보건의료 연합서비스(Joined-up Services) 공급의 원칙과 방향 □ 사례연구: 노인인 돌봄ㆍ보건의료 연합서비스(Joined-up Services) 공급 모형 □ 사례연구: 장애인 돌봄ㆍ보건의료 연합서비스(Joined-up Services) 공급 모형

In the aging society, there has been grown social concerns confronting unavoidable challenges, such as fragmented care and health services, disjointed gateways, less-than-minimum quality, and inefficient deliverly systems. However, people often require a range of services from the health and social care to help them live well and independently. Thus, joined-up, holistic system approaches are becoming increasingly important to deal with those barriers to deliver the seamless provision of social care and health. The main purpose of this study is to develop an ideal delivery model of joined-up services for the elderly and the disabled who needs care services as well as health-medical services. This study consists of three main parts. The first part sketches out the nature of several demonstration project cases which were designed to deliver both linkage-oriented and integrated services among welfare programs. Second, it considered the top-down kind of joining up and more holistic approach that may develop in urgent for the elderly suffered from mixed needs of care and health services. Presented joined-up services for the elderly in the study emphasizes on the issues of aging in place. Also, it promises to integrate delivery paths and to be contingent sensitivities to the wide spectrum of the elder’s needs. The third part suggests a joined-up service delivery model for the disabled living in their own communities. The suggested model is ruled by 3 key principles including user/ client-centered orientation, feasible referral and partnership among related organizations, and continuity of periodical needs assessment and persistent monitoring. Notwithstanding our intention to develop user-oriented model, truthfully, this study could not overcome service provider points of view as a result. Thus, it suggests a quite new concept of ‘public service designing’ which precisely grasps the needs of service users and minimizes expected policy resistance for the future study.