A Study on Rationalization of Regulation for Strengthening the Publicness of Long-Term Care Services
Title
A Study on Rationalization of Regulation for Strengthening the Publicness of Long-Term Care Services
Author(s)
석재은
Keyword
장기요양
; 사회서비스
; 공공성
; 규제
; 복지혼합
; 장기요양생태계
; Long-Term Care
; Social Service
; Publicness
; Regulation
; Welfare Mix
; Long-Term Care Ecosystem
Publication Year
2017-06-30
Publisher
Korea Institute for Health and Social Affairs
Citation
Health and Social Welfare Review Vol.37 No.2, pp.423-451
Abstract
Securing the publicness of social services is one of the core social agenda items. This paper aims to define the concept of publicness in long-term care and to derive the roles and policy tasks of the government as a regulator that can lead the publicness of long-term care institutions under the marketization of long-term care services. For this purpose, this paper defines the long-term care ecosystem as a network between the government-provider-manpower-users for long-term care services and analyzes the problems of the current regulation causing a vicious circle of long-term care ecosystem. Based on its findings, this paper suggests that the current regulation should be changed from ‘loose entry/exit regulation and strict and punitive operation regulation’ to ‘strictly controlled entry/exit regulation and educational /instructive consulting’. It also suggested that it is necessary to harmonize with professional intervention rather than leave everything to users’ choice in terms of publicness.