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

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

박세경강은나황주희 ; 김정현 ; 하태정 ; 이정은 ; 김영선 ; 노승현 ; 이민홍 ; 임정기 ; 호승희

joined-up services ; joining-up social care and health
Publication Year
Korea Institute for Health and Social Affairs
□ 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.
Table Of Contents
Abstract 1
요 약 3
제1장 서론 9
제1절 연구의 배경 및 목적 11
제2절 보고서의 구성과 연구방법 19
제2장 연구범위의 설정과 관련 쟁점의 고찰 23
제1절 돌봄, 보건, 의료서비스의 범주화 25
제2절 돌봄, 보건, 의료서비스 연계‧통합에 관한 논의 101
제3절 지역사회 기반 사회서비스 공급모형 논의 121
제3장 국내‧외 관련 사례의 고찰 135
제1절 국내 서비스 조정‧연계 사례 137
제2절 국내 서비스 통합 사례 169
제3절 국외 서비스 연계‧통합 사례 193
제4절 소결 211
제4장 노인 대상 돌봄‧보건‧의료 연합서비스 공급모형의 탐색 213
제1절 노인 연합서비스 지원 대상의 표적화 215
제2절 노인 연합서비스 공급 모형의 탐색 254
제3절 노인 연합서비스 제공범위에 따른 공급 방안 264
제5장 장애인 대상 돌봄‧보건‧의료 연합서비스 공급모형의 탐색 271
제1절 장애인 연합서비스 지원 대상의 표적화 273
제2절 장애인 연합서비스 공급 모형의 탐색 361
제3절 장애인 연합서비스 제공범위에 따른 공급 방안 374
제6장 결 론 381
제1절 주요 연구결과 384
제2절 결론 및 제언 401
참고문헌 407
Local ID
Research Monographs 2015-09
KIHASA Research
Subject Classification
Health care > Health care service
Social service > Welfare for older persons
Social service > Welfare for disabled persons
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