노인보건 의료대책의 발전방향

• 영문명: Health Policies and Programs for the Aging Population towards the 21st Century in Korea
• 발행기관: 한국노년학회
• 저자명: 방숙(Sook Bang) 조유향(Yoo Hyang Cho)
• 간행물 정보: 『한국노년학』제13권 2호, 30~47쪽, 전체 18쪽
• 주제분류: 사회과학 > 사회복지학
• 파일형태: PDF
• 발행일자: 1993.06.30

국문 초록

본 논문은 노인의료문제가 점점 심각한 사회문제로까지 부상하고 있는 현시점에서 노인보건의료문제를 살펴보았을 때 많은 문제점을 파악할 수 있어 이러한 문제점을 해결하고, 앞으로 다가올 고령화사회에 대처하기 위한 대책방안의 강구를 제시해 보고자 하였다. 연구방법으로는 그동안 우리나라의 노인보건의료를 위해 실시된 제반 정책을 기존문헌과 연구보고서를 검토하는 한편 노인을 위해 앞으로 요청되는 정책대안을 제시하고 그 우선순위를 결정하기 위해 delbecq방법을 이용한 결과, 그 우선순위는 다음과 같다. 노인을 위한 보건의료정책의 발전적 대안으로는 첫째 노인보건법(가칭)의 제정, 둘째 지역사회 노인 보건사업의 확대실시, 셋째 가정간호체계의 확립 및 전개, 넷째 노인의료비 부담의 경감, 다섯째 노인보건의료시설의 확충, 여섯째 노인보건/의료재활 서비스 전담인력의 양성, 배치 등이었으며, 이와 같은 6가지의 대안이 빠른 시일안에 정착되어 나아가기를 바라마지 않는다.

영문 초록

One of the consequences of lowering fertility in Korea is the aging problem and the proportion of population over sixty-five is expected to increase from the current level of 5.0% in 1990 to 6.8% in 2000 and 13.1% in 2021. Towards the 21st century, therefore, there is a need of developing more preventive and productive health policies and programs for the aging population in Korea. Currently, however, the Korean welfare law for elderly is only limited to provision of health examination services for the poor sixty-five and older. This paper first describes the demographic and socio-economic change in Korea since 1960 and the current health status of the aged population in terms of disability, morbidity and mortality based on the available data. Then, it made a literature review to examine the policies and programs practiced or planned by the government and also those recommended by the scholars in the field of health and medical care for the elderly(age 65 and over). Among the list of policies and programs based on the literature review study, Priorities were studied by using the Delbecq method and the following five areas were identified as priority areas to be implemented for the aging population towards the 21st century in Korea. Those five areas were; ⅰ) strengthening health promotion starting at the age of 40 years old, ⅱ) better development of health and medical care services at institution, family, and community, ⅲ) reducing the burden of self-payment of medical cost of the elderly in the national medical insurance system, ⅳ) increasing the qualified health and medical manpower for the care of the elderly, and ⅴ) enactment of a special health law for the elderly. This paper further discusses the five issues in adopting such health policies and programs. Those issues were; a) responsibility of family and /or society for the care elderly (who is primary responsible for the care?), b) economic aspects of health care(who bears cost ?), c) service target(selective or universal?), d) cultural aspects of care of the elderly( e, g, perception towards the aged, the concept of normalization), and e) sectionalism and integration issues in developing service delivery system for elderly. This paper emphasized the need for continuing efforts to arrive at a national consensus on the above issues in formulating those five priority areas of health policies and programs as preventive and productive measures for the care of aging population towards the 21st century.

목차

국문초록

서론

노인인구의 증가와 건강문제

노인보건의료사업의 실태

21세기의 노인을 위한 보건의료대책의 발전방향

토의

결론

참고문헌

Abstract