성인 공적 돌봄 서비스 이용량 영향요인: 중장년과 노인 비교를 중심으로

Abstract

This study explored factors of formal care service usage, dividing service users between middle-aged (50-64) and older adults
 (65+). Despite of upsurging care needs of middle-aged adults, previous studies have not studied on their care needs. Therefore, we focused
 on examining the factors of service uses for understanding their needs for public care services. We used the second data from Care SOS
 Center in Seoul, South Korea and selected 31,265 people who used the services in 2021. Independent variables were organized into four
 categories - predisposing, enabling, need, and health care system factors - based on Andersen's theory of service uses, for which many
 previous studies have adopted. After conducting multiple regression analysis using SPSS 25.0, the results were as follows: First, regarding
 the predisposing factors, middle-aged adults who have many family members were more likely to use care services, while older adults’
 family members were not statistically significant. Second, need factors such as the discharged patients were pivotal in care service uses
 of both middle-aged and older adults. Third, older adults who had used other social care services before were less likely to use this short-term
 care SOS services, but the result was not statistically significant for middle-aged adults. Based on the results, we suggested social welfare
 interventions such as developing intensive care services for the discharged based on community care, interlocking and connecting social
 care services, making interventions for the excluded who needs imminent services as well as pointed out the importance of universal care services for both older and middle-aged adults.