노인장기요양서비스 평가체계의 변화에 관한 연구

Abstract

The evaluation system for South Korea's long-term care services for the elderly was reorganized with a focus on services quality management through the long-term care facility evaluation system following quasi-marketizing reform in the late 2000s. However, unlike the old evaluation system, service quality is managed through the evaluation of providers who voluntarily entered the market, and this provider evaluation is conducted in connection with the benefit provision process by the insurer (National Health Insurance Services) as a characteristic of South Korea. With regard to the evaluation system, there is dissatisfaction with provider evaluation, and it is argued that a separate independent dedicated evaluation organization should be established together with the strengthening of the role of local governments.
 Therefore, taking notice of cases in Japan, which is introducing an evaluation system that is different from the one in South Korea, this study is intended to examine how the evaluation system for long-term care services for the elderly in Japan has been reorganized and changed in comparison with South Korea and find implications for South Korea. To that end, this study will analyze how the institutional devices for various evaluations such as the third-party evaluation system, the policy evaluation system, and the evaluation system for long-term care insurance business plans for the elderly have been reorganized to be pluralistic and multilayered in the institutional reform following quasi-marketization reform in Japan. Second, it will derive the fact that objective-based policy evaluation (=performance management) and participatory evaluation are being strengthened amid changes in policies regarding the evaluation system for long-term care services for the elderly in Japan. Third, it will capture the governance structure of the evaluation system by revealing the intergovernmental and inter-institutional linkage structure of Japan's evaluation system. Fourth, by identifying the functions carried out by the evaluation system through cases in Japan, this study will present policy implications that will enable the problems of South Korea's evaluation system to be overcome.