노인장기요양보험 방문요양기관 유형분석과 함의

Abstract

The objectives of this study were to classify the types of home visiting care institutions in a long-term care insurance system, analyze the characteristics of each type, and suggest the implications for service improvement on the service providers’ side. A questionnaire survey of 202 home visiting care institutions was conducted in Daejeon, Chungnam, and Sejong areas for the empirical analysis. Employing factor analysis, 24 individual variables were factorized into 6 factors, which included the institution’s manpower, representative’s characteristics, consistency between the official evaluation and management, financial stability, and opinions for accepting new policy implementations by the National Health Insurance Corporation’s Long-term Care Insurance. All the home visiting care institutions were classified into 6 types based on the 6 factor scores by applying cluster analysis. Each type of home visiting institution showed significant differences, particularly in terms of financial stability, consistency between official evaluation and management, and accepting rate of the new RFID system, etc. Among 6 types of institutions, Type 1 was most recommended because this type has a positive attitude for the new policy implementations as well as good performance in terms of both services and management. On the other hand, Type 6 has huge manpower but very poor management with a passive attitude towards any change. Therefore, the customized policies are strongly suggested depending on the type differences in home visiting institutions to improve the service quality.