지역사회 통합돌봄 보건복지 연계·협력 현황 분석

Abstract

This study aims to examine the current status of collaboration in health and welfare, and to derive a strategic and practical plan to ensure that citizens have sufficient access to integrated care. To this end, four group interviews were conducted with 15 healthcare and social care professionals at the Integrated Care Center in A-gu, Seoul, using the Focus Group Interview Survey (FGI). The topic modeling method and thematic analysis were used to extract the main topics and determine the key meaning associated with them. After topic modeling, a high level of ideological consensus was observed in terms of the need for collaboration in health and welfare. There was also domain consensus indicating that both areas are comprised of distinct professional groups that cannot serve as substitutes for each other. Positive relationships were also found to be fostered among care workers, through harmonization of work, mutual respect among health and welfare workers, accepting each other as team members within the same collectivity, and maintaining smooth communication. On the other hand, the challenges and barriers included an unclear division of work among various occupations, conflicts arising from differences in positions, and the assignment of unreasonable tasks to workers. This research findings are expected to be useful for researchers, practitioners, and policymakers in reviewing and enhancing the integrated health-welfare system.