This study suggests improvements for the management of non-profit nursing homes, to provide efficient facility services for the elderly of low-income household who require nursing care. The management, financial and facility status of six non-profit nursing homes was reviewed, and the living conditions and the service demands of 117 elderly individuals in nursing homes were analyzed. Additionally, the government’s management guidelines on non-profit nursing homes, and the specifics of government subsidies were analyzed, and measures for the efficient management of non-profit nursing homes were evaluated through expert and in-field discussion.
All six non-profit nursing homes evaluated were social welfare organizations with total funding of less than three billion KRW. None met the requirements of the ‘Welfare of the Aged Act’, and their elderly residents populations fluctuated. In terms of cost of service, some nursing homes required no deposit, and others required a deposit of four million KRW. All of the nursing homes were in financial deficit.
The gender ratio observed in the sample of nursing homes was 35 male residence per 100 female residence. There were many elderly residents who do not have money to spend, whose family pays the service fee and who feels heavy financial burden. Most of the individuals in nursing homes have weaker physical and mental functions, and movement capability, than elderly individuals who receive home care. Among those in nursing homes, 83 percent had at least one illness, 91 percent had children, 66 percent had contact with their children once per month and 77 percent need aid daily. The primary reasons for their residence in a nursing home were: ‘children do not want to provide care’ and also ‘treatment of illnesses’. Many respondents said they ‘will continue living in their nursing home’.
The current problems in non-profit nursing homes are insufficient number of resident elderly, negligence of admission procedure and qualification, unreasonable deposits and fees, and unavailability of medical specialists. In order to solve those problems, government guidelines and support is required so that elderly in low-income household who need nursing care can join nursing homes. Administrative guidance should be strengthened regarding nursing home qualification and medical evaluation of applicants.
In order to secure specialists, the benefits, welfare and salary of employees in social welfare organizations should be improved. Social workers should be allocated and employee training on elderly care should be conducted. The standard of meal, medical, and fuel costs of nursing homes should be increased to promote service level. Nation-wide promotional advertisement should be conducted to alleviate the negative stigma regarding nursing home residency. Furthermore, new management measures should be developed in consideration of location characteristics and facility amenities present in each non-profit nursing home.
- 실비노인요양시설 운영 활성화 방안(Measure to vitalize non-profit nursing home)
- 이가옥; 권선진; 권중돈; 강혜규
실비노인요양시설 운영 활성화 방안(Measure to vitalize non-profit nursing home)
|Series Title; No||연구 / 1991-18|
|Subject Country||South Korea(Asia and Pacific)|
|Subject||Social Development < Social Welfare|