韓國(guó)家庭成員成為“家庭照料護(hù)理員”的影響因素分析及其對(duì)中國(guó)的啟示.pdf

1、One eight of the total population of Korea is the elderly over the age of 65 in 2015,and the ratio is expected to rise up to 40％ by 2060.Due to the increase in the life expectancy and decrease in the fertility rate, the

2、elderly dependency ratio is also expected to grow even higher in the near future.Korea, where the cultural construct has its deep roots in Confucianism,elderly care has been regarded as the duty of adult children, especi

3、ally the eldest son and the daughter-in-law.Family caregivers have reported psychological and financial burdens on elderly care.Meanwhile, as nuclear households surge and women, who has traditionally been taking the majo

4、r role of elderly care, start to actively participate in economic activities, the demand for formal elderly care has also been increasing.
　　In order to alleviate family burden and share social responsibility of elder

5、ly care,Korean government introduced Long-Term Care Insurance (LTCI) system in 2008, which takes social insurance framework and entails provision of care services to the qualified elderly of age 65 or above.However, in t

6、he area of in-home care service, care payments claimed by care workers who have family relationship with the care recipients started to increase rapidly.This unexpected emergence of ‘family care workers', who are profess

7、ional care workers and provide in-home care services for their own family members, is against the purpose of LTCI implementation.Despite the government's effort to discourage family care workers through curtailing the ho

8、urly payments they can claim, the number of family care workers is ever increasing.Few influential factors behind the increase of family care workers have been
　　suggested and the factor of financial gains has been th

9、e major focus.Financial benefit alone however, does not explain the constant increase of family care workers whose care payment claim limit has been severely cut back.
　　This study analyzed the interview data of 17 fa

10、mily care worker cases in order to figure out why family members become certified care workers to support their elderly.Using Kemp,Ball & Perkins's convoy of care model (2013) as the backbone of the qualitative content a

11、nalysis, influential factors of the emergence of family care worker were examined at multiple levels and perspectives.The major factors were categorized into three: 1) filial piety and devotion, 2) financial gains, and 3

12、) mismatch between care needs and care supply.
　　For the second part of analysis, China's current elderly care status was compared with Korea's LTCI program, so as to draw implications for China, the country that has

13、similar cultural construct and is in the process of developing the long-term care system for the elderly.China currently is heavily insufficient in care personnel and is lacking in the professional education system that

14、can train and foster care workers.Taking Korea's precedent into account,China will have to develop the elderly care model that satisfies both care recipients and caregivers.
　　For further improvement of Korea's LTCI s

15、ystem and family care worker situation,this study suggests three: 1) integrated approaches for the family burden of both caring and livelihood, 2) establishment of care worker supervision system for service quality contr