장기요양급여 제공기준 개발 및 활용방안
| 작성자 | 관리자 | 카테고리 | 정책연구 |
|---|---|---|---|
| 작성일 | 2012-09-26 | 조회수 | 7,458 |
| 저자 | 진영란;이효영;김욱;성혜영;소은선;김도현 | ||
| 발행일 | 2011-12-31 | ||
| 첨부파일 | |||
장기요양급여제공기준개발및활용방안.pdf(3.9MB)
제1장 서 론 / 1
1. 연구배경 및 필요성······················································································· 1
2. 용어정의······································································································· 2
3. 연구목적 및 내용·························································································· 2
4. 연구방법········································································································· 3
5. 연구수행체계································································································· 6
제2장 외국 장기요양기관 시설․인력기준, 수가, 질 관리체계 / 7
1. 일본·············································································································· 8
2. 호주············································································································ 29
3. 미국············································································································ 47
4. 독일············································································································ 62
5. 영국············································································································ 84
제3장 장기요양급여 제공기준 개발 필요성 / 111
1. 장기요양급여 제공기준의 원칙 준수··························································· 111
2. 장기요양급여 적정성 및 수급질서 확립······················································ 114
3. 노인장기요양관련 현행 행정처분 기능 보완··············································· 116
제4장 장기요양급여 제공기준 필요영역 도출 / 120
1. 현행 장기요양급여 제공의 문제점······························································ 120
2. 장기요양급여 제공기준 필요영역································································ 122
제5장 장기요양급여 제공기준 관련 의견수렴 / 125
제6장 장기요양급여 제공기준 및 실효성 확보 방안 / 135
1. 표준장기요양이용계획서의 실효성 확대······················································ 135
2. 1일 24시간 연속근무형태의 계약 억제························································ 150
3. 장기근속인력 배치 독려············································································· 154
4. 종사자 처우 개선 유도··············································································· 157
5. 야간인력 배치 확대···················································································· 159
6. 회계 기록·관리 의무화··············································································· 162
7. 수급자에게 불공정한 계약 억제·································································· 170
8. 정보 게시 강화·························································································· 174
9. 수급자에 대한 폭행 등 학대행위의 금지···················································· 177
10. 영리목적의 유인․알선 행위의 금지························································· 181
11. 화재 등 안전 관리 강화··········································································· 187
12. 위생 관리 강화························································································· 192
13. 운영위원회 효율성 제고··········································································· 195
14. 입소시설의 의료서비스 제공 강화····························································· 199
15. 인지기능 향상 프로그램 등의 운영 강화··················································· 205
16. 주야간보호서비스 활성화·········································································· 214
17. 방문간호 급여 확대·················································································· 221
18. 복지용구 유지보수 및 세정소독 강화························································ 230
제7장 장기요양서비스 질 향상을 위한 제언 / 236
1. 장기요양급여 제공기준 개발 및 실효성 강화·············································· 236
2. 장기요양급여 수급질서 확립 및 질 향상···················································· 239
3. 장기요양급여 제공기준 및 수가기준 제·개정·············································· 243
4. 장기요양서비스의 결과 질 지표 활용························································· 245
제8장 결론 및 제언 / 247
• 참고문헌 / 249
• 부록 / 255