장기요양보험제도의 도입에 따른 노인요양시설의 공간구조 변화에 관한 연구

Abstract

Purpose : Long-term Care Insurance sets up facility standard and installation standard of aged carefacilities and decides the presence of minimum number of rooms and its size in care facilities byusing systematic instruments. Therefore, most aged care facilities had renovation in expansion andreconstruction following the revised regulations and even facility space structure and spacecomposition are continuously improving. The study is to determine the purpose and trend bycomparing before and after space composition of facilities which followed the implementation ofLong-term Care Insurance and also to suggest hierarchical space composition suitable for aged carefacilities through derived problems and to provide basic materials to plan the most appropriatefacility for the aged. Methods : J-graph based on Space Syntax Theory will be schematized throughin-site facility survey and before and after facility floor plan. Space composition trend will beanalyzed by comparing indexes through S3 program. Results : As a result of 5 cases analysis, thefollowing results were found; the average of whole space depth is increasing due to the Extension,the number of volunteers is decreasing and rooms for geriatric care helpers are being created dueto the geriatric care helper introduction duty. Also, there are solariums being created to improvethe health of the aged and dispensaries are being placed on every floor with the increase ofdocumentary work for geriatric care helpers. With the policy implementation, care facility spacecomposition and structure are changing with facility standard and it was analyzed that facilities weremostly put under the control of limited number of people in care room and total ground area perperson. It was also found that there is increase in care space integration through before and aftercomparison of whole integration value. This is considered as the important result not only in facilitystandard satisfaction, but also in care support of geriatric care helpers and the aged, its main users. Implication : In order for elderly care facilities to have quality improvement and to develop assuitable facilities for characteristics of the aged, independent environmental facility standardpreparation of elderly care facilities is needed through mutual cooperation of construction fieldswith regulation and policy related researches.