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한국 노인요양시설의 감염관리 특성 분석: 선진사회 감염관리 관행과 사회자본의 역할 비교

Analysis of Infection Control Characteristics of Elderly Care Facilities in Korea: Comparison on the role of Infection Control Practices in Advanced Societies and Social Capital

강정희
한국공공관리학회 (Korean Association for Public Management)|2024.06|한국공공관리학보 (Korean Public Management Review)|제38권 제2호|pp. 259-283|DOI 10.24210/kapm.2024.38.2.011

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참고문헌

키워드

사회자본감염관리코로나노인요양시설social capitalinfection controlcoronaelderly care facilities감염관리 관행infection control practices
주제분류사회과학일반

초록

본 연구는 우리사회의 노인요양시설 감염관리가 코로나를 거치면서 이전 대비 어떤특징적 변화가 있었는지를 규명하는데 목적을 두었다. 이를 위해 노인요양시설이 가장많이 밀집되어 있는 고양시를 대상으로 코로나 이전(2018년)과 이후(2023년)에 조사된 두차례의 설문자료를 바탕으로, 코로나 전후의 감염관리 관행과 사회자본이 감염관리에 미치는 상대적 영향을 비교하였다. 분석결과, ① 감염관리 관행과 사회자본 모두감염관리에 긍정적 영향을 미치나, 그 영향 정도에 있어서는 사회자본이 감염관리 관행보다 크게 나타났다. ② 코로나 전･후시기 모두 감염관리 관행은 감염관리 실천도에 영향이 크고, 사회자본은 감염관리 관심과 개선의지에 보다 큰 영향을 미쳤다. 이러한 경향은 코로나를 거치면서 보다 강화된 모습을 보였다. ③ 감염관리에 미치는 변수별 영향에 있어 감염관리 관심과 개선의지에는 네트워크 변수의 영향이 가장 크고, 감염관리실천도에는 모니터링 변수의 영향이 가장 크게 나타났다. 특이한 것은 감염관리자 지정이 코로나 이후에는 감염관리에 영향이 없고, 감염교육은 감염관리 인식에 영향이 없었으며, 시설내 네트워크 증가에도 불구하고 신뢰는 줄어들어 감염관리에 미치는 신뢰의영향이 매우 미약했다는 것이다. 이러한 결과를 토대로 우리사회 노인요양시설의 감염관리 개선에 필요한 몇 가지 과제에 대해 논의하였다.

Abstract

The purpose of this study was to investigate the characteristic changes in infection control in elderly care facilities in our society compared to the previous one after COVID-19. Based on two survey data surveyed before and after COVID-19 in Goyang City, where elderly care facilities are most concentrated, the relative effects of infection control practices and social capital on infection control were compared. As a result of the analysis, ① both infection control practices and social capital had a positive effect on infection control, but in terms of the degree of impact, social capital was larger than infection control practices. ② Both before and after COVID-19, infection control practices had a great influence on infection control action, and social capital had a greater influence on infection control interest and willingness to improve. This trend has been strengthened through COVID-19. ③ In the influence of each variable on infection control, the network variable has the greatest effect on interest in infection control and the willingness to improve infection control practice. What is peculiar is that the designation of an infection manager did not affect infection control after Corona, infection education did not affect infection control perception, and despite the increase in the network in the facility, trust decreased, and the impact of trust on infection control was very weak. Based on these results, this study discussed some tasks necessary for improving infection control in elderly care facilities in our society.

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노인요양시설의 감염관리 체계와 역량 변화 분석: 코로나 전･후 비교를 중심으로강정희한국공공관리학회 · 한국공공관리학보2023 · 제37권 제3호The Impact of Social Capital on Infection Control Attitudes and Practices: Focusing on Elderly Care Facilities in Goyang City강정희한국공공관리학회 · 한국공공관리학보2025 · 제39권 제3호한국 노인요양시설의 감염관리 현황과 과제: 선진사회 감염관리 체계와의 비교이희창한국공공관리학회 · 한국공공관리학보2022 · 제36권 제3호노인요양시설의 감염관리 영향요인 분석이희창한국공공관리학회 · 한국공공관리학보2020 · 제34권 제2호사회복지시설의 감염관리 현황과 감염교육 효과 분석: 병원 감염관리와의 비교강정희, 이희창국가정책연구소 · 국가정책연구2015 · 제29권 제1호노인 의료복지시설의 감염관리 체계에 대한 고찰: 한국과 선진 6개국의 비교강정희한국공공관리학회 · 한국공공관리학보2019 · 제33권 제1호

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