의료･요양 등 지역 돌봄의 통합지원에 관한 법률의 의미와 과제

Abstract

The study examines the ‘Act on Integrated Support for Regional Care, including Medical service and Care,’ which is set to be fully implemented in March 2026. The research explores the historical context and legislative process behind the Act, highlights its key provisions, and addresses critical considerations necessary for the legislation to effectively fulfill its intended purpose. Additionally, the study discusses issues to be addressed when drafting and implementing subordinate legislation to ensure comprehensive policy realization. The research findings indicate that the implementation of this law, which integrates approximately 30 related regulations concerning regional care such as medical and care services, necessitates a comprehensive reorganization and revision of associated statutes through detailed examination. For the delivery system of integrated support, medical and professional judgment plays a crucial role, particularly in identifying and assessing target groups, developing individualized support plans, and establishing coordinated services. Regarding the provision of medical services, which forms the distinguishing and central aspect of this legislation, it is essential to designate regional medical institutions as primary providers. These institutions should be supported with systems that ensure efficient delivery of medical and care services and enable seamless integration with other services tailored to the unique characteristics of each local government. This law outlines the roles of the central and local governments, emphasizing the necessity of formulating strategies to support the central government’s basic plan for integrated support. Such strategies should include conducting on-site surveys, establishing and managing an integrated support information system, and addressing disparities in regional financial resources and infrastructure to prevent service gaps. Finally, beyond utilizing existing budgets, consideration should be given to allocating portions of the National Health Insurance and Elderly Care Insurance funds. To ensure the policy's long-term sustainability, the establishment of a dedicated fund for integrated care is also recommended.