머리말 / 5
추천사 / 8
추천사 / 11

제1 장 서 론 ····················································17
1. 교재의 의의 ···················································19
2. 교재의 구성 ··················································21
3. Long-term Care의 개념 ·······································22

제2 장 노인복지제도의 발달과정 및 정책변화 ····························25
1. 우리나라의 노인복지제도 ········································27
1) 노인복지제도의 발달과정 / 27
2) 노인복지정책 변화 / 31
3) 노인복지관련 법체계 / 34
2. 일본의 노인보건복지제도 ········································36
1) 노인보건복지제도의 발달과정 / 36
2) 사회복지정책 변화 / 42
3) 노인복지관련 법체계 / 45

제3 장 요양서비스의 제공체계 ········································47
1. 우리나라의 제공체계 ············································49
1) 요양서비스 제공형태 / 49
2) 요양서비스 제공인력 / 54
3) 서비스 전달체계 / 58
2. 일본의 제공체계 ···············································62
1) 개호서비스 제공형태 / 62
2) 개호서비스 제공인력 / 70
3) 서비스 전달체계 / 74

제4 장 우리나라의 노인장기요양보험제도 ································77
1. 도입배경 ·····················································79
1) 인구의 고령화 / 79
2) 가족의 부양기능 약화 / 81
3) 요양욕구의 증가와 변화 / 84
4) 노인의료비의 증가 / 84
5) 경제적 배경 / 85
2. 도입과정 ·····················································87
1) 추진과정 / 87
2) 여론동향 / 102
3) 관계단체와의 합의형성 / 104
3. 주요 내용 ···················································106
1) 제도 명칭 / 107
2) 목 적 / 108
3) 기본이념 / 109
4) 적용대상 및 범위 / 109
5) 장기요양 급여종류 및 이용절차 / 114
6) 장기요양 급여수가 및 월이용 한도액 / 129
7) 장기요양급여의 관리ㆍ평가 / 132
8) 장기요양기관 및 전문인력 / 134
9) 재원구성 및 재원조달 / 144
10) 관리운영 / 149
11) 불복절차 / 153
12) 시행시기 / 154
13) 기대효과 / 155
4. 시범사업 ····················································156
1) 1차 시범사업 / 156
2) 2차 시범사업 / 164
3) 3차 시범사업 / 181

제5 장 일본의 개호보험제도 ·········································189
1. 도입배경 ····················································191
1) 인구의 고령화 / 191
2) 가족의 부양기능 약화 / 193
3) 요양욕구의 증가와 기존 제도의 한계 / 195
4) 노인의료비의 증가 / 196
5) 경제적 배경 / 197
2. 도입과정 ····················································199
1) 추진과정 / 199
2) 여론동향 / 202
3) 관계단체와의 합의형성 / 203
3. 주요 내용 ···················································204
1) 제도 명칭 / 205
2) 목 적 / 207
3) 기본이념 / 208
4) 적용대상 및 범위 / 208
5) 개호보험 급부종류 및 이용절차 / 210
6) 개호서비스 수가 및 월이용 한도액 / 220
7) 서비스 제공기관 및 개호인력 / 224
8) 재원구성 및 재원조달 / 235
9) 관리운영 / 242
10) 불복절차 / 244
11) 시행시기 / 244
4. 시범사업 ····················································244
5. 실시현황 및 평가 ·············································245
1) 제도 실시현황 / 245
2) 제도 평가 / 252
6. 개혁내용 ····················································264
7. 다른 국가의 장기요양보호제도 ···································291
1) 제도운영형태 및 정책방향 / 291
2) 독일의 수발보험제도 / 293
3) 영국의 장기요양보호제도 / 300
4) 스웨덴의 장기요양보호제도 / 302
5) 네덜란드의 특별의료비보험제도 / 305

제6 장 우리나라에의 정책적 시사점 ···································309
1. 제도의 기본이념 ··············································311
2. 요양보호대상의 확대 ···········································312
3. 대국민 합의과정 도출 ··········································313
4. 시설 및 인력 인프라 구축 ······································313
5. 저소득 고령자의 서비스 이용제약 ································314
6. 예방급여 확대 및 인지증 케어 ···································315
7. 적합한 케어매니지먼트체계 운영 ·································316

제7 장 제도의 과제 및 개선방안 ······································319
1. 안정적인 재원확보 ·············································321
2. 수급대상자의 범위 확대 ········································322
3. 시설 및 인력 인프라의 확충 ····································322
4. 제도 도입에 대한 사회적 합의 ···································325
5. 장기요양서비스의 질 확보 ······································326
6. 치매노인에 대한 체계적ㆍ종합적 관리 ····························327
7. 보건ㆍ의료ㆍ복지서비스의 통합 ·································329
8. 소득ㆍ주거ㆍ여가 등 종합적 서비스제공체계 개발 ···················329
9. 제도의 단계적 도입 ··········································330
10. 장기요양보험의 관리운영 ······································332
11. 사회투자정책 추진 ············································332

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