A Comparative Study on the Characteristics of Service Provision Agents in Social Care Service (주요 국가의 사회서비스 공급주체 성격변화와 정책적 쟁점)

Kim, Eunjeong (김은정)

A Comparative Study on the Characteristics of Service Provision Agents in Social Care Service

Korean Society and Public Administration
Abbr : KSPA
2014, 25(1), pp.169-195
Publisher : Seoul Association For Public Administration
Research Area : Social Science > Public Administration

Kim, Eunjeong ¹

¹부경대학교 행정학과

Accredited

ABSTRACT

This study aims to understand the major trends and current characteristics of service provision agents in the field of social care, focusing on in-home care services for adults in Sweden, the UK, the US, and Japan. Investigating the welfare mix (i.e., degree of welfare pluralism) reveals the growing role of the private sector (including both for-profit and not-for-profit organizations) to be the most representative change in the social service field. This trend is related in complex ways to discussions about the provision of public finance and management of service quality. Based on the analysis, this study identifies three main types of welfare pluralism. First, in the countries where the public sector has traditionally played an important role in providing services, the public sector has reduced its direct provision role and increased its role as a purchaser of services (privatization). In addition, the public sector has increasingly purchased services from for-profit organizations (commercialization) or made direct payments from public finances to users. In this type, privatization occurred first before commercialization progressed. In the second type of welfare pluralism, both privatization and commercialization have been pursued almost concurrently. The US is included in this type due to the prevalence of market systems, even in publicly funded social care. In the third type, the role of the private sector, especially not-for-profit organizations, has been traditionally strong while that of the public sector was consistently weak, as in many Asian countries.

KEYWORDS

Social care services, Public sector, Welfare pluralism, Not-for-profit organizations, For-profit organizations

Citation status

* References for papers published after 2023 are currently being built.

[journal] 김보영 / 2011 / The role of political ideology: Reviewing Social Services Reform of the Conservative Government in 1980s and 90s Britain / 사회복지정책 / 한국사회복지정책학회 38(1) : 167~197

[confproc] 김영종 / 2003 / 한국 사회복지에서의 공공과 민간 부문의 협력체계 / 한국사회복지학회 춘계학술대회 자료집 : 263~188

[journal] 김용득 / 2013 / Drivers of social service subjects and the future of service system - focused on characteristics of user, worker, provider and government - / 한국사회복지행정학 / 한국사회복지행정학회 15(1) : 139~167

[journal] 김은정 / 2011 / 미국의 사회적 돌봄서비스 제공주체 구성의 변화 / 계명사회과학논총 30(1) : 67~88

[journal] 김은정 / 2013 / Current Issues Regarding Social Service Policies in Korea / 한국사회와 행정연구 / 서울행정학회 24(1) : 111~136

[report] 김은정 / 2008 / 사회서비스 품질접근 동향과 품질표준설정: 사회서비스 활성화를위한 품질 및 성과관리체계 구축방안 II / 사회서비스관리센터, 보건복지부

[other] 보건복지부 / 2012 / 2012 보건복지 통계연보 / 보건복지부

[report] 보건복지부 / 2012 / 사회서비스정책 현황 / 보건복지부

[report] 보건복지부 / 2014 / 사회서비스정책 현황 / 보건복지부

[journal] 신창환 / 2010 / The Provision Structure and Voucher Operating System in Korean Community Social Investment Service -Focusing on the Early Intervention Service for Children at the Risk of ADHD- / 한국사회복지학 / 한국사회복지학회 62(2) : 399~420

[confproc] 양난주 / 2014 / 사회복지시설평가 15년을 평가한다 / 2014 한국사회복지행정학회 춘계학술대회 자료집 : 5~31

[journal] 양성욱 / 2012 / What does publicness mean in social services? : A conceptual understanding on publicness / 사회복지연구 / 한국사회복지연구회 43(1) : 31~57

[journal] 양기용 / 2013 / Social Service and Publicness in Local Community / 한국공공관리학보 / 한국공공관리학회 27(1) : 89~114

[confproc] 오정수 / 2000 / 영국의 공공사회복지실천 - 변화와 쟁점 / 한국사회복지학회 학술대회 자료집 4 : 113~130

[journal] 우국희 / 2006 / Increasing supply of the community care services for the elderly through the private sector : Lessons from the U.K / 노인복지연구 / 한국노인복지학회 32(32) : 223~245

[confproc] 윤홍식 / 2012 / 사회서비스 정책과 공공성: 공공성을 둘러싼 논란과 적용 / 참여연대 보편적 복지확대를 위한 공공성 강화방안 토론회 자료집 : 7~39

[confproc] 이미진 / 2012 / 노인장기요양 공공성 증진을 위한 정책과제 / 참여연대 보편적 복지확대를 위한 공공성 강화방안 토론회 자료집 : 41~79

[book] 이봉주 / 2008 / 사회복지서비스와 공급체계 : 쟁점과 대안 / EM 커뮤니티

[confproc] 이숙진 / 2012 / 미취학 아동보육 공공성 확대를 위해 / 참여연대 보편적 복지확대를 위한 공공성 강화방안 토론회 자료집 : 97~124

[book] 이영찬 / 2000 / 영국의 복지정책-구빈법 개혁부터 제3의 길까지 / 나남출판

[confproc] 정병오 / 2012 / 사회복지 인적자원의 전문성 향상과 시설평가의 발전방향 / 2012 한국사회복지학회 추계학술대회 산학협력세션발표논문

[book] 한국장애인복지관협회 / 2013 / 2012년도 장애인복지관 편람

[confproc] 한창완 / 2011 / 일본의 이용자 선택제도와 사회서비스 제공주체 구성의 변화 / 한국사회서비스학회 춘계세미나 자료집 : 9~13

[book] Abrahamson, P. / 1997 / Social Care Services: The Key to the Scandinavian Welfare Model / Ashgate : 156~177

[book] Ascoli, U. / 2002 / Dilemmas of the welfare mix: The new structure of welfare in and era of privatization / Kluwer Academic/ Plenum Publishers

[journal] Blomqvist, P. / 2004 / The Choice Revolution : Privatization of Swedish Welfare Services in the 1990s / Social Policy & Administration 38(2) : 139~155

[journal] Brennan, D. / 2012 / The marketisation of care : Rationals and consequences in Nordic and liberal care regimes / Journal of European Social Policy 22(4) : 377~391

[other] Care Quality Commission / 2012 / The state of health care and adult social care in England

[report] Center for Medicare and Medicaid Services(CMS). / 2008 / Medicare & Medicaid statistical supplement

[report] Center for Medicare and Medicaid Services(CMS) / 2011 / Home health study report / L&M Policy Research

[journal] Choi, S. / 2009 / Changes in the Medicare Home Health Care Market : The Impact of Reimbursement Policy / Medical Care 47(3) : 302~309

[book] Colombo, F. / 2011 / OECD Health Policy Studies / OECD Publishing

[other] CSCI. / 2009 / The state of social care in England 2007-2008

[book] Daniels, R, J. / 2005 / Rethinking the welfare state: The prospects for government by voucher / Routledge

[report] Harrington, C. / 2009 / Home and community based services: Public policies to improve access, costs, and quality / PAS Center for Personal Assistance Services

[journal] Haque, M. S. / 2001 / The diminishing publicness of public service under the current mode of governance / Public Administration Review 61(1) : 66~82

[report] Laing & Buisson. / 2010 / Domiciliary care: UK market report 2010

[journal] Liu, K. / 2001 / Long-term Care Hospitals under Medicare : Facility-level Characteristics / Health Care Financing Review 23(2) : 1~18

[journal] Ludowise, C. / 2004 / Accountability in social service contracting : The state action doctrine and beyond / Journal of Health and Human Services 27(3) : 304~330

[report] Meagher, G. / 2010 / Private financing of elder care in Sweden: Arguments for and against / Institute for Futures Studies

[book] LIVINDHOME / 2011 / Living independently at home: Reforms in home care in 9 European countries / SFI, The Danish National Centre for Social Research

[confproc] Smith, S. / 2007 / Privatization and Devolution in Social Services: Contracting and Its Policy and Practice Implication / International Symposium, Social Service Provision System: The Issues of Public-Private Partnership in Korea : 58~88

[web] Sweden Institute. / 2012 / Facts about Sweden: Elderly Care / http://www.sweden.se

[journal] Szebehely, M. / 2012 / Home care for older people in Sweden : A universal model in transition / Health and Social Care in the Community 20(3) : 300~309

[report] US GAO. / 1997 / Social service privatization: Expansion poses challenges in ensuring accountability for program results

[book] World Health Organization / 2013 / Home Care across Europe: Case studies

[journal] 李宣英 / 2012 / 高齢者介護サービスの利用量と提供量の推移に関する日韓比較 / 同志社大学社会福祉学会 26 : 33~51

[journal] 畑本裕介 / 2012 / 社会福祉行政の今後-"社会保険"化と行政空間の変化- / 山梨市県立大学人間福祉学部紀要 7 : 23~24

[book] 北場勉 / 2005 / 前後措置制度の成立と変容 / 法律文化社

[book] 村上貴美子 / 1987 / 占領期の福祉政策 / 勁草書房

[other] 厚生労働統計協会 / 2011 / 社会福祉施設等調査報告

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