Choi Young Jun, Choi Hyejin
1 Yonsei University, Seoul, Republic of Korea.
Inquiry. 2019 Jan-Dec;56:46958019871821. doi: 10.1177/0046958019871821.
This study aims to extend the concept of , ie, a certain degree of freedom in crucial decisions left to specific actors, to understand and examine the transformation of social care services in the era of aging and austerity. Although previous studies have reviewed and analyzed changes in care provision, they have been less concerned with who has the authority to make care decisions in the implementation process. We propose a new theoretical concept, the , to understand the realignment of social care services beyond simply tracking institutional changes. Using a case study approach, this research investigates how the discretion mix of the Korean long-term care system has changed and the consequences of these changes; in addition, it discusses why the discretion mix can be a useful concept for analyzing the changing landscape of social care services.
本研究旨在扩展“(此处英文原文缺失具体内容)”的概念,即留给特定行为者在关键决策上的一定程度的自由,以理解和审视老龄化与财政紧缩时代社会护理服务的转变。尽管先前的研究已对护理服务的变化进行了回顾和分析,但它们较少关注在实施过程中谁有权做出护理决策。我们提出一个新的理论概念“(此处英文原文缺失具体内容)”,以理解社会护理服务的重新调整,而不仅仅是追踪制度变化。采用案例研究方法,本研究调查了韩国长期护理系统的自由裁量权组合是如何变化的以及这些变化的后果;此外,还讨论了为何自由裁量权组合可以成为分析社会护理服务不断变化格局的有用概念。