Kim Dasom, Kim Hyeongsu, Hwang Rahil, Jung Sungwon, Kim Mi Young, Ko Young, Kang Jina, Park Jinbeom, Yun Seoyoung
Department of Nursing, College of Health and Medical Sciences, Cheongju University, Cheongju, Republic of Korea.
Department of Preventive Medicine, School of Medicine, KonKuk University, Seoul, Republic of Korea.
Risk Manag Healthc Policy. 2024 Dec 31;17:3341-3353. doi: 10.2147/RMHP.S478550. eCollection 2024.
This study aimed to establish a role framework and organizational redesign for home care services in response to the evolving internal and external environments in South Korea. The specific objectives were: (1) to perform a Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis based on the external and internal factors related to home care services; (2) to propose key ideas for restructuring services and human resources; and (3) to suggest strategies for enhancing the quality of home-based care services.
The policy landscape for older adult healthcare in Seoul, South Korea along with the current state and challenges of home care services were reviewed. A systematic analysis of internal and external factors influencing organizational goals and strategies was conducted following the SWOT analysis framework.
We highlight the difficulties in grassroots health management and suggest the need for regional organizational structures. A transition from individual nurse-centric care to a team-based approach is suggested with an emphasis on targeting services to vulnerable groups.
Restructuring of home care services is essential with a focus on vulnerable populations and the establishment of performance metrics. Seamless communication between stakeholders and specialized training for team leaders are crucial for successful implementation.
本研究旨在针对韩国不断变化的内部和外部环境，建立家庭护理服务的角色框架和组织重新设计方案。具体目标如下：（1）基于与家庭护理服务相关的外部和内部因素进行优势、劣势、机会、威胁（SWOT）分析；（2）提出服务和人力资源重组的关键思路；（3）提出提高居家护理服务质量的策略。
回顾了韩国首尔老年医疗保健的政策环境以及家庭护理服务的现状和挑战。遵循SWOT分析框架，对影响组织目标和战略的内部和外部因素进行了系统分析。
我们强调了基层健康管理中的困难，并提出了建立区域组织结构的必要性。建议从以个体护士为中心的护理模式向团队护理模式转变，重点是为弱势群体提供服务。
家庭护理服务的重组至关重要，应关注弱势群体并建立绩效指标。利益相关者之间的无缝沟通以及对团队领导的专业培训对于成功实施至关重要。
