본 연구는 노인주간보호시설(day care center)의 서비스 품질이 이용자의 재이용 의사에 미치는 영향 과, 이용자 만족도의 매개효과를 규명하고자 한다. 이를 위해 서울권 노인주간보호시설 이용자 200명을 대상으로 설문조사하였고, 그 중 유의미한 설문지 183부를 회수하여 분석하였다. 노인주간보호시설 서 비스 품질을 독립변수로, 이용자 만족도를 매개변수로, 이용자의 재이용 의사를 종속변수로 설정하여 빈도분석, 상관분석, 매개영향분석 및 다중회귀분석을 실시하였다. 연구결과 서비스 수준은 재이용에 영 향을 미치지 않았고, 과정품질이 재이용에 가장 높은 영향을 미치는 것으로 나타났다. 또한, 과정품질 다음으로 결과품질이 재이용에 큰 영향을 미치는 것으로 나타났다. 이 같은 연구결과에 비춰봤을 때 노 인주간보호시설의 서비스를 발전시키기 위해선 (1) 종사자들에 대한 교육･훈련 및 처우개선, (2) 관련 법 제의 정비와 개선이 필요할 것으로 보인다.

현재 시행중인 노인장기요양보험제도 중 주야간보호서비스에 대한 적합한 개선방안의 정책을 제안하는데 목적이 있으며, 현행 노인장기요양보험제도 중 주야간보호서비스에 대한 문제점 및 개선방안의 정책제안은 다음과 같다. 주야간보호서비스 문제점으로는 첫째, 대상자 선정에 있어 등급자별 차등 수가 문제, 둘째, 프로그램 서비스 질 문제, 셋째, 주야간보호 서비스 전달체계 문제 그리고 넷째, 재정의 안정적 확보 문제를 이야기 할 수 있다. 이에 대한 대안으로 첫째, 인건비와 운영비를 분리 지급, 둘째, 수가 정액제, 셋째 미이용일수 수가 적용 확대, 넷째 월 한도액 현실화, 다섯째, 불필요한 행정업무 축소, 여섯째 단독 센터 추가 인센티브 도입을 제안하였다.

As the country's elderly people who are 65 years or older recently exceeded 10% of the total population with development of medical technology and improvement of living standards, Korea has turned into an aging society. Especially in Gyeonggi-do, as of late December 2012, elderly people who were 65 years or older were 1,135,242 persons, taking up 18.98% of the region's population and registering the largest number of elderly people in the nation's cities or provinces. Due to such a sharp rise in elderly population, support for the elderly is increasing the burden on families and communities. The study aims to take as its subjects elderly people staying at authorized elderly welfare facilities, who are weak in mind and body and have difficulty in daily life with disabilities, or adult day care facilities that take care of elderly people during the day or at night, examine the concept of adult day care facilities and instances in foreign countries, and study the status of the adult day care facilities located in Gyeonggi-do, their services, and safety by figuring out space arrangement based on program implementation. Spacial arrangement in program operation should satisfy fuction and purpose from the manager and user's perspective, and a desirable program operation should provide separate spaces for the elderly with Alzheimer's and those without Alzheimer's. Compared to residential care facilities, adult day care facilities incur less financial burden and, compared to other authorized services, have many right functions that can upgrade the quality of users and satisfy their desires. Major countries like Japan, the UK, and Sweden recognize the right functions of day and night care services and aggressively support and utilize adult day care facilities. For adult day care facilities, quality services should be developed and use and choices should be enhanced as regards services. Development of special programs for the elderly with dementia and stroke, instead of simple protective functions of a program, must be actively promoted, while manpower training is required for program operation, conveniences, and safety. By developing and providing space arrangement models that focus on efficiency, convenience, and safety of program operation, adult day care operation can be revitalized, while quality of elderly care may be enhanced and welfare budget can be saved.

Although it is increasing the number of day-care centers in Korea, but the quality of food and nutrition service are not increased sufficiently. The purpose of this study was to investigate the current practices of food and nutrition service in day-care centers. Questionnaire were sent to the directors of 750 day-care centers and 253 returned the complete answers. Staffing structure revealed that only 13% of the facilities had a dietitian. And compared with centers without a dietitian, there were more centers having nutritional standards, using facilities for service, and having long-term planning of meals in centers with a dietitian. In the using of foodservice budget, the centers having dietitian consumed more money for subsidiary dishes than for the staples. All centers needed increment of supplementation for the cost of foodservice and for hiring a dietitian. To improve the quality of food and nutrition services in day-care center, foodservice practices have to be conducted by professional personnel and to confirm the standard of service and to inspect the management of food and nutritional service.