(221+56) A Study on the Spatial Structure Change of Elderly Care Facility according to Introduction of Long-Term Care Insurance
윤소희, 김석태, 의료・복지 건축, 20(4), pp.67-80, 2014.11.30.
keyword : Long-Term Care Insurance, Elderly Care Facility, J-Graph, Space Syntax
연구목적: 노인요양시설의 공간구성의 전·후를 비교하여 노인장기요양보험법의 도입에 따른 제도의 시설기준 및 소요실배치 및 공간구성에 관한 변화추이를 살펴보는데 의의가 있다.
연구방법: 조사대상의 시설을 대상으로 공간깊이를 바탕으로 공간구문론(Space Syntax)의 이론을 바탕으로하는 S3 Convex Analyzer v2.0 프로그램을 이용하여 지표를 도출하였다.
연구결과: 제도의 도입으로 인해 시설기준에 따라 요양시설의 공간구성과 구조는 바뀌고 있으며, 요양실의 인원수 제한과 1인당 연면적이 전체 공간구조와 구성에 있어 가장 큰 요양요인으로 분석되었다. 또한 시설의 연결도와 통제도를 전·후 비교해 보았을 때 배회공간의 지표가 가장 높았으며, 시설의 연결도와 통제도를 좌우하는 것은 복도임을 알 수 있었다. 기능별 전체통합도의 전·후 비교를 통하여 간호공간의 통합도가 높아지는 것을 알 수 있었다. 명료도 분석결과 중·개축 및 개·보수 후 대다수의 시설이 명료도가 낮아지는 추이를 살펴볼 수 있었다.
Purpose: Long-term Care Insurance sets up facility standard and installation standard of aged care facilities and decides the presence of minimum number of rooms and its size in care facilities by using systematic instruments. Therefore, most aged care facilities had renovation in expansion and reconstruction following the revised regulations and even facility space structure and space composition are continuously improving. The study is to determine the purpose and trend by comparing before and after space composition of facilities which followed the implementation of Long-term Care Insurance and also to suggest hierarchical space composition suitable for aged care facilities through derived problems and to provide basic materials to plan the most appropriate facility for the aged.
Methods: J-graph based on Space Syntax Theory will be schematized through in-site facility survey and before and after facility floor plan. Space composition trend will be analyzed by comparing indexes through S3 program.
Results: The average of whole space depth is increasing due to the Extension, the number of volunteers is decreasing and rooms for geriatric care helpers are being created due to the geriatric care helper introduction duty. Also, there are solariums being created to improve the health of the aged and dispensaries are being placed on every floor with the increase of documentary work for geriatric care helpers. With the policy implementation, care facility space composition and structure are changing with facility standard and it was analyzed that facilities were mostly put under the control of limited number of people in care room and total ground area per person. It was also found that there is increase in care space integration through before and after comparison of whole integration value. This is considered as the important result not only in facility standard satisfaction, but also in care support of geriatric care helpers and the aged, its main users.
Implications: In order for elderly care facilities to have quality improvement and to develop as suitable facilities for characteristics of the aged, independent environmental facility standard preparation of elderly care facilities is needed through mutual cooperation of construction fields with regulation and policy related researches.