The death is the experience and event which anybody should suffer at end of his/her life. Death may be considered to be one of the portals which everybody should go through at the end of his/her life. But, the processes, or the journey to the moment of death and the experience during the journey vary for everyone. Therefore, the good death cannot be accomplished only with the good experience at the time of death but shall include all experiences obtained during the journey to the moment of death. A lot of researches made on what is good death show that the good death is essentially the “humane” death. It is consistent with the patient’s hope of living up to the moment of death at his/her own will. It means that the good death can be made only when the human rights and self decision-making right are respected so that a patient can be treated humanely as a human until the last moment. The policies related to the good death in Korea include the systems related to the ‘hospice-palliative care’ and ‘decision on life-sustaining treatment’. These two policies get more prevalent after Act on Decisions on Life-sustaining Treatment for Patients in Hospice and Palliative care of at the End of Life was recently enacted and implemented. Although this Act has the meaning in that it keeps the quality of life maintained to the maximum until the end of the human life and that it ensures the patient’s self decision on the life-sustaining treatment, it needs some improvements. Currently, the hospice-palliative care is mainly implemented at the medical institutions and focus on a few weeks or months at the end of one’s life. If the policy goal is to help the patient or his/her guardian experience the patient’s good death, the policy shall not be limited just to a few weeks or months up to the moment of death. More advanced approach is required. Earlier interference shall be made to improve the quality of the life for the patient’s remaining life so that the action can be consistent with the original concept of palliative care. In addition, the hospice care which has focused on the medical institutions up to now shall be expanded to include not only the home-based hospice care but also the care at long-term facilities. The laws which were enacted to ensure the patient’s self decision-making right up to the last moment were found to have problems when they took effective. They include the complicity of the procedure, lack of professionalism in the related medical institutions, lack of understanding by service provider and users and others. The most skeptical one is whether these laws can ensure the patient’s self decision-making rights. To ensure the patient to get his/her own decision-making right over medical treatment up to the last moment of life, the right shall be guaranteed not only to the care performed at the end of life but also to the general scope of treatments. As shown in the cases of US, Australia and Taiwan, which had enacted the related laws prior to Korea, they all started with “natural death act” but became to expand the scope to include “Patient decision act”. Accordingly, when the revision of the law is discussed, the revision shall be made not just for several provisions but include the revision of the expanded laws. If the improvement of the medical system is made in this direction, it can be expected that the experience of patient and guardian are improved and at the same time, the national medical expenses related to the death are reduced
This study attempts to summarize the trajectory and achievements of the Korean welfare state since the days of democratization and the Asian Financial Crisis, and to discuss the path-dependent nature and limitations of such development, with a view to finding policy implications for the future growth of the Korean welfare state.
The goal of this study is to explore aging anxiety, self-neglecting behaviors, levels of family and social support among elders living in urban and rural communities, and to investigate the moderating effects of family and social support on the relationship between aging anxiety and self-neglecting behaviors. Survey data of 837 elders living in urban areas and 322 elders living in rural areas, collected by the Aging Society and Social Capital Research Center in 2018, was analyzed. χ2 tests and t-tests were used to examine group differences on the levels of aging anxiety, self-neglecting behaviors, and family and social support. The moderating effects of family and social support were tested by multiple regression analyses for each group of urban and rural older adults. The results showed that there was a group difference on the levels of aging anxiety, and that the higher degree of aging anxiety for all the elders in both groups, the lower degree of self-neglecting behaviors. The moderating effects of family and social support were only found among older adults living in rural areas. The significance of this study is to show how urban and rural older adults use family and social support in order to cope with anxiety and stress related to aging issues and to prevent self-neglecting behaviors.
Shaping the Future of Social Security: Addressing the Challenges of Today and TomorrowThursday, 5 December 2019 - 10:00 a.m. to 6:30 p.m.Grand Ballroom (LL), Millennium Hilton SeoulHosted by the Social Security Committee and the Ministry of Health and WelfareOrganized by the Korea Institute for Health and Social Affairs Program 09:30-10:00 Registration 10:00-10:20 Congratulatory Remarks Lee Nok-yon, Prime MinisterOpening Remarks Park Neunghoo, Minister of Health and Welfare 10:20-12:20 Keynote Session: Searching for a New Path to Social Security Keynote SpeechJoakim Palme, Professor, Uppsala University, SwedenRoundtable DiscussionModerator Lee Chang Gon, Executive Director, Hankyoreh Economy & Society Research Institute Panelists Cho Heung-Seek, President, Korea Institute for Health and Social Affairs Bae Kiu Sik, President, Korea Labor Institute Kim Yoo-Chan, President, Korea Institute of Public Finance Bruno Palier, CNRS Research Director, Sciences Po, France Yannick Vanderborght, Professor, Universite Saint-Louis-Bruxelles, BelgiumTine Rostgaard, Professor, Danish Center for Social Science Research Sven Steinmo, Professor, University of Colorado 12:20-14:00 Lunch 14:00-16:00 Session ISession I-1: Changing Labor Markets and the Social Safety Net Moderator Jang Ji-yeon, Senior Research Fellow, Korea Labor Institute Presentations "Changes in Labor Markets and Social Protection" Bruno Palier, CNRS Research Director, Sciences Po, France "Adapting Social Protection Systems for the Future of Work" Christina Behrendt, Head of Social Policy Unit, ILO Discussants Lee Sophia Seung-yoon, Professor, Ewha Womans University Lee Cheol-Sung, Professor, Sogang University Session I-2: Future Income Security: Experiments and Lessons Moderator Ku Inhoe, Professor, Seoul National University Presentations "Basic Income Experiments, Past and Future" Yannick Vanderborght, Professor, Unviersite Saint-Louis-Bruxelles, Belgium "Digital Social Security" Enzo Weber, Professor, Institute for Employment Research (IAB) Discussants Yang Jae Jin, Professor, Yonsei University Moon Jin Young, Professor, Sogang University 16:00-16:30Coffee Break 16;30-18:30Session II Session II-1: Inclusive State and the Future of Social Services Moderator Hong Seon Mee, Professor, Hanshin University Presentations "Social Care for Children and Older People--Policy Trajectories and Reform Tendencies" Tine Rostgaard, Professor, Danish Center for Social Science Research, Denmark "Left on your own? Social Protection When Labour Markets Are in Flux" Herwig Immervoll, Head of Employment-Oriented Social Policies, OECD Discussants Song Dayoung, Professor, Incheon National Unversity Kang Wook Mo, Professor, Kyeongsang National University Session II-2: Sustainable Welfare State and Welfare Financing Moderator Kang Byung-Goo, Professor, Inha University Presentations "Tax Morale and Tax Evasion: A Reasonable Choice Story" Sven Steinmo, Professor, University of Colrado-Boulder, USA "Sustainable Welfare State and Welfare Financing: the Experience and Prospects in the European Union"Per Eckefeldt, Head, Sector for Age-related Public Expenditure, European Commission Discussants Lee Chulhee, Professor, Seoul National University Shin Jeongwoo, Research Fellow, Korea Institute for Health and Social Affairs
Monday, 30 September - 1 October 2019Seoul Office, KIHASAHosted by KIHASA Program: Monday, 30 September 2019 - 9:00 am to 6:00 pm 9:00-9:30 Registration 9:30-10:00 Opening Ceremony 10:00-11:00 HIA & Learning by Doing 11:00-12:00 HIA, Scoping, and the Application of Equity Indicators 12:00-13:00 Lunch 13:00-15:00 The Process, Theory and Practice of HIA 15:20-16:30 The Performance and Evaluation of HIA 16:50-18:00 Best HIA Practices and the Use of Local Social Resources Program: Tuesday, 1 October 2019 -9:00 am to 12:00 pm 9:00010:30 The Analysis and Review of Health Equity Determinants 10:50-12:00 Resource-Linking Strategies for Health Promotion