제1장 서론 ······························································································ 1 제1절 연구배경 및 목적 ····················································································· 3 제2절 연구내용 ·································································································· 10 제3절 연구방법 ·································································································· 11 제2장 이론적 논의 ··············································································· 15 제1절 치매 정의 및 분류 ················································································· 17 1. 치매의 정의 및 유형 ················································································ 17 제2절 치매의 사회적 부담 ··············································································· 30 1. 치매가 사회에 미치는 영향 ···································································· 30 2. 치매가족에 대한 정책 개입의 필요성 ···················································· 42 제3절 치매 관련 연구 동향 ············································································· 44 1. 국내 연구동향 ··························································································· 44 2. 국외 연구동향 ··························································································· 54 제4절 치매 정책 및 제도 분석 ········································································ 56 1. 국가 치매 정책 및 제도 ·········································································· 56 2. 국제 치매 정책 및 제도 ········································································ 90 3. 부산의 치매 정책 ····················································································· 99 제5절 소결: 종합적 문제점 ·········································································· 102 제3장 부산의 치매 현황 및 특성 ····················································· 103 제1절 국내의 치매 현황 및 특성 ·································································· 105 1. 치매유병률 현황 ····················································································· 105 2. 치매관리 ·································································································· 112 제2절 부산의 치매 현황 및 특성 ·································································· 114 1. 치매 유병률 현황 ··················································································· 114 2. 치매 인프라 현황 ··················································································· 121 3. 치매 가족 현황 ······················································································· 124 4. GIS로 살펴 본 부산의 치매 특성 ························································ 126 제3절 소결 ······································································································· 134 제4장 부산의 치매실태 및 지원욕구 ··············································· 137 제1절 일반시민 대상 조사 ··········································································· 139 1. 조사개요 ·································································································· 139 2. 조사결과 ·································································································· 141 제2절 치매가족 대상 조사 ··········································································· 160 1. 치매가족 설문조사 ················································································· 160 2. 치매가족 면접조사 ················································································· 184 제3절 관련 종사자 조사 ··············································································· 205 1. 조사개요 ·································································································· 205 2. 조사결과 ·································································································· 207 제4절 관련 종사자 심층면접조사 ·································································· 222 1. 조사개요 ·································································································· 222 2. 조사 결과 ································································································ 224 제5절 사업담당자 심층면접조사 ···································································· 243 1. 조사개요 ·································································································· 243 2. 조사 결과 ································································································ 244 제6절 소결 ······································································································· 251 1. 시민 조사 ································································································ 251 2. 치매가족 조사 ························································································· 252 3. 관련종사자·사업담당자 조사 ································································· 252 제5장 부산의 치매 대응방안 ···························································· 255 제1절 부산지역 치매 정책방향 ······································································ 257 1. 부산의 치매정책 비전 ·········································································· 257 2. 정책 표적집단 설정 ··············································································· 258 제2절 종합정책과제 ························································································ 260 1. 예방관리사업 ·························································································· 260 2. 진단관리사업 ························································································· 262 3. 치료관리사업 ·························································································· 264 4. 요양관리사업 ·························································································· 266 5. 치매가족 지원사업 ················································································· 268 6. 일상기반사업 ·························································································· 269 제3절 부산형 치매대응 5대 정책과제 ·························································· 271 1. 부산 치매특성 시설조성 및 운영 활성화 ············································ 274 2. 부산형 치매 복지서비스 체계 구축 ····················································· 292 3. 치매가족 지원강화 ················································································· 306 4. 치매관련 의료기술·산업 육성 ······························································· 326 5. 치매케어를 위한 제도 및 환경 개선 ·················································· 335 제4절 결론 및 향후과제 ················································································· 351 ■ 참고문헌 ···································································································· 361 ■ 부 록 ······································································································· 371

[표 I-1] 연구협력추진 일정 ················································································· 13 [표 Ⅱ-1] 정상노인과 치매노인의 차이 ···························································· 17 [표 Ⅱ-2] 치매진행단계별 특징 ··········································································· 18 [표 Ⅱ-3] 치매의 중증도별 현황 ······································································· 19 [표 Ⅱ-4] 알츠하이머병의 특징 ··········································································· 21 [표 Ⅱ-5] 혈관성치매 특징 ·················································································· 24 [표 Ⅱ-6] MMSE-DS 진단검사 의뢰 점수 ························································ 29 [표 Ⅱ-7] 경도인지장애의 증상과 진단 ···························································· 29 [표 Ⅱ-8] 치매환자 1인당 연간 관리비용 구성 ················································· 32 [표 Ⅱ-9] 치매중증도별 치매환자 1인당 연간관리비용 ···································· 33 [표 Ⅱ-10] 치매환자 1인당 연간 진료건수 및 진료비 ····································· 33 [표 Ⅱ-11] 장기요양보험 서비스 이용 내역 ······················································ 34 [표 Ⅱ-12] 국가치매 관리비용 ············································································ 35 [표 Ⅱ-13] 부산시 치매관리비용 ········································································· 35 [표 Ⅱ-14] 진료행태별 치매진료비 ····································································· 35 [표 Ⅱ-15] 연간 요양기관종별 치매진료비 ························································ 36 [표 Ⅱ-16] 치매치료관리비 지원 비용 ······························································· 36 [표 Ⅱ-17] 치매 노인장기요양보험 급여비용 ···················································· 37 [표 Ⅱ-18] 치매상담센터 조기검진 소요예산 ·················································· 37 [표 Ⅱ-19] 부산지역 치매관리 현황 ··································································· 38 [표 Ⅱ-20] 부산지역 치매자원 현황 ··································································· 40 [표 Ⅱ-21] 부산지역 치매서비스 현황 ······························································· 41 [표 Ⅱ-22] 전북지역 치매노인 부양가족 지원을 위한 정책 제안 ················· 48 [표 Ⅱ-23] 치매안심센터 주요사업별 내용 ························································ 62 [표 Ⅱ-24] 노인보건복지서비스의 사업 개요 ···················································· 66 [표 Ⅱ-25] 노인장기요양보험제도와 기존 노인복지서비스체계 비교 ·············· 68 [표 Ⅱ-26] 장기요양보험제도 재원 부담 ···························································· 68 [표 Ⅱ-27] 장기요양 등급과 심신의 기능상태 ·················································· 70 [표 Ⅱ-28] 재가급여 월 한도액 및 본인 부담금 ··············································· 71 [표 Ⅱ-29] 장기요양 재가급여 내용 ··································································· 72 [표 Ⅱ-30] 재가급여 월 한도액과 시설급여 월 수가의 비교 ·························· 73 [표 Ⅱ-31] 시설급여 월 한도액 및 본인 부담금 ··············································· 73 [표 Ⅱ-32] 시설급여 월 한도액 및 본인 부담금 ··············································· 74 [표 Ⅱ-33] 1일당 대상자별 장기요양 시설급여 3등급 급여 기준 ·················· 76 [표 Ⅱ-34] 부산시 장기요양인증실적 ····························································· 77 [표 Ⅱ-35] 연도별 대체인력 파견사업 추진실적 ··············································· 78 [표 Ⅱ-36] 노인돌봄종합서비스 서비스 단가 ···················································· 79 [표 Ⅱ-37] 재가노인지원서비스센터 주요 서비스 ··········································· 80 [표 Ⅱ-38] 제3차 치매관리종합계획(2016~2020) 중 가족정책의 목표와 주요내용 ················································································ 81 [표 Ⅱ-39] 치매국가책임제 주요내용 ······························································· 82 [표 Ⅱ-40] WHO 국제치매공동대응계획의 치매 부양자 지원 영역 ················ 83 [표 Ⅱ-41] 영국의 가족 부양자 지원 전략 ························································ 84 [표 Ⅱ-42] 일본의 가족 부양자 지원 정책 ························································ 85 [표 Ⅱ-43] 독일의 가족 부양자 지원 정책 ························································ 86 [표 Ⅱ-44] 치매가족지원 관련 법률과 조항의 주요내용 ·································· 87 [표 Ⅱ-45] 치매안심센터의 치매가족지원사업 ··················································· 89 [표 Ⅱ-46] 치매상담센터 가족교실 및 자조모임 현황 ····································· 90 [표 Ⅱ-47] 치매노인을 위한 지원 프로젝트 내용 ············································· 95 [표 Ⅲ-1] 치매환자수 및 유병률 추이 ···························································· 105 [표 Ⅲ-2] 시·도별 치매환자수 및 유병률 추이 ············································· 108 [표 Ⅲ-3] 유형별 치매유병률 ············································································ 109 [표 Ⅲ-4] 중증도별 치매유병률 ······································································· 110 [표 Ⅲ-5] 경도 인지장애 환자 수 및 유병률 추이 ······································· 111 [표 Ⅲ-6] 전국 치매안심센터 개소 현황 ························································ 112 [표 Ⅲ-7] 지역별 의료기관 및 요양기관 현황 ················································· 113 [표 Ⅲ-8] 치매환자수 및 유병률 추이 ···························································· 114 [표 Ⅲ-9] 구·군별 치매유병률 ··········································································· 116 [표 Ⅲ-10] 구·군별 성별 치매유병률 ································································ 117 [표 Ⅲ-11] 구·군별 연령별 치매유병률 ···························································· 118 [표 Ⅲ-12] 유형별 치매유병률 ·········································································· 119 [표 Ⅲ-13] 중증도별 치매유병률 ····································································· 120 [표 Ⅲ-14] 경도 인지장애 환자수 및 유병률 추이 ········································· 121 [표 Ⅲ-15] 부산시 치매관련 시설 인프라 현황 ············································· 122 [표 Ⅲ-16] 노인장기요양시설 공실률 ······························································· 123 [표 Ⅲ-17] 치매환자가구 수 ·············································································· 124 [표 Ⅲ-18] 치매환자가구 평균 가구원수 ·························································· 125 [표 Ⅲ-19] 치매환자가구 중 기초생활수급자 가구 ········································· 125 [표 Ⅲ-20] 소득수준별 치매환자가구 ······························································· 126 [표 Ⅲ-21] 부산시 요양병원 및 노인시설 현황 ·············································· 129 [표 Ⅲ-22] 부산지역 노인인구 대비 요양시설 병상 수 구군별 충족률 ······ 131 [표 Ⅲ-23] 부산지역 노인인구 대비 요양시설 병상 수 권역별 충족률 ······ 133 [표 Ⅳ-1] 설문조사 항목 ···················································································· 139 [표 Ⅳ-2] 조사대상자 일반적 특성 ································································· 140 [표 Ⅳ-3] 전반적인 건강상태 ·········································································· 141 [표 Ⅳ-4] 치매(원인, 증상)인지도 ····································································· 143 [표 Ⅳ-5] 치매교육경험 ······················································································ 146 [표 Ⅳ-6] 치매교육의 필요여부 ········································································· 147 [표 Ⅳ-7] 치매검사 수검여부 ············································································ 148 [표 Ⅳ-8] 치매진단의 두려움 ············································································ 149 [표 Ⅳ-9] 치매예방노력여부 ·············································································· 150 [표 Ⅳ-10] 경도인지장애 인지여부 ··································································· 152 [표 Ⅳ-11] 치매진단 시 기대하는 보호형태 ···················································· 153 [표 Ⅳ-12] 지역 내 치매안심센터 인지여부 ···················································· 154 [표 Ⅳ-13] 치매안심센터 서비스 인지도 ·························································· 155 [표 Ⅳ-14] 치매안심병원 인지도 ······································································· 156 [표 Ⅳ-15] 장기요양보험 치매환자 등급(5등급, 인지지원등급) 인지도 ········ 157 [표 Ⅳ-16] 분석 내용 ························································································· 161 [표 Ⅳ-17] 조사대상자 일반적 특성 ································································· 162 [표 Ⅳ-18] 전반적인 건강상태 ·········································································· 164 [표 Ⅳ-19] 치매에 대한 인지도 ········································································ 164 [표 Ⅳ-20] 치매 정보 습득 경로 ······································································ 165 [표 Ⅳ-21] 치매 교육 경험 유무 ····································································· 166 [표 Ⅳ-22] 치매 교육 도움 정도 ······································································ 166 [표 Ⅳ-23] 치매 교육 필요도 ············································································ 167 [표 Ⅳ-24] 치매 교육 내용 중 필요한 부분 ···················································· 167 [표 Ⅳ-25] 주변/이웃에 치매노인 존재 유무 ·················································· 168 [표 Ⅳ-26] 치매환자로 인해 불편을 겪은 경험 ·············································· 168 [표 Ⅳ-27] 치매환자 돌봄 시, 이웃의 역할 필요도 ········································ 169 [표 Ⅳ-28] 치매 검사 경험 유무 ······································································ 169 [표 Ⅳ-29] 치매에 대한 걱정 정도 ··································································· 170 [표 Ⅳ-30] 치매가 두려운 이유 ········································································ 170 [표 Ⅳ-31] 치매 예방 노력 정도 ······································································ 171 [표 Ⅳ-32] 경도인지장애 인지도 ······································································· 171 [표 Ⅳ-33] 경도인지장애 관련 연상 내용 ························································ 172 [표 Ⅳ-34] 자신에게 치매 증상이 나타났을 때 받고 싶은 보호 형태 ········· 172 [표 Ⅳ-35] 치매안심센터 인지도 ······································································· 173 [표 Ⅳ-36] 치매안심센터 인지 경로 ································································· 173 [표 Ⅳ-37] 치매안심센터 제공 서비스 인지도 ················································ 174 [표 Ⅳ-38] 치매환자 성별 ·················································································· 176 [표 Ⅳ-39] 치매환자와의 관계 ·········································································· 177 [표 Ⅳ-40] 진단일로부터 치매증상 발생 시기 ················································ 177 [표 Ⅳ-41] 치매 확진 후 치료 방법 ································································· 178 [표 Ⅳ-42] 치매환자의 유형 ·············································································· 178 [표 Ⅳ-43] 치매환자의 치매 정도 ····································································· 178 [표 Ⅳ-44] 치매환자의 치매 이외 보유 질병 유무 ········································· 179 [표 Ⅳ-45] 치매환자 생활 장소 ········································································ 180 [표 Ⅳ-46] 치매환자 돌봄 비용 부담자 ··························································· 180 [표 Ⅳ-47] 치매환자 부양 시 부담 정도 ························································· 181 [표 Ⅳ-48] 건강 수준에 따른 치매환자 부양부담 차이 ·································· 181 [표 Ⅳ-49] 치매환자 부양 시 힘든 점(1순위) ················································· 183 [표 Ⅳ-50] 치매환자 부양 방법 인지도 ··························································· 183 [표 Ⅳ-51] 치매환자 이외 부양가족 ································································· 184 [표 Ⅳ-52] 조사내용 ··························································································· 185 [표 Ⅳ-53] 참여자 특성 ····················································································· 185 [표 Ⅳ-54] 조사 주요내용 ·················································································· 205 [표 Ⅳ-55] 조사대상자 일반적 특성 ································································· 206 [표 Ⅳ-56] 시설유형 및 직종 ············································································ 207 [표 Ⅳ-57] 직업만족도 ······················································································· 208 [표 Ⅳ-58] 치매지식 보유정도 ·········································································· 208 [표 Ⅳ-59] 치매지식의 보유정도의 차이 ·························································· 209 [표 Ⅳ-60] 치매교육 필요도 ·············································································· 209 [표 Ⅳ-61] 치매교육경험 ··················································································· 210 [표 Ⅳ-62] 치매교육이 치매환자 돌봄에 도움정도 ········································· 211 [표 Ⅳ-63] 치매에 대한 지식정도 ····································································· 211 [표 Ⅳ-64] 치매 인식 및 태도 ·········································································· 212 [표 Ⅳ-65] 치매환자 돌봄 시 문제 ··································································· 213 [표 Ⅳ-66] 치매 관련 기관 및 서비스 인지도 ················································ 213 [표 Ⅳ-67] 치매 안심센터 인지경로 및 서비스 인지도 ·································· 214 [표 Ⅳ-68] 치매안심센터 인지경로 유형별 차이 ············································· 215 [표 Ⅳ-69] 치매안심센터 사업인지도 유형별 차이 ········································· 216 [표 Ⅳ-70] 치매안심센터 확대희망사업(1순위) ················································ 217 [표 Ⅳ-71] 장기요양보험 서비스 인지도 유형별 차이 ··································· 218 [표 Ⅳ-72] 치매지원정책 필요도 ······································································· 219 [표 Ⅳ-73] 치매지원정책 중 확대희망 사업(1순위) ········································ 221 [표 Ⅳ-74] 심층면접조사 대상자 ······································································· 223 [표 Ⅳ-75] 심층면접조사 주요내용 ··································································· 223 [표 Ⅳ-76] 심층면접조사 주요 결과 ································································· 224 [표 Ⅳ-77] 심층면접조사 참여자현황 ····························································· 243 [표 Ⅳ-78] 심층면접조사 항목 ·········································································· 243 [표 Ⅴ-1] 치매 예방관리 사업 ········································································ 260 [표 Ⅴ-2] 치매 진단관리사업 ·········································································· 263 [표 Ⅴ-3] 치매 치료관리사업 ············································································ 264 [표 Ⅴ-4] 치매 요양관리사업 ············································································ 266 [표 Ⅴ-5] 치매가족 지원사업 ············································································ 268 [표 Ⅴ-6] 일상기반사업 ···················································································· 270 [표 Ⅴ-7] 부산형 치매대응 5대 정책과제 ························································ 271 [표 Ⅴ-8] 부산광역시 치매안심센터 운영 현황 ············································· 279 [표 Ⅴ-9] 부산광역시 민간 요양병원 현황 및 치매중등도별 환자 수 ·········· 282 [표 Ⅴ-10] 부산광역시 민간 요양병원 현황 및 치매중등도별 환자 수 ········ 284 [표 Ⅴ-11] 국외 치매안심마을 관련 지역공동체 사업 ··································· 286 [표 Ⅴ-12] 국내 치매안심마을 시범사업 지역 ················································ 287 [표 Ⅴ-13] 국내 치매안심마을 조성 및 운영사례 ··········································· 287 [표 Ⅴ-14] 국외 치매안심마을 조성 및 운영사례 ··········································· 289 [표 Ⅴ-15] 부산시 재가 전문인력 현황(2008~2016) ······································ 301 [표 Ⅴ-16] 부산시 시설 인력 현황(2008~2016) ············································· 302 [표 Ⅴ-17] 부산시 노인장기요양기관 인증사업 추진 실적 ···························· 304 [표 Ⅴ-18] 부산의 치매환자가구 중 기초생활수급자 가구 ···························· 307 [표 Ⅴ-19] 부산의 소득수준별 치매환자가구(2016년) ···································· 307 [표 Ⅴ-20] 치매 유형별, 중증도별 환자 수 ····················································· 310 [표 Ⅴ-21] 사업체의 가족돌봄휴직제도 인지율, 도입률, 활용률 ·················· 319 [표 Ⅴ-22] 치매 교육 경험 유무 및 필요성 ···················································· 321 [표 Ⅴ-23] 치매환자 부양 시 부담 정도 ························································· 322 [표 Ⅴ-24] 도시재생 뉴딜 사업유형별 특징 ···················································· 338

[그림 Ⅰ-1] 연구절차 ··························································································· 12 [그림 Ⅱ-1] 알츠하이머와 정상 뇌 영상 ···························································· 22 [그림 Ⅱ-2] 허혈성 치매 뇌 영상 ······································································· 25 [그림 Ⅱ-3] 출혈성 치매 뇌 영상 ······································································· 25 [그림 Ⅱ-4] 의료기관 치매진단 흐름도(예) ······················································ 27 [그림 Ⅱ-5] 치매안심센터(보건소) 진단 흐름도 ·············································· 27 [그림 Ⅱ-6] 치매 선별용 한국어판 간이정신상태검사(MMSE-DS) ················· 28 [그림 Ⅱ-7] 2015-2030년 전 세계 치매 관리 비용 추계 ································ 31 [그림 Ⅱ-8] 개인치매관리비용 ············································································· 32 [그림 Ⅱ-9] 제 1, 2차 국가 치매관리종합계획 추진경과 ································ 57 [그림 Ⅱ-10] 제3차 치매관리종합계획 비전 및 목표 ····································· 59 [그림 Ⅱ-11] 치매국가책임제 주요내용 ···························································· 61 [그림 Ⅱ-12] 치매안심센터 업무흐름 ································································· 63 [그림 Ⅱ-13] 노인보건복지서비스의 지원체계 ··················································· 65 [그림 Ⅱ-14] 장기요양인정절차 ·········································································· 69 [그림 Ⅱ-15] 장기요양인정점수 구간별 장기요양인정등급 ······························ 70 [그림 Ⅱ-16] 치매안심센터 조직도(예시) ··························································· 88 [그림 Ⅱ-17] 후쿠오카 치매 지원 체계도 ·························································· 93 [그림 Ⅱ-18] 오오무타시 치매지원정책 체계도 ················································· 94 [그림 Ⅱ-19] 영국 치매관리종합계획 17개 목표 ·············································· 98 [그림 Ⅱ-20] 부산광역시 치매관리사업 전달체계 ············································· 99 [그림 Ⅲ-1] 치매환자수 및 유병률 추이 ·························································· 106 [그림 Ⅲ-2] 성별·연령별 치매유병률 ································································ 106 [그림 Ⅲ-3] 유형별·중증도별 치매 현황 ·························································· 107 [그림 Ⅲ-4] 시·도별 치매 유병률 추이 ·························································· 108 [그림 Ⅲ-5] 경도 인지장애 환자 수 및 유병률 추이 ··································· 111 [그림 Ⅲ-6] 부산시 치매환자수 및 유병률 추이 ············································· 114 [그림 Ⅲ-7] 부산지역 성별·연령별 치매유병률 ··············································· 115 [그림 Ⅲ-8] 유형별·중증도별 치매 현황 ·························································· 115 [그림 Ⅲ-9] 2012-2017년 구·군별 치매환자 및 유병률 ······························ 117 [그림 Ⅲ-10] 경도 인지장애 환자 수 및 유병률 추이 ································· 121 [그림 Ⅲ-11] 노인요양시설 공실률 추이 ·························································· 124 [그림 Ⅲ-12] 향후 부산인구의 지역분포 변천 ················································ 127 [그림 Ⅲ-13] 부산지역 치매환자수 추이(2015-2035) ···································· 128 [그림 Ⅲ-14] 부산지역 요양병원 병상수 ······················································ 130 [그림 Ⅲ-15] 부산지역 노인시설 분포 ····························································· 130 [그림 Ⅲ-16] 부산지역 노인인구 대비 병상충족률(구군별) ··························· 132 [그림 Ⅲ-17] 부산지역 노인인구 대비 요양시설 병상 수 권역별 충족률 추이도·· 133 [그림 Ⅳ-1] 평소 가장 두려워하는 질병 ·························································· 142 [그림 Ⅳ-2] 가장 두려운 질병 ‘치매’ 응답자의 인구학적 분포 ···················· 143 [그림 Ⅳ-3] 치매지식 정답률 ············································································ 145 [그림 Ⅳ-4] 치매정보 습득 경로 ······································································· 145 [그림 Ⅳ-5] 치매에 걸리는 것이 두려운 이유 ··············································· 150 [그림 Ⅳ-6] 치매예방을 위한 노력 ··································································· 151 [그림 Ⅳ-7] 장기요양 서비스별 인지도 ···························································· 158 [그림 Ⅳ-8] 치매안심센터 지원확대 희망 사업(1~3순위) ······························· 158 [그림 Ⅳ-9] 치매정책 우선순위(1~3순위) ························································· 159 [그림 Ⅳ-10] 치매안심센터 서비스 인지도 ······················································ 174 [그림 Ⅳ-11] 치매안심센터 서비스 지원 확대 희망 사업(1순위) ·················· 175 [그림 Ⅳ-12] 치매지원정책 필요도 ··································································· 175 [그림 Ⅳ-13] 치매지원정책 중 추진 우선 사업(1순위) ··································· 176 [그림 Ⅳ-14] 치매 이외 보유 질병 종류 ························································· 179 [그림 Ⅳ-15] 치매안심센터 확대희망사업(1순위) ············································ 218 [그림 Ⅳ-16] 치매지원정책 필요도 ··································································· 220 [그림 Ⅳ-17] 치매지원정책 중 추진우선사업(1순위) ······································ 221 [그림 Ⅴ-1] 부산의 치매정책 비전체계도 ························································ 257 [그림 Ⅴ-2] 치매 단계별 정책 표적집단 ·························································· 259 [그림 Ⅴ-3] 부산형 치매대응방안 5대 정책과제 및 사업 ······························ 273 [그림 Ⅴ-4] 국가 제3차 치매관리 종합계획과 부산형 치매대응정책과제 비교··· 274 [그림 Ⅴ-5] 치매안심센터 업무흐름도 ······························································ 275 [그림 Ⅴ-6] 치매안심센터 지역사회 연계모형(안) ········································· 278 [그림 Ⅴ-7] 치매안심요양병원 기능보강사업 관리지침 ·································· 281 [그림 Ⅴ-8] 부산형 노인통합지원센터 운영(안) ·············································· 295 [그림 Ⅴ-9] 일본 사회보장제도의 기본구도 ···················································· 298 [그림 Ⅴ-10] 중간보호시설(중간집) 도입 방향 ················································ 300 [그림 Ⅴ-11] 부산시 연도별 재가 요양보호사 현황 (2008~2016) ················ 301 [그림 Ⅴ-12] 부산시 연도별 시설 요양보호사 현황(2008~2016) ·················· 302 [그림 Ⅴ-13] 국내 조호자와 비조호자의 정신건강문제 비교 현황 ··············· 322 [그림 Ⅴ-14] 치매관련 산업생태계 활성화 방안 ············································· 329 [그림 Ⅴ-15] 치매자원 역량관련 SWOT 분석 ················································ 333 [그림 Ⅴ-16] 커뮤니티케어형 도시재생 모형도 ··············································· 340 [그림 Ⅴ-17] 치매 유관기관 공식 홈페이지 ···················································· 346