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경 기 도

경기도 노인복지시설 종합발전방향 기본계획

2008. 7.


(2008. 7)

연구기관 : 우석대학교 산학협력단

[ 연 구 진 ]

연구책임자 : 은 민 균 (우석대학교 과학기술대학 건축인테리어디자인학과 교수)

책임연구원 : 이 준 우 (강남대학교 사회복지대학 사회복지학부 교수)

공동연구원 : 김 경 중 (우석대학교 아동복지학과 교수)

윤 찬 중 (강남대학교 사회복지대학 교수)

김 덕 환 (한일장신대학교 사회복지학과 교수)

정 종 수 (한세대학교 경영학과 교수)

이 경 국 (완주노인복지센터장)

보조연구원 : 서문진희 (강남대학교 사회복지전문대학원 박사과정)

정 지 웅 (강남대학교 사회복지전문대학원 박사과정)

이 현 아 (강남대학교 사회복지전문대학원 석사과정)

이 윤 정 (강남대학교 사회복지전문대학원 석사과정)

양 주 희 (강남대학교 사회복지전문대학원 석사과정)

조 미 애 (강남대학교 사회복지대학 사회복지학부)

목 차

제1장_ 발전방향 기본계획의 개요 ······································································3

1.노인복지시설 종합발전방향 기본계획의 필요성································3

2.노인복지시설 종합발전방향 기본계획의 목적과 성격······················5

3.노인복지시설 종합발전방향 기본계획의 범위····································6

4.노인복지시설 종합발전방향 기본계획의 목표와 기대효과··············8

5.노인복지시설 종합발전방향 기본계획의 수립과정··························10

제2장_ 경기도 일반현황 및 노인복지시설 현황 ···············································17

1.경기도 노인복지 일반현황····································································17

2.경기도 노인복지시설 현황 및 특성····················································39

3.활용 가능한 지역자원 현황··································································53

4.경기도 주택 및 주거 현황····································································59

5.중앙정부 및 경기도 관련 계획 검토··················································72

6.경기도 현황에 대한 SWOT분석························································85

제3장_ 경기도 노인복지 욕구조사 분석 결과 ··············································93

1.노인복지시설에 대한 욕구조사 결과··················································93

2.경기도 거주 노인 대상 질적 사례조사···········································196

3.노인복지시설에 대한 전문가 면담조사···········································204

4.고령친화주택에 대한 질적 욕구조사···············································209

제4장_ 경기도 노인복지시설 종합발전방향 기본계획의 기본구조 ·········217

1.경기도 노인복지시설의 비전과 목표···············································217

2.경기도 노인복지시설의 주요 과제···················································229

3.지역 맞춤형 노인복지시설 구현을 위한 핵심추진사업···············231

제5장_ 경기도 노인복지시설 발전을 위한 기반조성 계획 ·······················241

1.지역별 특화된 노인복지 인프라(도시형,도농복합형,농촌형)구축···········241

2.보건․요양․복지 통합형 노인복지 프로그램 추진·····················247

3.노인친화․노인복지 테크노 인큐베이터 사업 추진·····················255

제6장_ 경기도 노인복지시설 부문별 발전 계획 ········································275

1.노인장기요양보험제도·········································································275

2.CareContinuum에 따른 노인복지시설 및 서비스······················307

3.건강한 노인을 위한 주요 시설 및 서비스·····································313

4.요재활 노인을 위한 주요 시설 및 서비스·····································348

5.요보호 노인을 위한 주요 시설 및 서비스·····································366

제7장_ 경기도 고령친화주택 조성방안 ························································399

1.고령화친화주택 조성방안 개관·························································399

2.우리나라의 고령자 주거정책·····························································410

3.외국의 고령자 주거정책 및 사례·····················································415

4.경기도 고령친화주택 수요추정 및 조성방안·································450

제8장_ 평가와 향후 과제 ················································································475

1.추진과정 점검방법···············································································475

2.자체평가 및 한계·················································································482

3.향후 과제·······························································································484

참고문헌 ··············································································································495

부 록 ·············································································································503

표 목 차

경기도 노인복지시설 종합발전방향 기본계획 수립을 위한 조사

연구 진행일정····················································································14

경기도 인구 및 면적········································································18

경기도 시ㆍ군별 인구현황······························································19

경기도 시ㆍ군별 행정구역 현황····················································22

연령별 인구분포················································································24

시ㆍ군별 인구 및 평균연령····························································26

경기도 전체 노인 인구수································································28

도시형 일반도시 노인인구 현황····················································29

도농복합시 노인인구 현황······························································30

농촌 군지역 노인인구 현황····························································31

경기도 일반 인구증가 연령대별 추이·······································32

경기도 노인인구 증가추세···························································33

경기도 노인인구 증가추이···························································34

경기도 영․유아 및 노인인구 구성비·······································35

시ㆍ군별 노령화지수·····································································36

시ㆍ군별 노년인구 부양비율·······················································38

구 노인복지법 제31조에 의거한 노인복지시설의 종류·········39

노인복지시설의 종류 및 기능·····················································42

신ㆍ구 노인복지시설의 비교·······················································44

노인주거복지시설 및 입소 현황·················································45

노인의료복지시설 및 입소 현황·················································46

노인여가복지시설 현황·································································47

재가노인복지시설 및 이용 현황·················································48

노인주거복지시설 분포·································································49

노인의료복지시설(노인요양시설)분포·······································50

노인의료복지시설(노인전문요양시설)분포·······························50

노인의료복지시설(노인전문병원)분포·······································51

노인여가복지시설 분포·································································51

재가노인복지시설 분포·································································52

경기도의 교육기관 현황·······························································54

경기도의 종교기관 현황·······························································55

경기도의 문화공간 현황·······························································56

경기도의 사회복지시설 현황·······················································57

경기도의 의료기관 현황·······························································58

경기도의 지역안정기관 현황·······················································58

주택재고 현황·················································································59

경기도 주택 및 주거 실태조사···················································61

경기도 노인 및 1인 가구 현황···················································62

경기도 점유형태별 주거수준·······················································63

경기도민의 주거비 부담·······························································64

경기도 최저주거수준 미달가구 주거수준·································66

경기도 주택수요 전망···································································68

규모별 주택수요 전망···································································69

공공지원 주택소요·········································································70

지역별 공공지원 주택소요···························································71

노인 복지의 정책목표 및 정책방향···········································73

노인 복지의 정책부문별 추진과제·············································74

각 지역별 50대 이상 모집단 분포 및 표본크기·······················94

응답자 성별························································································99

연령······································································································99

결혼유무···························································································100

거주지역···························································································101

도농유형···························································································101

자녀유무···························································································102

동거인 구분·····················································································102

학력···································································································103

월소득·····························································································103

거주 주택유형···············································································104

주택소유 여부···············································································104

건강 상태·······················································································105

노후로 인식하는 시기·································································106

노인복지시설(서비스)의 인지····················································107

인지하고 있는 주요시설별 운영상태 평가·····························108

주이용시설 및 이용계획·····························································109

월소득에 따른 주이용시설 및 이용계획·································110

건강에 따른 주이용시설 및 이용계획·····································111

연령에 따른 주이용시설 및 이용계획·····································111

시설 만족도···················································································112

노인복지 정보의 제공·································································112

1순위로 응답한 노인복지시책의 우선순위·····························113



가장 잘 시행되고 있는 시책·····················································115

월소득에 따른 노인복지시책 우선순위 인식·························116

건강상태에 따른 노인복지시책 우선순위 인식·····················117

동거가족 유형에 따른 노인복지시책 우선순위 인식···········118

맞춤형 복지시설의 필요성·························································118

기초생활수급노인에 대한 맞춤형 시설의 필요성·················119

저소득 노인에 대한 맞춤형 시설의 필요성···························119

일반노인에 대한 맞춤형 시설의 필요성·································120

노인여가복지시설의 필요성·······················································121

필요한 노인여가복지시설···························································121

필요한 노인여가복지 프로그램·················································122

노인복지시설 설치의 주체·························································122

노인복지시설 설치의 재원부담·················································123

노인복지시설의 운영주체···························································124

상호연계 필요성···········································································124

시설간 상호연계···········································································125

노인장기요양보험 시행에 대한 인지도···································126

시설확충의 우선순위···································································127

연령에 따른 노인복지시설의 확충 필요 인식·······················128

월소득에 따른 노인복지시설의 확충 필요 인식···················129

건강상태에 따른 노인복지시설의 확충 필요 인식···············130

노인장기요양보험법 시행시 제공되어야 할 서비스·············131

노인장기요양보험법 시행시 연령에 따른 노인복지시설 확충

필요 인식······················································································131

노인장기요양보험법 시행시 소득에 따른 노인복지시설의 확충

필요 인식·······················································································132

노인장기요양보험법 시행시 건강에 따른 노인복지시설의 확충

필요 인식·······················································································133

노인장기요양보험 관련 시설 설치의 주체·····························133

노인장기요양시설 설치의 재원부담·········································134

노인장기요양시설 운영주체·······················································135

재정지원방안·················································································135

월소득에 따른 재정지원방안 선호의 차이·····························136

저소득노인의 본인부담금 충당방안·········································137

거주지 선호도···············································································137

자택 및 현거주지 선호 이유·····················································138

연령에 따른 선호도·····································································139

소득에 따른 선호도·····································································139

건강에 따른 선호도·····································································140

노인주택 조성의 필요성·····························································140

연령에 따른 필요성 인식···························································141

소득에 따른 인식·········································································141

건강에 따른 인식·········································································142

맞춤형 주택의 필요성·································································142

새로운 노인주거복지 프로그램의 방향성·······························143

주택 소유자를 위한 지원 방안·················································143

노인주거복지시설의 필요성·······················································144

노인주거복지시설의 우선순위···················································144

연령에 따른 가장 필요한 시설 인식·······································145

월소득에 따른 가장 필요한 시설 인식···································145

건강에 따른 가장 필요한 시설 인식·······································146

노인주거복지시설 이용시 본인부담금·····································147

시설을 선택한 이유·····································································147

노후에 내 집의 필요성·······························································148

노인주거환경의 조건···································································149

새로운 주거단지 조성시 선호 지역·········································150

새로운 주거단지 조성시 선호 주택형태 ·······························150

새로운 주거단지 조성시의 주민 구성·····································151

노인주거와 관련한 경제적 지원 필요성·································152

건강상태에 따른 주거 선호·······················································154

살고 있는 집에 대한 개조 필요성···········································154

가장 우선적으로 필요한 개조 부분·········································155

주택 관련 정보제공방법·····························································156

전체응답자의 성별·······································································156

전체응답자의 연령 ·····································································157

응답자의 결혼 여부·····································································157

전체응답자의 근무지역(시,군 분포)········································158

전체 응답자의 근무지역(읍,면,동 분포)·······························159

응답자 학력···················································································160

응답자의 근무지 분포·································································160

근무지 운영주체···········································································161

재직 기간·······················································································161

복지관련 전공 현황·····································································162




가장 잘 시행되고 있는 시책·····················································165

노인복지시설(서비스)의 인지도··············································166

공급자가 가장 잘 인지하고 있는 시설·································167

운영상태 평가·············································································167

시설 및 서비스의 문제점·························································168

맞춤형 복지시설의 필요성 인식·············································169

기초생활수급노인에 대한 맞춤형 시설의 필요성···············169

저소득노인에 대한 맞춤형 시설의 필요성···························170

일반노인에 대한 맞춤형 시설의 필요성·······························170

노인복지시설 간 상호연계 필요성 인식·······························171

노인생활시설과 주택 선호도···················································171

주택선호도 이유·········································································172

노인들을 위한 별도의 주택 조성 필요성·····························173

소득계층에 따른 맞춤형 주택의 필요성 인식·····················173

정보제공의 충분성 인식···························································174

시설확충이 필요한 노인복지시설 인식·································174

노인장기요양보험법 시행시 확충이 필요한 시설 인식·····175

노인장기요양보험법 시행시 제공되어야 할 서비스···········176

장기요양시설의 설치 주체 인식·············································177

장기요양시설 설치의 재원 부담 주체 인식·························177

장기요양시설 운영주체 인식···················································178

시설의 효율적 운영방안···························································179

본인부담금 충당 방안·······························································179

소득계층에 따른 맞춤형 노인복지시설 필요성···················180

기초생활수급노인을 위한 맞춤형 노인복지시설 우선순위 인식···181

저소득노인을 위한 맞춤형 노인복지시설 인식···················181

일반노인을 위한 맞춤형 노인복지시설 인식·······················182

공급자들이 가장 많이 인지하고 있는 시설·························183

노인복지시설 설치주체 인식···················································183

재원 부담 주체 인식·································································184

시설 운영 주체 인식·································································185

노인주거복지시설의 필요성 인식···········································185

가장 필요한 시설 인식·····························································186

시설에 대한 이용료 부담 정도 인식·····································186

무료노인주택 제공에 대한 인식·············································187

노후생활의 환경에 대한 인식·················································187

노후생활의 환경에 대한 인식·················································188

노인주거단지 주택형태 선호···················································189

노인주거단지 주민 구성···························································189

주택 구입을 위한 융자 지원 필요성 인식···························190

전세 융자 지원 필요성 인식···················································190

주택 수리비 지원 필요성 인식···············································191

주거비 지원 필요성 인식·························································191

고령자전용주택 보급 필요성 인식·········································192

건강한 노인을 위한 주거형태·················································193

건강이 좋지 않은 노인을 위한 주거 형태···························194

주거하고 있는 집에 대한 개조 필요성·································194

개조가 필요한 영역···································································195

주택관련 정보제공 방법···························································195

조사 대상자의 일반적 특성·····················································199

노후에 살고 싶은 주거 형태에 대한 언급 내용 정리·······200

시급하게 개선되어야 할 노인복지 정책과 서비스에 대한 언

급 내용 정리··············································································206

전문가 수급에 있어서의 어려움에 대한 언급 내용 정리·······207

노인장기요양보험과 관련한 노인복지시설 운영의 어려움에

대한 언급 내용 정리·······························································208

조사대상자의 일반적 사항·······················································210

고령친화주택 전반에 대한 의견·············································211

거주 형태에 대한 욕구 내용 정리·········································213

주택유형에 대한 욕구 내용 정리···········································214

노인장기요양보험 급여 종류와 서비스 이용 수가··················276

장기요양수급자(등급내)유형별 신체 및 인지 기능 상태·····277

등급외 A형·······················································································278

등급외 B형·······················································································278

등급외 C형·······················································································278

노인장기요양보험 시행 후 달라지는 내용·······························279

장기요양서비스 대상자 추계·······················································284

경기도의 장기요양 서비스 대상자 추계···································286

장기요양기관(입소시설)수요추계···············································287

재가서비스 수요 산출기준·························································289

경기도 재가서비스 수요 추계···················································289

재가 장기요양기관 확충필요 시설인프라 추계·····················292

시․군별 장기요양 판정 현황···················································293

전국장기요양기관 지정신청 및 지정현황·······························294

장기요양기관 지정신청 및 지정현황(시도별)····························295

경기도 요양보호사 수요 추계···················································296

경기도 요양보호사 교육기관·····················································297

시설별 운영비 지원액·································································300

노인장기요양보험 도입 변경사항·············································303

보건소의 장기요양예방서비스 연계 및 관리·························304

사회복지관의 장기요양예방서비스 연계 및 관리·················305

공단의 장기요양예방서비스 연계 및 관리·····························306

등급외판정자 지역보건복지서비스 연계 현황·······················306

노인 유형별 중심 욕구·······························································309

노인여가복지시설 확충 및 운영내실화 계획·························315

노인복지관 확충 필요 추계·······················································316

경로당 활성화 사업 추계···························································320

노인휴양소 확충필요 수요추계·················································325

양로시설 운영비 지원 추계·······················································329

노인공동생활가정 신축비 지원 추계·······································332

노인 일자리 사업별 유형···························································335

은빛사랑나눔단 사업목표···························································338

시니어클럽 확대 추계·································································339

노인일자리 사업 운영 추계·······················································340

경기실버 사회적 기업 추진단 운영·········································341

실버인력뱅크 확충 추계·····························································342

노인보호전문기관 추계·······························································353

노인돌보미 바우처 제공 추계···················································355

독거노인생활관리사 파견사업 수요 추계·······························359

시설입소 대상자 추계·································································368

노인요양시설 추계·······································································368

노인전문병원 추계·······································································372

치매전문병원 현황·······································································376

치매노인수 추이···········································································376

방문요양시설 필요 추계·····························································380

방문목욕시설 필요 추계·····························································381

방문간호시설 필요 추계·····························································383

주야간보호시설 필요 추계·························································385

단기보호시설 필요 추계·····························································386

재가노인지원센터 확충 및 운영 추계·····································388

노인가구의 증가추이·····································································401

고령친화주택···················································································408

소득수준에 따른 맞춤형 시설의 필요성 인식··························450

건강상태에 따른 주거 선호·························································453

건강변화에 따른 변동수요시 주거선호도 및 백분율 변환····454

경기도 노인주택 시설별 인구수요·············································455

경기도 노인주택 시설별 가구수요·············································455

건강상태 변화에 따른 실제 추정수요량···································456

연간 수요량·····················································································457

고령친화주택 개조 수요 추정···················································463

주택개조의 단가 산출검토(25평형 기준)································464

주택개조의 총 수요 개조비용 추정·········································465

최적⋅최소개조에 필요한 연간 추정예산·······························465

단계별 발전 계획···········································································481

저출산 대책 추진방향···································································489

그 림 목 차

경기도 노인복지시설 종합발전방향 기본계획 수립과정·············13

시ㆍ군별 인구분포········································································20

경기도 일반 인구증가 추이························································32

경기도 노인 인구증가 추이························································34

중앙정부의 참여복지 5개년 계획 개념도·······························76

경기도 보건복지 중장기 발전방안 비전과 전략····················79

2008년 능동적 복지의 4대 목표와 실천과제························83

경기도 노인복지 현황에 대한 SWOT분석 매트릭스 표···········86

경기도 노인복지시설의 비전···················································218

경기도 노인복지시설 종합발전방향 기본계획의 비전,정책목

표,정책우선순위········································································228

경기도 노인복지시설의 주요 과제·········································229

경기도 노인복지시설 기반조성 계획·····································241

보건ㆍ요양ㆍ복지 통합형 노인복지 프로그램 추진···········247

CareContinuum에 따른 3가지 노인 유형··························248

건강한 노인을 위한 주요 보건․요양․복지 서비스 지원체계········249

요재활 노인을 위한 주요 보건․요양․복지 서비스 지원체계········250

요보호 노인을 위한 주요 보건․요양․복지 서비스 지원체계········251

노인 친화적 일자리 창출·························································255

노인인력 테크노 체계 구축·····················································260

민관 협력․연계 노인복지서비스···········································264

노인복지 인프라 구축 개념도···············································266

민ㆍ관ㆍ산ㆍ학 연계 및 협력 모형·····································270

서비스 연계지원 체계도···························································302

CareContinuum에 따른 노인의 유형화······························307

경기도 유형별 노인수 추계·····················································308

CareContinuum에 근거한 노인복지서비스 지원 체계도··········310

노인복지관 추진과제·································································314

경로당 추진과제·········································································318

노인교실 추진과제·····································································322

노인휴양소 추진과제·································································324

양로시설 추진과제·····································································328

노인공동생활가정 추진과제···················································331

노인복지주택 추진과제···························································333

시니어클럽 추진과제·······························································335

실버인력뱅크 추진과제···························································341

노인 자원봉사 활성화 추진과제···········································343

경로식당 무료급식사업 추진과제·········································344

보건소 건강생활 실천 프로그램 추진과제·························346

노인보호전문기관 추진과제···················································348

노인돌보미 사업 추진과제·····················································354

가사간병도우미 사업 추진과제·············································356

독거노인생활관리사 파견사업 추진과제·····························357

저소득 재가노인 식사배달 추진과제···································359

치매상담센터 추진과제···························································361

보건소 치매조기검진 및 예방사업 추진과제·····················363

보건소 맞춤형 방문건강관리 추진과제·······························364

노인요양시설 추진과제···························································366

노인요양공동생활가정 추진과제···········································369

노인전문병원 추진과제···························································370

소규모 요양시설 추진과제·····················································373

치매전문병원 추진과제···························································375

방문병원시설 추진과제···························································378

방문목욕시설 추진과제···························································380

방문간호시설 추진과제···························································381

주야간보호시설 추진과제·······················································383

단기보호시설 추진과제···························································385

재가노인지원센터 추진과제···················································386

복합노인복지시설 추진과제···················································388

복지욕구사업 추진과제···························································390

치매주간보호소 추진과제·······················································391

정신보건센터 추진과제···························································392

호스피스 시설 추진과제·························································393

연차별 성과지표·········································································479

경기도 노인복지시설 발전과 고령친화주택 조성의 활성화 추

진 전략·························································································491


제1장 발전방향 기본계획의 개요

Administrator새 스탬프


3

제1장 경기도 노인복지시설 종합발전방향

기본계획의 개요

1. 노인복지시설 종합발전방향 기본계획의 필요성

◦ 고령화 사회 및 가족의 부양기능 저하에 따른 노인복지 수요증가에

대비한 노인복지시설 인프라 구축 및 운영 방향의 설정이 시급하게

요구된다.

◦ 전통복지(welfare)에서 고용복지(workfare)및 교육복지(learn-fare)

로의 복지패러다임 변화 속에서 현 정부의 “시장경제원리”를 중시하

는 「능동적 복지」에 대한 정책의지에 따라 탄력적이고 적극적인

노인복지 시행계획의 수립 및 실시가 필요한 시기가 도래하였다.

◦ 2008년 7월 노인장기요양보험제도 실시에 따른 노인복지시설 운영

및 관리에 대한 재편의 필요성이 대두되었다.또한 노인장기요양보

험법의 규정에 근거하여 장기요양기본계획을 기반으로 세부추진계

획을 수립,시행하여야 하는 시점에서 추후의 실행계획 수립을 위한

기초자료의 마련이 시급하다.

◦ 정부가 추진하고 있는 노인복지정책의 추진방향과 궤를 같이 하면

서,경기도가 지니고 있는 인구학적,지리적,문화적,경제․사회․역

사적 특성에 따른 특성화된 노인복지시설 구축 및 운영 방안,고령

친화주택 조성방안이 요구된다.더불어 경기도 차원에서 수립되는

도내 노인복지정책이 현실화되기 위해서는 노인의 일상생활과 밀접


4

한 관련이 있는 생활단위인 지역사회와 다양한 노인복지시설 및 고

령친화주택 등에서 활발하게 실천되어야 한다.이에 따라 지역사회

에 있는 노인복지시설 및 고령친화주택의 발전 방안 마련이 필요하

게 되었다.

◦ 노인복지시설의 수요자 중심의 맞춤형 서비스 확충방안에 대한 관심

의 증가에 따른 인구통계학적 유형별 차별화된 접근이 필요하게 되

었다.분절화된 서비스제공에서 종합적,통합적인 서비스 제공요구

등 서비스 수요변화에 따른 다양하고 노인복지욕구에 탄력적으로

대응 가능한 서비스 제공의 필요성이 대두되었다.

◦ 노인복지시설에 입소해야 할 노인들과 지역사회 거주를 선호하는 노

인에 대한 실질적인 수요조사가 필요하게 되었다.또한 저소득,일

반노인,중산층 이상의 노인 등 경제력 구분에 따른 차별화된 고령

친화주택 조성방안의 마련이 요구되고 있다.


5

2. 노인복지시설 종합발전방향 기본계획의 목적과 성격

1)노인복지시설 종합발전방향 기본계획의 목적

◦ 본 의 목적은 경기도

내에 거주하는 노인들의 노인복지시설에 대한 복지욕구를 파악하고

이를 충족시키기 위한 수요자 중심의 맞춤형 노인복지시설과 고령친

화주택의 확충방안을 마련하는데에 있다.

◦ 이를 위해서 경기도민 욕구조사 결과를 토대로 지역 내 노인복지시

설의 환경과 활용 가능한 자원을 고려하여 노인복지시설의 확충 및

운영 로드맵을 설정하기 위한 정책의 우선순위 및 달성목표를 구체

적으로 수립하고자 한다.

2)노인복지시설 종합발전방향 기본계획의 성격

◦ 본 은 첫째,경기도의

현실에 적합한 노인 복지인프라(도시형,도농복합형,농촌형)구축,

둘째,보건ㆍ요양ㆍ복지 클러스터에 기반을 둔 노인복지시설의 확충

과 내실화,셋째,민관 협력ㆍ연계 노인복지서비스를 구현하고자 하

는 성격을 갖고 있다.


6

3. 노인복지시설 종합발전방향 기본계획의 범위

1)시간적 범위

◦ 본 연구에서는 장기적 전망을 위해 시계(視界)의 설정을 2020년으로

한다.

2)공간적 범위

◦ 본 연구의 공간적 범위는 경기도 31개(27개 시(市),4개 군(郡))기

초자치단체가 해당하며,인구는 11,340,241명,면적은 10,183.34㎢

이다.

3)내용적 범위

◦ 본 연구는 고령화시대 및 노인장기요양보험제도 시행에 따라 경기도

노인복지시설 종합발전방향의 기본계획을 수립하는 데에 필요한 기

초자료를 형성하는 것을 목표로 노인복지시설을 비롯하여 관련 노인

복지서비스와 프로그램을 포괄하는 다음과 같은 내용적 범위를 갖는

다.

-경기도 노인복지 현황 및 자원 분석

-중앙정부 및 경기도 관련 계획 검토

-경기도 노인복지시설,경기도 거주 노인의 복지욕구,고령친화주택

에 대한 욕구조사 분석


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-경기도 노인복지시설 종합발전방향 기본계획의 기본구조의 제안

-경기도 노인복지시설 발전을 위한 기반조성계획 제안

-경기도 노인복지시설 부문별 발전계획 제안

-경기도 고령친화주택 조성방안 제안

-평가와 향후과제


8

4. 노인복지시설 종합발전방향 기본계획의 목표와 기대효과

1)일반 목표

◦ 경기도 노인복지시설 종합발전방향 기본계획 수립은 경기도 노인복

지시설의 수요예측과 욕구조사를 바탕으로 발전방향을 모색하는 것

을 목표로 한다.

2)세부 목표

◦ 경기도 노령화 추세 및 노인장기요양보험제도 실시에 따른 유형별

노인복지시설 확충의 중․장기적인 추진 계획을 수립하는데 필요한

기초자료가 되고자 한다.

◦ 저소득 노인․허약한 노인․중산층 이상 일반노인 등 건강상태 및

경제력에 따른 맞춤형 복지시설의 중․장기적인 확충 및 운영방안을

마련한다.

◦ 노인복지주택의 공급 및 중산층 이상 일반노인의 주택 공급 조성방

안을 마련하고자 한다.특히 새로운 재정수요 유발보다 시장경제원

리에 의한 공급방안을 강구하고자 한다.

◦ 노인복지시설의 내실 있는 운영방안을 강구하고자 한다.


9

3)기대 효과

◦ 본 연구에서 진행되는 경기도민 노인복지 욕구조사를 통해 경기도

전 지역을 아우르는 노인들의 욕구를 분석하고,활용 가능한 다양한

자원들을 조사함으로써 특성화된 경기도의 노인복지 정책 수립에 토

대를 제공한다.

◦ 노인복지시설의 수요자 중심의 맞춤형 서비스 확충방안을 제시함으

로써 경기도 노인들의 복지 만족도를 높일 수 있다.

◦ 노인장기요양보험제도 실시 및 고령화에 따른 노인복지시설에 대한

수요를 예측함으로써 시의적절한 시설 서비스를 공급하여 경기도 노

인들의 삶의 질을 향상시킬 수 있다.

◦ 복지패러다임의 변화 및 현 정부의 복지정책의 흐름을 반영하는 노

인복지시설 종합발전방향 기본계획을 수립함으로써 경기도 노령화

추세 및 노인장기요양보험법 시행에 따른 노인복지시설의 중․장기

적인 정책을 추진할 수 있다.

◦ 지역사회 거주자를 위한 수요자 중심의 고령친화주택 수요조사 및

조성방안이 마련될 것이다.이에 따라 다양한 고령친화주택 조성방

안이 구체적으로 수립될 것으로 본다.


10

5. 노인복지시설 종합발전방향 기본계획의 수립과정

1)수립을 위한 과정

◦ 수립과정은 2007년

8월 1일 조사연구 디자인 설정으로부터 시작되어 2008년 7월 30일

최종결과 보고서 제출하기로 진행되었다.

◦ 1단계 :조사연구계획 설정과 기초자료 조사단계

-2007년 9월 한 달 동안,선행된 수립에 관련되거나 도움이 될 것으로 판단된 연구 자

료의 검토를 통하여 필요한 조사방법과 대상을 설정하는 단계

-2007년 9월 16일에 연구계획서를 제출하였으며 2007년도 10월부

터 12월까지 연구진행 및 설문관련 업무 협의

-2008년 1월 15일부터 4월 25일까지 를 실시

-2008년 2월 15일 제1차「중간보고회」를 실시,중간보고회 심의

결과,전면 수정으로 결정

-2008년 4월부터 강남대학교 사회복지대학 연구팀이 본 연구용역

사업에 참여하여 연구지원


11

◦ 2단계 :자료수집과 분석단계




-2008년 4월 26일부터 6월 4일까지 수집된 ,,,자료들을 구체적으로 조사 분석

◦ 3단계 :종합분석을 통한 계획 수립단계

-2008년 5월 23일부터 6월 17일까지 종합적인 분석과 보고서 작성

의 단계로 각 조사들의 분석을 통하여 대상별 욕구,노인복지시설

의 문제와 대안,참여와 기회의 방법 등을 종합적으로 정리하였다.

이 정리를 토대로 의

비전과 방향 그리고 실행방안 등을 도출

-2008년 5월 30일 제2차「중간보고회」를 실시

-2008년 6월부터 7월까지 중간보고회 논의 결과를 보고서에 반영


12

-2008년 6월 20일부터 7월 10일까지 해외선진 노인복지시설 및

고령친화주택 관련 현장조사

◦ 4단계 :계획 제안단계

-보고서 작성과 계획 심의 및 제안을 하는 단계

-2008년 7월 28일 「최종보고회」를 거쳐 최종보고서 확정


13

계 획 설 정

관련부서

협 의 - 계획수립 배경분석, 계획방향 설정 - 계획범위 및 전체계획 초안 작성

1단계 기초 자료 조사

욕구조사 및

계 획 설 정

계 획

기 본

단 계

- 경기도 기초자료조사 - 노인복지시설 욕구조사(수요자/공급자) - 경기도 노인복지 및 지역자원 조사

계획 기본 구상

- 계획의 기본구조 설정 - 비전, 목표 및 과제 설정

자료수집과 분석단계

기초자료분석

- 노인대상 질적 사례조사 - 전문가 면담조사2단계

자료수집

분석단계

대상별 욕구 조사 분석

- 노인복지 수요자 욕구조사 분석 - 노인복지 공급자 욕구조사 분석 - 노인대상 질적 사례조사 분석 - 전문가 면담조사 분석 - 고령친화주택에 대한 질적 욕구조사 분석

종합분석

경 기 도

실무자와의

협 의 및

중간보고와

심 의

- 종합적인 분석과 보고서 작성 - 대상별 욕구, 노인복지 문제와 대안, 참여와 기회의 방법 등으로 정리 - 해외 선진국 현장조사

3단계 기반계획수립

종합분석

및 계 획

수립단계

- 계획추진 체계 - 노인장기요양보험제도에 기초한 노인복지시설 발전계획

부문별 계획 수립

[Care Continuum에 따른 부문별 계획 수립] - 건강한 노인을 위한 시설 및 서비스 계획 - 요재활 노인을 위한 시설 및 서비스 계획 - 요보호 노인을 위한 시설 및 서비스 계획 - 고령친화주택 조성방안

4단계 계획 제안최종보고계 획

제안단계 - 보고서 작성 - 계획 심의 및 제안

경기도 노인복지시설 종합발전방향 기본계획 수립과정


14

2)경기도 노인복지시설 종합발전방향 기본계획 수립의 세부 일정

◦ 본 계획 수립의 세부 진행 일정을 표로 정리하면 다음과 같다.

경기도 노인복지시설 종합발전방향 기본계획 수립을 위한 조

사연구 진행일정(계약기간 :2007년 8월 ～ 2008년 7월)

년 / 월

조사연구활동

2007 2008

8월 9월 10월 11월 12월 1월 2월 3월 4월 5월 6월 7월

조 사 연 구 계 획 수 립

기 초 자 료 수 집

복 지 자 원 및

욕 구 현 황 조 사

복 지 자 원 및

욕 구 현 황 분 석

통계분석, 1차 계획 연구

통계분석, 2차 계획 정리

자 문 회 의 Ⅰ

제1차 중간보고서 제출

중간 보고서 심사 및

향후 연구 방향 계획

강남대학교 추가지원 확정

설문지 추가 조사 및

연구프레임 계획수립

기 초 통 계 처 리

기 본 방 향 검 토 및

대 안 수 립

자 문 회 의 Ⅱ

제2차 중간보고서 제출

중 간 보 고 시

제 기 사 항 보 완

최종안에 대한 의견협의 1

자 문 회 의 Ⅲ

해 외 선 진 국 현 장 조 사

최종안에 대한 의견협의 2

최종 보고서 작성 및 제출


제2장 경기도 일반현황 및

노인복지시설 현황

Administrator새 스탬프

제2장 경기도 일반현황 및 노인복지시설 현황

17


1. 경기도 노인복지 일반 현황

1)경기도 인구 현황

◦ 현재 우리나라의 지방자치단체는 2006년 7월 1일자로 제주특별자치

도가 된 제주도를 제외하면 75개 시(市),86개 군(郡),69개 구(區)의

230개 기초자치단체가 있으며,제주특별자치도를 포함하면 234개의

기초자치단체가 된다(행정자치부,2007).

◦ 이 중 경기도는 19개 시(市),2개 군(郡)의 남부지역과 8개 시(市),2

개 군(郡)의 북부지역으로 구성되어 있고,총 31개(27개 시(市),4개

군(郡))기초자치단체가 있으며,20개의 일반 구(區)가 있다.

◦ 경기도의 인구는 남부지역이 8,423,774명으로 74.3%를 차지하고,북

부지역은 2,916,467명으로 25.7%를 차지하고 있다.총 인구는

11,340,241명이고,면적은 10,183,34km2으로 인구밀도는 1,114명

/km2이다.


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경기도 인구 및 면적 (단위 :명,㎢,명/㎢)

구 분 인 구 면 적 인구밀도

경 기 도 11,340,241 10,183.34 1,114

남부지역 8,423,774 5,898.41 1,428

19개시 8,226,388 4,412.77 81,035

2개군 197,386 1,485.64 280

북부지역 2,916,467 4,284.93 681

8개시 2,813,746 2,745.64 17,976

2개군 102,721 1,539.29 133

출처 :경기도청(2008).도정주요통계.

◦ 경기도 시․군별 인구현황은 와 같다.전년대비 증가율은

화성시가 19.3%(63,520명)로 가장 많이 증가하였고, 오산시가

7.3%(10,124명),양주시 5.8%(10,243명)의 순으로 증가하였다.

◦ 경기도는 도시형(16개),도농복합형(11개),농촌지역(4개)으로 구분

한다.남부지역에 도시형은 12개,도농복합형은 7개,농촌지역은 2

개 지역이 있으며,북부지역의 도시형은 4개,도농복합형은 4개,농

촌지역은 2개 지역이 있다.1)

1)경기도에는 31개 시군(시27+군4)이 있으며,이중 일반시(수원,성남,의정부,안양,부

천,광명,동두천,안산,고양,과천,구리,오산,시흥,군포,의왕,하남)는 16개이며,도

농복합시(남양주,평택,용인,이천,파주,포천,양주,김포,안성,화성,광주)는 11개,

군지역(연천,가평,여주,양평)은 4개이다.


19

경기도 시․군별 인구현황 (단위:명,%)

구 분인 구

2006 2007 증 감 증감률

경 기 도 11,106,831 11,340,241 233,410 2.1

경기남부 8,270,145 8,423,774 153,629 1.9

도시형

수 원 시 1,082,271 1,086,995 4,724 0.4

성 남 시 977,627 968,203 ▽9,424 ▽1.0

부 천 시 870,183 876,569 6,386 0.7

안 양 시 629,659 630,688 1,029 0.2

안 산 시 723,075 734,713 11,638 1.6

광 명 시 315,945 316,354 409 0.1

시 흥 시 403,648 405,428 1,780 0.4

군 포 시 278,049 279,536 1,487 0.5

하 남 시 136,475 139,002 2,527 1.9

의 왕 시 139,395 136,264 ▽3,131 ▽2.2

오 산 시 138,456 148,580 10,124 7.3

과 천 시 87,088 62,603 1,727 2.8

도 농

복합형

용 인 시 777,849 813,653 35,804 4.6

평 택 시 406,052 412,757 6,705 1.7

화 성 시 329,312 392,832 63,520 19.3

이 천 시 196,763 198,790 2,027 1.0

김 포 시 217,558 216,931 ▽627 ▽0.3

광 주 시 229,912 238,044 8,132 3.5

안 성시 163,682 168,446 4,764 2.9

농촌형여 주 군 60,876 108,606 2,336 2.2

양 평 군 106,270 88,780 1,692 1.9

북부지역 2,836,686 2,916,467 79,781 2.8

도시형

고 양 시 919,365 935,643 16,278 1.8

의정부시 414,030 425,693 11,663 2.8

구 리 시 195,054 198,238 3,184 1.6

동두천시 87,810 90,915 3,105 3.5

도 농

복합형

남양주시 475,733 497,941 22,208 4.7

파 주 시 300,059 311,625 11,566 3.9

포 천 시 165,307 166,383 1,076 0.7

양 주 시 177,065 187,308 10,243 5.8

농촌형가 평 군 55,540 56,462 922 1.7

연 천 군 46,723 46,259 ▽464 ▽1.0

출처 :2008경기도 내부자료(2007년 12월 31일 기준).


20

◦ 시․군별 인구분포를 보면 인구 50만명 이상인 도시가 7개시로 수

원시가 1,086,995명(9.6%)으로 도내에서 인구규모가 가장 크게 나타

났으며,성남시 968,203명(8.5%),고양시 935,643명(8.3%),부천시

876,569명(7.7%), 용인시 813,653명(7.2%), 안산시 734,713명

(6.5%),안양시 630,688명(5.6%)의 순으로 나타났다.

시․군별 인구분표


21

◦ 또한 27개 시․군은 인구가 증가한 반면 4개 시․군인 의왕시▽

2.2%(▽3,131명),연천군 ▽1.0%(464명),성남시 ▽1.0%(9,424명),

김포시 ▽0.3%(627명)순으로 오히려 감소하였다.


22

경기도 시ㆍ군별 행정구역 현황 (단위 :명,명/km²,세대)

구 분 시ᆞ군별 인 구 면 적 인구밀도 세대수(한국인)

계(27시 4군) 11,340,241 10,183.89 1,114 4,183,926

도 시 형 7,435,424 1,435.77 88,225 91,725

고 양 시 935,643 267.36 3,500 346,029

과 천 시 62,603 35.85 1,746 22,669

광 명 시 316,354 38.51 8,215 115,216

구 리 시 198,238 33.30 5,953 72,940

군 포 시 279,536 36.36 7,689 99,931

동두천시 90,915 95.66 950 34,671

부 천 시 876,569 53.44 16,385 316,479

성 남 시 968,203 141.74 6,830 370,531

수 원 시 1,086,995 121.07 8,979 399,898

시 흥 시 405,428 134.56 3,014 148,832

안 산 시 734,713 148.05 4,967 269,534

안 양 시 630,688 58.47 10,787 226,595

오 산 시 148,580 42.75 3,475 55,488

의 왕 시 136,264 54.00 2,523 49,767

의정부시 425,693 81.58 5,218 156,057

하 남 시 139,002 93.07 1,494 52,943

도농복합 3,604,710 5,723.14 7,283 1,326,502

광 주 시 238,044 430.96 552 86,616

김 포 시 216,931 276.63 784 77,197

남양주시 497,941 458.50 1,086 180,946

안 성 시 168,446 553.50 304 64,073

양 주 시 187,308 310.34 604 68,423

용 인 시 813,653 591.32 1,376 297,692

이 천 시 198,790 461.29 431 73,344

파 주 시 311,625 672.42 463 120,152

평 택 시 412,757 453.31 911 153,560

포 천 시 166,383 826.50 201 62,880

화 성 시 392,832 688.37 571 141,619

농 촌 형 300,107 3,024.98 413 119,844

가 평 군 56,462 843.46 67 22,782

양 평 군 88,780 877.81 101 37,345

여 주 군 108,606 607.78 179 40,922

연 천 군 46,259 695.93 66 18,795

출처 :경기도청(2008),도정주요통계.


23

◦ 이러한 구분(동지역과 읍․면지역)으로 인구비율과 면적을 살펴보면

과 같다.총인구 11,340,241명 중 도시인구가 7,435,424명

(65.6%), 도농복합시 인구가 3,604710명(31.8%), 농촌인구가

300,107명(2.6%)이며,면적으로 보면 총 10,183.98㎢ 중 도시지역

면적은 1,435.77㎢(14.1%),도농지역 면적은 5,723.14㎢(56.2%),농

촌지역 면적은 3,024.98㎢(29.7%)이다.

◦ 이 경우 역시 경기도는 도시지역의 인구밀집도가 훨씬 높다는 것을

알 수 있으며,또 전체적으로 농촌지역의 면적이 넓다는 것을 알 수

있다.그러므로 복지서비스에 있어서도 농촌지역의 특성을 고려하지

않을 수 없는 것이 현실이다.

◦ 도농복합시와 관련하여 경기도는 1994년 3월 16일 법률 제4741호

지방자치법 중 개정법률에 의한 도농복합형 행정구역 제도의 도입으

로 인해 1994년 8월 3일 법률 제4774호(시행일:95.1.1)에 의한 ‘도

농복합형태의시설치 등에 관한 법률’개정으로 남양주군과 미금시가

도농복합형태의 남양주시가 된 후 1995년 5월에 평택시,1996년 3

월에 용인시,이천시,파주시,1998년 4월에 안성시,김포시,2001년

3월에 화성시,광주시,2003년 10월에 양주시,포천시가 도농복합

형태의 시가 되었다.

◦ 연령별 인구분포는 와 같다.30대가 2,157,089명(19.4%)으

로 가장 많고,전년대비 증감현황은 50대가 83,083명 증가로 가장

높으며,10세 미만 인구는 31,695명 감소한 반면 60세 이상은

71,721명 증가한 것으로 나타났다.


24

연령별 인구분포 (단위 :명,%)

연 령 별주민등록인구(외국인 제외) 증 감

2006년 구성비 2007년 구성비 인구 비율

계 10,906,033 100.0 11,106,211 100.0 200,178 1.8

0 ~ 9 세 1,392,925 12.8 1,361,230 12.3 ▽31,695 ▽2.3

10~19세 1,569,388 14.4 1,607,557 14.5 38,169 2.4

20~29세 1,595,154 14.6 1,585,717 14.3 ▽9,437 ▽0.6

30~39세 2,161,999 19.8 2,157,089 19.4 ▽4,910 ▽0.2

40~49세 1,970,014 18.1 2,023,261 18.2 53,247 2.7

50~59세 1,051,603 9.6 1,134,686 10.2 83,083 7.9

60~69세 672,964 6.2 707,761 6.4 34,797 5.2

70~79세 367,486 3.4 394,598 3.6 27,112 7.4

80세 이상 124,500 1.1 134,312 1.2 9,812 7.9


◦ 경기도 내국인의 평균연령은 와 같다.평균연령은 1997년

30.5세,2002년 32.4세,2002년 32.4세,2007년 34.8세로 점차 증

가하여,10년 동안 4.3세(연평균 증가율 1.3%)증가하였다.

◦ 남부지역 내국인 평균연령은 1997년 30.2세,2002년 32.1세,2007

년 34.5세로 점차 증가하여,10년 동안 4.3세(연평균 증가율 1.4%)

증가하였고,북부지역은 1997년 31.3세,2002년 33.2세,2007년

35.6세로 점차 증가하여,10년 동안 4.2세(연평균 증가율 1.3%)증

가하였다.

◦ 시․군별 내국인 평균연령은 도시형인 오산시(31.9세),시흥시(32.5

세),안산시(32.8세)가 낮은 반면,농촌지역인 양평군(42.0세),가평군

(41.7세),연천군(41.2세)은 높은 것으로 나타났다.


25

◦ 10년간(1997년 대비)평균연령 연평균 증가율은 안산시 1.8%(5.4세

증가),의왕시 1.7%(5.4세 증가),연천군 1.6%(6.2세 증가),하남시

1.6%(5.5세 증가)로 큰 변동을 보인 반면,화성시 0.1%(0.4세 증가),

파주시 0.7%(2.4세 증가),오산시 0.8%(2.4세 증가)로 작은 변동을

나타내고 있다.


26

시․군별 인구 및 평균연령(외국인 제외) (단위 :명,세,%)

구 분

인 구 평 균 연 령평균연령

평균 증가율

평균연령

증감(‘07-

’97)1997년 2002년 2007년

‘97

년

‘02

년

‘07

년

경 기 도 8,470,594 9,927,473 11,106,211 30.5 32.4 34.8 1.3 4.3

경기남부 6,396,857 7,416,724 8,238,390 30.2 32.1 34.5 1.4 4.3

수 원 시 798,640 1,019,711 1,067,702 29.2 30.8 33.5 1.4 4.3

성 남 시 923,226 940,974 953,960 30.6 32.8 35.4 1.5 4.8

부 천 시 788,136 816,499 864,037 29.5 31.9 34.6 1.6 5.1

안 양 시 591,522 595,142 624,197 30.4 32.4 34.8 1.4 4.4

안 산 시 544,144 628,861 705,040 27.4 30.0 32.8 1.8 5.4

용 인 시 300,670 525,622 800,294 30.1 32.2 34.1 1.3 4.0

평 택 시 346,008 358,531 402,458 31.2 33.1 35.1 1.2 3.9

광 명 시 342,630 340,807 313,019 30.2 32.3 35.0 1.5 4.8

시 흥 시 221,420 353,860 390,564 28.1 29.6 32.5 1.5 4.4

군 포 시 261,794 268,559 275,351 29.3 31.6 34.1 1.5 4.9

화 성 시 176,702 226,930 371,972 33.7 34.1 34.1 0. 0.4

이 천 시 171,108 189,526 195,691 31.0 32.5 35.0 1.2 4.0

김 포 시 124,194 193,438 205,997 32.5 33.2 36.1 1.0 3.6

광 주 시 110,242 175,614 229,319 31.6 33.3 35.4 1.2 3.8

안 성 시 128,339 147,898 163,733 34.0 35.0 37.0 0.8 2.9

하 남 시 125,163 127,541 137,131 31.1 34.0 36.6 1.6 5.5

의 왕 시 114,311 133,395 135,009 29.8 32.3 35.2 1.7 5.4

오 산 시 75,344 115,956 145,825 29.5 30.1 31.9 0.8 2.4

여 주 군 100,634 104,380 106,926 34.1 36.0 38.6 1.3 4.5

양 평 군 81,502 82,992 87,874 36.8 39.2 42.0 1.3 5.2

과 천 시 71,128 70,488 62,291 30.8 32.7 35.6 1.4 4.8

경기북부 2,073,737 2,510,749 2,867,821 31.3 33.2 35.6 1.3 4.2

고 양 시 718,465 836,664 924,839 30.4 32.3 34.8 1.4 4.4

의정부시 306,585 378,424 421,853 30.5 32.7 35.4 1.5 4.9

남양주시 278,939 392,614 492,347 30.9 32.8 35.0 1.3 4.1

파 주 시 177,136 235,147 303,831 33.8 34.7 36.2 0.7 2.4

구 리 시 164,150 193,214 196,800 30.3 32.1 34.5 1.3 4.2

포 천 시 141,741 152,507 158,156 32.7 34.5 37.6 1.4 4.8

양 주 시 101,310 143,124 179,914 31.6 33.0 35.6 1.2 4.0

동두천시 73,644 73,177 88,780 32.8 35.2 37.2 1.2 4.3

가 평 군 56,613 55,506 55,698 35.8 38.7 41.7 1.5 5.9

연 천 군 55,154 50,372 45,603 35.1 37.8 41.2 1.6 6.2



27

2)경기도 노인인구 현황

◦ 전국 노인 인구수는 2007년 12월 31일을 기준으로 4,585,702명(전

체인구 대비 9.49%)이다.

◦ 경기도의 노인인구수는 전체인구 11,106,211명 중 871,191명으로

7.8%의 노인인구 비율을 보이고 있다.수원시를 비롯한 21개 시․

군 남부지역의 노인인구수는 610,687명으로 7.4%의 노인인구 비율

을 보이며,의정부를 비롯한 10개 시․군 북부지역의 노인인구수는

260,504명,9.1%의 노인비율을 보이고 있다.


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경기도 전체 노인 인구수 (단위 :명)

구 분 전체인구(외국인 제외) 노인인구수(65세 이상) 비율(%)

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