Why Integrated Community Care Matters in an Aging Korea
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| A scene from the 2023 Policy Forum of Medical-Welfare Social Cooperatives. Social economy organizations in Korea are continuously exploring ways to provide integrated community-based care.(Photo by Milly) |
In 2024, South Korea officially entered a “super-aged society,” with more than 20% of its registered population aged 65 or older. This demographic shift has been largely driven by the aging of the baby boomer generation, born between 1955 and 1963, who are now becoming seniors. As a result, public interest in elderly care is growing rapidly.
😃The Role of Community-Based Integrated Care and the Social Economy
Many elderly people in Korea wish to stay in their own neighborhoods until the end of their lives. However, adult children, who are often expected to care for aging parents, find it difficult to provide hands-on support due to work and other personal responsibilities.
In response, community-based integrated care has emerged as a key solution. This approach allows elderly individuals to remain in familiar surroundings while receiving the care services they need. While such programs are typically led by the government or local municipalities, the reality on the ground is far from simple. Each care recipient has unique needs, and it's difficult for public services to deliver high-quality, individualized support in every case.
This is where social economy organizations come in. These community-based groups are run with the participation of local residents, which ensures trust, sustainability, and a deep understanding of local needs.
A prime example is the Medical Welfare Social Cooperative (or “Medical Coop”). In these cooperatives, local residents join as members, take part in decision-making, and help design the care services they need. Rather than simply offering clinical care, Medical Coops act as health partners that work to support residents’ well-being and overall quality of life.
Beyond Medical Coops, other social economy organizations also play important roles in elderly care, disability support, and in-home services. Their work not only enhances the quality of care but also helps create jobs within the local community.
😎Prioritizing Values Over Profit
Unlike conventional for-profit organizations, social economy enterprises aim to generate both financial return and social value. This mission-driven approach allows them to offer warmer, more human-centered care.
One social enterprise I met offered what they called a "companion conversation" service. Though the name sounds simple, the service involved staff visiting lonely, isolated seniors to listen and talk with them—providing emotional care, not just physical assistance. These conversations had a real impact on seniors’ mental and emotional well-being.
Of course, the system isn’t perfect. There are still many challenges to address, such as building strong partnerships with public agencies, recruiting skilled care workers, and securing sustainable funding.
However, one thing is clear: for community-based integrated care to thrive, the participation of social economy organizations is not optional—it is essential.
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Community Healthcare Cooperatives in Korea: Caring for Daily Life
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