Table 1.

SWOT Analysis and Future Policy Strategy for Home Care Service in Seoul, South Korea

		Strength (S)	Weaknesses (W)	As-is	To be
		Functional maintenance and population-level care with ICT support Community welfare integration and extensive nursing workforce (700+) Life-cycle based health management programs Standardized training and continuing education system	Limited care coordination and quality control system High workload per nurse and complex case management Lack of performance indicators and trend analysis Limited incentive system and practice-oriented training	Core: Chronic disease management	Core: Preventive care for frail older adults
Opportunity (O)	Policy shift: Health-welfare integration and coordinated care Demographic change: Increasing aging population and care needs Rising frailty rates and home care demand	SO strategies (Strengths and Opportunities) Shifting the focus of home care services from chronic disease management to frailty prevention and functional maintenance in older adults Leverage strong welfare integration and high community accessibility for coordinated care Develop specialized nursing team competencies	WO strategies (Weaknesses and Opportunities) Redesign service system for aging-in-place Establish inter-ministerial coordination system Reorganize health status assessment and intensive care protocols Active linkage between the long-term care system and home care services	Organization: Limited practical coordination	Organization Integrated regional visiting nurse management system.
Threat (T)	Backlog style health services of older adults: Duplicate programs and role confusion Increased workload without coordinated system Complex administrative tasks burden	ST strategies (Strengths and Threats) Create designated nursing supervisor role for clinical practice management Develop ICT-based remote care approaches Create standardized group intervention protocols	WT strategies (Weaknesses and Threats) Restructure administrative districts for efficient management Establish evidence-based workload assessment Develop senior visiting nurses as professional practice instructors Develop senior visiting nurses as professional practice instructors	Personnel: Service provided by district-assigned visiting nurses	Personnel Team-based comprehensive care with intensive case management