The purpose of this study is to determine whether home care service quality affects users' voluntary cooperation/participation through self-determination. For this purpose, survey data from 358 long-term care service users in Korea were analyzed by applying a structural equation model. Data collection was conducted from February to March 2019. Data collection was conducted in February-March 2019. The results showed that home care quality did not directly affect users' voluntary cooperation/participation in the service delivery process, and self-determination fully mediated the relationship between quality and cooperation/participation. Based on these results, the importance of providing appropriate information, reflecting users' voices, and the attitude and role of experts was emphasized in order to promote user participation/cooperation through self-determination.
Keywords: community care; cooperation; long-term care; participation; self-determination theory; service quality.