DOI QR코드

DOI QR Code

The Want, its Determinants and the Willingness to Pay of the Long Term Care Service

장기요양 서비스를 누가, 얼마나, 얼마에 원하고 있는가? - 장기요양 서비스의 욕구와 결정요인 및 지불의사금액 -

  • Kim Hyun Cheol (Graduate School of Public Health, Seoul National University, Management Center for Health Promotion, Korea Institute for Health and Social Affairs) ;
  • Hong Narei (Department of Neuropsychiatry, Kangdong Sacred Heart Hospital, Hallym University) ;
  • Yeon Byeong Kil (Department of Neuropsychiatry, Kangdong Sacred Heart Hospital, Hallym University) ;
  • Park Tae-Kyu (Department of Economics, Yonsei University) ;
  • Chung Woo Jin (Graduate School of Public Health, Yonsei University) ;
  • Jeong Jin Ook (Department of Economics, Yonsei University)
  • 김현철 (서울대학교 보건대학원, 한국보건사회연구원 건강증진사업지원단) ;
  • 홍나래 (한림대학교 신경정신과학교실) ;
  • 연병길 (한림대학교 신경정신과학교실) ;
  • 박태규 (연세대학교 경제학과) ;
  • 정우진 (연세대학교 보건대학원) ;
  • 정진욱 (연세대학교 경제학과)
  • Published : 2005.12.01

Abstract

Before introducing the national long-term care insurance in 2008, the want for long term care service has to be estimated and analysed. This study estimates the demand and analyses what determines the want of long term care service. This study investigated data of 3f6 elderlies, that was collected by age stratified random sampling. The elderies resided in Onyang 4 - dong (urban area) and Dogo-myun (rural area) In the city of Asan. The researchers visited the elderlies and their care giver, and assessed their demand for the long term care service and examined physical, mental, socio-economic status by the assessment tools for Korean Long-Term Care System. $64\%$ of the those who are entitled to be served refuse the long term care service. $26.7\%$ of them wants for home care service and $7.9\%$ want facility care service. It is estimated that the want of home care service are three or four times as much as that of facility care service. The demand for long term care service is 5.155 times higher for those who live in rural area (p=0.000), 3.040 times higher for those who do not have spouse(p=0.057), and 3.356 times higher for the people who is in medicaid than medical insurance(p=0.029). However, income(p=0.782), means(p=0.614), living alone(p=0.223), number of family to live with (p=0.341) and age of the elderly(p=0.420) are not related with the demand of long term care service. The assessment tools for Korean Long-Term Care System for need evaluation of the long term care service can reflect the demand well.(p=0.024) If medical care will cover $80\%$ of total cost, the willingness to pay of the out of pocket money of the people with medical insurance is 67,400 Korean Won(66.77 US$) for the home care service and 182,500 Korean Won(180.78 US$) for the facility care service. There is possibility that long term care demand is still small after Introducing the long term care Insurance due to the care given by family members. When developing service delivery system of long term care insurance, rural area has to be given more consideration than urban area because of the higher demand. The people who do not have spouse or are in medicaid have to be given special consideration as well.

Keywords

References

  1. 공적노인요양보장제도실행위원회. 공적노인요양보장제도 실시모형 개발연구; 보건복지부: 2005
  2. 김은영. 장기요양서비스의 경제성 분석[박사학위논문]. 서울 : 서울대학교 대학원;2002.
  3. 충청남도 아산시 보건소.한림대학교 의과대학 정신과학교실. 아산시 거주노인의 공적노인요양보장제도 평가도구 적용에 관한 조사사업; 정신보건사업 학술연구 용역 보고서. 2004
  4. 홍미령, 박종한, 변용찬, 장병원. 장기요양보호대상 노인의 실태파악 및 케어 욕구조사. Health Care Symposium 자료집. 2004
  5. 한국보건사회연구원, 2004년도 전국 노인생활실태 및 복지욕구조사, 2005
  6. Branch I G, Jette A M. A prospective study of long term care institutionalization among the aged. American Journal of Public Health, 1982;(72):1373-1379
  7. Chappell. Social support and the receipt of home care service, The Gerontologist, 1985, 25, 47-54 https://doi.org/10.1093/geront/25.1.47
  8. Cohen M A, Tell E J, Wallack S. Client-related risk factors of nursing home entry among elderly adult. Journal of Gerontology, 1986;(41):785-792
  9. Coughlin T A, McBride T D, Perozek M, Liu. Home care for the disabled elderly ; Predictors and expected cost. Health Services Research, 1992;(27):453-479
  10. Coughlin T A, McBride, T D, Liu. Determinant of transit and permanent nursing home admission, Medical Care, 1990;(28):616-631
  11. Grabbe I, Demi A S, Whittington F, Jones J M, Branch I G, Lambert R, Functional status and the use of formal home care in the year before death, Journal of Aging and Health, 1995;(7):339-365 https://doi.org/10.1177/089826439500700301
  12. Johnson, R.J., Wolinsky, F. D., Use of community based long-term care services by older adult. Journal of Aging and Health, 1996;(8):512-537
  13. Kemper, P., The use of formal and informal home care by the disabled elderly. Health Service Research, 1992;(27):421-451
  14. Kim EY, Kim CY. Who wants to enter a long-term care facility in a rapidly aging non-Western society? Attitudes of older Koreans toward long-term care facilities. Journal of American Geriatric Society, 2004 Dec; 52(12): 2114-9 https://doi.org/10.1111/j.1532-5415.2004.52574.x
  15. Kosloski K, Montgomery R J V. The impact of respite use on nursing home placement, The Gerontologist, 1995; (35) :67-74 https://doi.org/10.1093/geront/35.1.67
  16. Liu K, Coughlin T A, McBride T D, Predicting nursing home admission and length of stay; A duration analysis. Medical Care, 1991;(29):125-141
  17. Liu K, McBride T D, Coughlin T A, Risk of entering nursing home for lonf versus short stays, Medical Care, 1994; (32) :315-327
  18. Newman S J, Struyk R, Wright P, and Rice M. Overwhelming odds; Caregiving and the risk of institutionalization. Journal of Gerontology; Social Sciences, 1990;(45): 173-183
  19. OECD, Caring for Frail Elderly People : Policies in Evolution. Social Policy Studies, No. 19. 1996
  20. O'Keeffe J. Determining the need for long-term care services: an analysis of health and functional eligibility criteria in Medicaid home and community based' waiver programs, American Association of Retired Persons, 1996
  21. Penning M J, Cognitive impairment, caregiver burden and the utilization of home health service, Journal of Aging and Health, 1995;(7):233-253 https://doi.org/10.1177/089826439500700204
  22. Severson M A, Smith G E, Tangalos E G, Petersen R C, Kokmen E, Ivnik R K et al, Patterns and predictors of institutionalization in community-based dementia patients. Journal of American Geriatrics Society, 1994;(42):181-185
  23. Shapiro E, Tate R B, Predictors of long term care facility use among the elderly, Canadian Journal of Aging, 1985;(4):11-19
  24. Shapiro E, Tate R B, Who is really at risk of institutionalization?, The Gerontlolgist, 1988;(28):237-245
  25. Shapiro E, Tate R B. The use of cost of community care service by elders with unimpaired cognitive function, with cognitive impairment/no dementia and with dementia. Canadian Journal on Aging, 1997;(16):665-681
  26. Wan T T H. Functional disabled elderly; Health status, social support and use of health service, Research on Aging, 1987;(9):61-78 https://doi.org/10.1177/0164027587009001003