Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
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Study on Long-Term Care Insurance on Consumption & Expenses among Beneficiary Households

노인장기요양보험제도가 제도 이용자 가구의 소비·지출에 관한 연구

  • Lee, Hyunjoo (Department of Social Welfare, Soongsil University) ;
  • Kim, Ji-hyun (Department of Content Convergence, Ewha Womans University)
  • 이현주 (숭실대학교 사회복지학과) ;
  • 김지현 (이화여자대학교 융합콘텐츠학과)
  • Received : 2019.08.05
  • Accepted : 2019.09.20
  • Published : 2019.09.28
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Abstract

This study used data from the 3rd and 11th year of the Korean Welfare Panel to evaluate the effects of the Long-Term Care Insurance(LTCI) system on the consumption and expenditure of LTCI users' households. The study consisted of program group using LTCI and control group not using. Chi-square and t-test were used for the characteristic differences among the groups, and the difference of consumption expenditure was identified by multiple regression analysis. As a result, LTCI had a statistically significant effect on the health care costs of LTCI users' households, resulting in an increase in health care costs(${\beta}=3.06$). However, there was no statistically significant effect on the total cost of living, basic cost, education cost, and recreation/entertainment cost. Therefore, in order to show the effect of LTC system, we should try to reduce of self-pay and improve the contents and quality of the service of the LTC system.

본 연구는 노인장기요양보험제도가 제도 이용자 가구의 소비 지출에 미친 영향을 평가하고자 한국복지패널 3차년도와 11차년도 조사자료를 이용하였다. 연구대상은 제도를 이용한 프로그램집단과 이용하지 않은 통제집단으로 구성하였다. 집단간 특성차이는 카이제곱검정과 t-test를 이용하였으며, 이중차이 다중회귀분석을 실시하여 소비지출에 대한 영향요인을 파악하였다. 연구결과 노인장기요양보험제도는 제도 이용자 가구의 보건의료비에 통계적으로 유의한 영향을 주어 보건의료비가 증가(${\beta}=3.06$)하는 효과가 나타났다. 그러나 총생활비, 기본비, 교육비, 교양오락비에서는 통계적으로 유의한 효과가 나타나지 않았다. 따라서 전반적인 제도의 효과를 나타내기 위해 본인부담금을 낮추고, 제도의 서비스의 내용과 질 향상을 높이도록 노력해야 할 것이다.

Keywords

References

  1. National Health Insurance Service. (2018). Long Term Care Insurance Statistical Yearbook, Seoul : National Health Insurance Service.
  2. H. J. Kwon & J. Y. Ko (2015). The Effect of Long-Term Care Insurance on Labor Supply. Korean Journal of Social Welfare, 67(4), 279-299. https://doi.org/10.20970/kasw.2015.67.4.012
  3. C. W. Kim. (2014). No-Care Zones of National Long-term Care Policy for Elders. The Korea Association for Policy Studies, 23(2), 121-144.
  4. E. J. Han, H. K. Kim, J. S. Lee & J. H. Kwon. (2014). A Study on the Family Caregiver's Service Use Support among In-home Service User of the National Long-term Care Insurance: Focus Group Interview Analysis. Journal of Critical Social Welfare, 44, 246-277.
  5. H. J. Lee. (2015). Evaluating The Effects Of Long-Term Care Insurance On Labor Supply Among Beneficiary Households. The Korean Social Security Association, 31(2), 185-208.
  6. J. A. Lee. (2015). A Study on the Impact of In-Home Service on the Families of Beneficiaries of Long-Term Care Insurance: Focusing on Their Experience of Labour and Leisure Activities. Korean Journal of Gerontological Social Welfare, 70, 81-112.
  7. H. Y. Lee & Y. P. Moon. (2015). The Effect of Long-term Care Utilization on Health Care Utilization of the Elderly. The Korean Journal of Health Economics and Policy, 21(3), 81-102.
  8. S. R. Baker & C. Yannelis. (2015). Income changes and consumption: Evidence from the 2013 federal government shutdown. Review of Economic Dynamics, 23, 99-124. https://doi.org/10.1016/j.red.2016.09.005
  9. E. Y. Choi.(2017). A Study on Household Income, Labor and Consumption of Elderly Households. The Korean Social Security Association ,33(1), 117-140.
  10. W. Kool & M. Botvinick. (2014). A labour/Leisur Tradeoff in Cognitive Control. Journal of Experimental Psychology, 143(1), 131-141. DOI : 10.1037/a0031048
  11. H. S. Park & H. J. Kwon. (2015). A Study on Policy-Effectiveness of Disability Pension in Korea: Focusing on the Consumption & Expenditure of the Severe Disabled. International Journal of Policy Studies, 24(1), 111-136.
  12. H. K. Kim. (2017). The Effects of Domestic Consumption Expenditure Structures on Life Satisfaction among Elderly Households with Physical Disabilities : Focused on comparative Analysis with Elderly Households without Disabilities. Korea Academy of Disability and Welfare, 37, 57-86.
  13. B. D. Bruce & J. X. Sullivan. (2011). Consumption and income poverty for those 65 and over, Indiana : University of Notre Dame.
  14. R. Blundell, L. Pistaferri & I. Saporta-Eksten. (2016). Consumption inequality and family labor supply. American Economic Review, 106, 387-435. DOI : 10.1257/aer.20121549
  15. B. W. Chung & Y. R. Kim. (2012). Changes of Inter-Temporal Socio-Economic Characteristics that Determine Leisure Expenditure: Urban Labor Householders of 2000 and 2007 Years. Korean Journal of Hotel Administration, 68(4), 267-281.
  16. H. I. Oh. (2012). A Study on the trend of consumption expenditure inequality between Elderly and Non-elderly Households : Using the Household Income & Expenditure Survey Data from 2003 to 2010. Seoul National University.
  17. P. Gertler & J. Gruber. (2002). Insuring Consumption Against Illness. American Economic. Review, 92(1), 51-70. DOI : 10.1257/000282802760015603
  18. Y. Iwamoto, M. Kohara & M. Saito. (2010). On the consumption Insurance of long-term care insurance in Japan: Evidence from micro-level household data. Journal of the Japanese and International Economies, 24(1), 99-115. DOI : 10.1016/j.jjie.2009.12.009
  19. A. Hideki. (2008). Effect of public long-term care insurance on consumption, medical care demand, and welfare. Journal of health economics, 27(6), 1423-1435. DOI : 10.1016/j.jhealeco.2008.07.008
  20. R. F. Schoeni & R. M. Blank. (2000). What has welfare reform accomplished? Impacts on welfare participation, employment, income, poverty, and family structure. National Bureau of Economic Research, 1-45. DOI : 10.3386/w7627
  21. S. E. Lee. (2004). The Effects of the National Basic Livelihood Security System on labor supply. Korean Journal of Social Welfare, 56(2), 71-91.
  22. N. Kausha l& R. Kaestner. (2001). From welfare to work: Has welfare reform worked?. Journal of Policy Analysis and Management, 20(4), 699-719. DOI : 10.1002/pam.1024
  23. N. K. Han, W. J. Jung, N. U. Kim, S. J. Lim & J. Y. Park. (2013). Effect of the Long-term Care Insurance Policy on Medical Expenditures for the Elderly. Health Policy and Management, 23(2), 132-44. https://doi.org/10.4332/KJHPA.2013.23.2.132
  24. Health Insurance Review & Assessment Service. (2015). National Health Insurance Expenditure Trends Reports, Wonju : Health Insurance Review & Assessment Service.
  25. National Health Insurance Service. (2016). Long Term Care Insurance Statistical Yearbook, Wonju : National Health Insurance Service.
  26. S. J. Lee & C. Y. Kwak. (2016). Effects of Visiting Nursing Services in Long-term Care Insurance on Utilization of Health Care. Journal of Korean Acad Community Health Nurs, 27(3), 272-283. DOI : 10.12799/jkachn.2016.27.3.272
  27. N. Y. Shin &S. H. Lee. (2007). Health Related Quality of Life Among Herniation of Nucleus Pulposus Patients Caused by Occupational Accidents. Korean Journal of Occupational Health Nursing, 16(2), 168-176.
  28. S. Y. Kwak & Y. S. Byeon. (2013). Factors Influencing Resilience of Patients with Hematologic Malignancy. Korean Journal of Adult Nursing, 25(1), 95-104. DOI : 10.7475/kjan.2013.25.1.95