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http://dx.doi.org/10.5351/KJAS.2014.27.5.667

A Decision-support System for Care Plan in Long-term Care Insurance  

Han, Eun-Jeong (Health Insurance Policy Research Institute, National Health Insurance Services)
Lee, Jung-Suk (Health Insurance Policy Research Institute, National Health Insurance Services)
Kim, Dong-Geon (Department of data & Information Science, Dongduk Women's University)
Kwon, Jinhee (Health Insurance Policy Research Institute, National Health Insurance Services)
Publication Information
The Korean Journal of Applied Statistics / v.27, no.5, 2014 , pp. 667-679 More about this Journal
Abstract
National Health Insurance Service(NHIS) provide care-plans for beneficiaries in the long-term care insurance(LTCI) systems that help them use LTC services appropriately. The care-plan includes recommendations for the most adequate type of care (gold standard) for beneficiaries. This study develops a decision-support system to determine the appropriate type of care plan. To develop a model, we used a data set that well-trained assessors in the NHIS investigated as a gold standard for beneficiaries: nursing home care, home-visit care, home-visit bathing, home-visit nursing, or day and night care. The decision-support system was established through a decision-tree model, because it may be easy to explain the algorithm of a decision-support system to working groups and policy makers. Our results might be useful in evidence-based care planning in an LTCI system and contribute to the efficient use of LTC services.
Keywords
Long-term Care Insurance; care-plan; decision-tree model;
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