• Title, Summary, Keyword: 장기요양보험

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A Study on the Determinants of Private Long-Term Care Insurance and First Home Care Use in the United States: Using Discrete Time Model (미국의 민간장기요양보험 가입과 재가요양서비스 이용의 결정요인에 관한 연구: 이산시간모델을 사용하여)

  • Kim, So-Yun;Hong, Gong-Soog;Montalto, Catherine P.
    • Survey Research
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    • v.11 no.2
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    • pp.97-121
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    • 2010
  • Using the 1998-2004 Health and Retirement Study(HRS), this study explored the determinants of private long-term care insurance(LTCI) ownership and the first home care use. To account for the interaction between LTCI purchase and home care use, this study used two-period utility model as theoretical framework. Discrete time model was used as an empirical model to incorporate the time-dependent feature of LTCI ownership. And this study accounted for the endogeneity of LTCI ownership and home care use by employing full information maximum likelihood estimation. This study indicated insignificant effects of private LTCI ownership and Medicaid eligibility on the home care use. Also, the effects of income and assets on home care utilization were negligible. Those who have poor health condition and who do not have potential informal caregivers were more likely to use home care. For private LTCI ownership, income and assets have positive relationship with LTCI purchase, and poor health status and age were negatively related to LTCI purchase. The elderly living with children and those who have more siblings were less likely to have private LTCI, and those who lived with spouses with no children were more likely to buy private LTCI. Based on the findings, this study provides implications to design long-term care(LTC) policies in the U.S. and to develop LTC planning education programs.

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A Comparative Study of Korea and Qingdao's Long-term Care Insurance Policy and its Enlightenment (청도와 한국의 장기요양보험 제도 비교연구와 시사점 검토)

  • Kim, Keunhong;MENG, Xiangqi
    • 한국노년학
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    • v.38 no.3
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    • pp.453-466
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    • 2018
  • The purpose of this study is to explore the enlightenment of the Korean long-term care insurance policy on Qingdao's long-term care insurance policy through policy comparison. China and Korea are very similar in terms of cultural background, living habits, and population structure. Therefore, the successful experience of Korean long-term care insurance has great implications for Qingdao even China to build a long-term care insurance system. Through the literature review, this article compares the long-term care insurance policy implemented by Qingdao City and Korea in Gilbert & Terrell's social welfare policy analysis framework. With the comparison this article discusses about the existing problems of the current pilot policy system in Qingdao, such as lack of legislation support and financial independence, assessment standards are not detailed, and human resources are insufficient. The author raises five suggestions to improve Qingdao's long-term care policy as the conclusion of this paper: legislation support, detailed assessment standard, expand categories of benefits, enrich delivery network, optimize financing sources.

소통+섬기는 마음 - 세계 속 건강 - 세계의 노인장기요양보험제도 관건은 재정부담 해소 - 질병 예방적 접근 필요하며, 소비자 선택권이 강화되는 추세

  • Kim, Won-Hak
    • 건강소식
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    • v.34 no.9
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    • pp.38-39
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    • 2010
  • 노인장기 요양보험제도가 시행된 지 2년이 흘렀다. 그동안 가족이 책임졌던 노인에 대한 장기요양을 국가와 사회가 부담함으로써 만성질환 및 노인성 질환으로 어려움을 겪는 노인과 가족들의 부담이 줄어들었다. 하지만 적지 않은 문제점도 드러나고 있다. 외국의 사례를 통해 우리나라 노인장기 요양보험제도의 현재와 미래를 그려보고자 한다.

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A Decision-support System for Care Plan in Long-term Care Insurance (의사결정나무기법을 활용한 노인장기요양보험 표준급여모형 개발)

  • Han, Eun-Jeong;Lee, Jung-Suk;Kim, Dong-Geon;Kwon, Jinhee
    • The Korean Journal of Applied Statistics
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    • v.27 no.5
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    • pp.667-679
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    • 2014
  • 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.

A Recommending System for Care Plan(Res-CP) in Long-Term Care Insurance System (데이터마이닝 기법을 활용한 노인장기요양급여 권고모형 개발)

  • Han, Eun-Jeong;Lee, Jung-Suk;Kim, Dong-Geon;Ka, Im-Ok
    • The Korean Journal of Applied Statistics
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    • v.22 no.6
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    • pp.1229-1237
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    • 2009
  • In the long-term care insurance(LTCI) system, the question of how to provide the most appropriate care has become a major issue for the elderly, their family, and for policy makers. To help beneficiaries use LTC services appropriately to their needs of care, National Health Insurance Corporation(NHIC) provide them with the individualized care plan, named the Long-term Care User Guide. It includes recommendations for beneficiaries' most appropriate type of care. The purpose of this study is to develop a recommending system for care plan(Res-CP) in LTCI system. We used data set for Long-term Care User Guide in the 3rd long-term care insurance pilot programs. To develop the model, we tested four models, including a decision-tree model in data-mining, a logistic regression model, and a boosting and boosting techniques in an ensemble model. A decision-tree model was selected to describe the Res-CP, because it may be easy to explain the algorithm of Res-CP to the working groups. Res-CP might be useful in an evidence-based care planning in LTCI system and may contribute to support use of LTC services efficiently.

A Study on the Dental Hygienist's Awareness on the Elderly Long-Term Care Insurance System (치과위생사의 노인장기요양보험제도에 대한 인식도 연구)

  • Park, Jeong-Ran;Kwon, Sun-Hwa
    • Journal of dental hygiene science
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    • v.9 no.3
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    • pp.279-286
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    • 2009
  • This research targeted 253 dental hygienists who are working in parts of the South Gyeongnam Province to identify their Degree of Recognition on the Elderly Long-term Care Insurance System executed on July 1,2008 according to their awareness. The following conclusions were obtained. 1. Experience in managing elderly patients' oral cavity and specialized education on the elderly patients while studying dental hygiene (department) manifested statically significant difference with the appropriate age of the Long-term care worker(p<0.01, p<0.05). Moreover, there was significant difference in the level of understanding on the Elderly Long-term Care Insurance System depending on the experience of volunteering and on whether they got specialized education on the elderly patients while working(p<0.01). 2. There was significant difference in the awareness of the Elderly Long-term Care Insurance System following interest in the health of the elderly patients' oral cavity(p<0.05, p<0.01, p<0.001).

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The relations of the Long-term care insurance awareness and the aged parent-supporting (장기요양보험제도 안식과 노부모 돌봄과의 관계)

  • Yang, Sook-Mee
    • Journal of Digital Convergence
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    • v.9 no.5
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    • pp.45-54
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    • 2011
  • The purpose of this research was to examine the whether to recognition of the long-term care insurance have affected on aged parent-supporting. The research method was used self-report questionnaire to 331 persons who was supported their parents. And I used the Frequency, simple linear regression as an analysis methods. The result demonstrated that Educational background, the emotional intimacy of the subjects, and the recognition degree of the long-term care service have significant influence on their physically parent supporting consciousness. The researchers suggest the need of family support system based on the result for decrease the parent-supporting burden in middle age generation.

Perception toward long-term care insurance system among seniors in health and welfare colleges (보건복지계열 예비졸업생의 노인장기요양보험에 대한 인식 조사)

  • Hwang, Rah-ll
    • Journal of the Korea Convergence Society
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    • v.8 no.11
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    • pp.193-201
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    • 2017
  • The purpose of this study was to be identified the perception toward long-term care insurance system among seniors in health and welfare colleges. The questionnaire was distributed to 207 students in a local area. Data were analyzed by SPSS 22.0ver. The subjects' interest and knowledge level an long-term care insurance system was low, but the attitude was positive. Knowledge levels and attitudes related to lang - term care insurance system were found to differ according to elderly institutional service experience. In conclusion, it will be necessary to develop curriculum and active program of volunteer activities to improve the awareness and interest of lang-term care insurance system in health and welfare colleges.

A Study on the Judgement Rating for Level of Need for Long-term Care Insurance Using a Decision Tree (노인 장기요양보험의 등급판정을 위한 의사결정나무 연구)

  • Han, Sang-Tae;Kang, Hyun-Cheol;Choi, Bo-Seung;Lee, Seong-Keon
    • Communications for Statistical Applications and Methods
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    • v.18 no.1
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    • pp.137-146
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    • 2011
  • Long-term care insurance is a social insurance system that provides benefits to the elderly who have difficulty taking care of themselves for a period of at least 6 months. This system was started in July, 2008 and it is very important to set proper judgement ratings for the approval process. We try to develop and improve the judgement rating system using decision tree models. Our tree model is found to be more stable and efficient than the previous one.