Health Policy and Management (보건행정학회지)

Korean Academy of Health Policy and Management (한국보건행정학회)
권호 표지
DOI QR코드

DOI QR Code

Differences in Family Caregivers' Opinions about Out-of-Pocket Payment for Long-Term Care Facilities by Income Levels

장기요양 시설서비스 이용자의 소득수준별 본인부담금에 대한 인식 차이

  • Kwon, Jinhee (Institute for Health Insurance Policy Research, National Health Insurance Service) ;
  • Moon, Yongpil (Institute for Health Insurance Policy Research, National Health Insurance Service) ;
  • Lee, Jung-Suk (Institute for Health Insurance Policy Research, National Health Insurance Service) ;
  • Han, Eun-Jeong (Institute for Health Insurance Policy Research, National Health Insurance Service)
  • 권진희 (국민건강보험공단 건강보험정책연구원) ;
  • 문용필 (국민건강보험공단 건강보험정책연구원) ;
  • 이정석 (국민건강보험공단 건강보험정책연구원) ;
  • 한은정 (국민건강보험공단 건강보험정책연구원)
  • Received : 2017.04.11
  • Accepted : 2017.06.26
  • Published : 2017.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: The purpose of this study is to investigate family caregivers' opinions about out-of-pocket payment for long-term care (LTC) facilities, and find the differences in the opinions for family caregivers of all different levels of income. Methods: We used the data of the study on out-of-pocket payment in national long-term care insurance, including 1,552 family caregivers with the elderly in long-term care facilities. Results: The average out-of-pocket payment per month was 511,635 Korean won and distributed from 230,750 to 1,365,570 Korean won. The amount of out-of-pocket payment might be affected by not co-payment but the cost of non-covered service. There were differences in them for family caregivers of all different levels of income. Opinions were surveyed about 5 issues. By levels of income, there were differences in their opinions about 3 issues, the financial burden on LTC, the necessity of reducing out-of-pocket payments, and to be willing to pay more for a high quality service. But there were not different opinions about the interruption of LTC service and staying with LTC facilities. Conclusion: These findings suggest that the range of out-of-pocket payment for LTC facility is wide and it can be a burden to lower income group. It should be to prepare the policies to ease the financial burden and support the appropriate LTC use.

Keywords

References

  1. Statistics Korea. Population indicator [Internet]. Daejeon: Statistics Korea; 2016 [cited 2017 Apr 2]. Available from: http://kosis.kr/.
  2. National Health Insurance Services. Law of long-term care insurance for elderly. Wonju: National Health Insurance Services; 2016.
  3. Kim HY, Lee DH, Lee YJ. Termination of long-term care because of Individual co-payment of 30 (ten thousand won) about 70's person of pension recipient. JoongAngIlbo. 2017 Mar 6; Sect. 8.
  4. Lee YK. Determinants of long-term care service use by elderly. J Korean Gerontol Soc 2009;29(3):917-933.
  5. Park CJ. Determinants of long term care service types of family caregiver. Korean J Gerontol Soc Welf 2012;70:31-51.
  6. Jung YI, Kim HS, Kwon SM. Horizontal equity of long-term care utilization and health care utilization of home care service user. Korean J Health Econ Policy 2016;22(4):59-78.
  7. Wyszewianski L. Financially catastrophic and high-cost cases: definitions, distinctions, and their implications for policy formulation. Inquiry 1986;23(4):382-394.
  8. Kwon JH, Han EJ, Moon YP, Lee JS, Kim KA, Park JD. A study of alleviation plans of a individual co-payment in long-term care insurance. Wonju: Health Insurance Policy Institute, National Health Insurance Service; 2014.
  9. Yun HS. Observations on long-term care insurance utilization and implication for its expansion. Korean J Health Policy Adm 2010;20(3);104-122. DOI: https://doi.org/10.4332/kjhpa.2010.20.3.104.
  10. Kwon JH, Han EJ, Choi ID. A fact-finding survey of a individual co-payment in long-term care insurance. Wonju: Health Insurance Policy Institute, National Health Insurance Service; 2011.
  11. Organization for Economic Cooperation and Development. Pensions at a glance. Paris: Organization for Economic Cooperation and Development Publishing; 2015.
  12. Choi ID. A study on the co-payment and the effect of long-term care insurance utilization by income level and region type. J Community Welf 2014;48:135-164. DOI: https://doi.org/10.15300/jcw.2014.48.1.135.
  13. Moon YP, Lee JY. Factors affecting service use intention of long-term care among the baby boomer and the elderly. Korean J Soc Secur 2016;32(3): 59-92.
  14. Kim CW. A study on the revealing method of long-term care insurance in long-term care insurance. Korean J Policy Stud 2014;23(2):121-144.
  15. Democratic Party of Korea. Pamphlet of political pledges of 19th president election. Seoul: The Minjoo, Democratic Party of Korea; 2017.
  16. Kappelman LA, McLean ER. The respective roles of user participation and user involvement in information system implementation success [Internet]. [place unknown]: International Conference on Information Systems; 1991 [cited 2017 Apr 2]. Available from: http://aisel.aisnet.org/cgi/viewcontent.cgi?article=1052&context=icis1991.
  17. Han EJ, Lee JS, Kwon J. Factors related to family caregiver financial burden of out-of pocket expenses for the nursing home service under long-term care insurance system. Korean J Health Policy Adm 2012;22(3):383-402. DOI: https://doi.org/10.4332/kjhpa.2012.22.3.383.
  18. Colombo F, Llena-Nozal A, Mercier J, Tjadens F. Help wanted?: providing and paying for long-term care. Paris: Organization for Economic Cooperation and Development Publishing; 2011.