Journal of Internet of Things and Convergence (사물인터넷융복합논문지)

The Korea Internet of Things Society (한국사물인터넷학회)
권호 표지
DOI QR코드

DOI QR Code

Analysis on the Transition and Determinants of Long-Term Care Service for the Elderly in the Internet of Things era

융합의 시대에(사물인터넷시대에)한국 노인의 장기요양 서비스 이용 상태 전환과 결정요인 분석

  • Choi, Jang-Won (Department of Welfare Management at TongMyong University)
  • 최장원 (동명대학교 복지경영학과)
  • Received : 2020.09.05
  • Accepted : 2020.11.04
  • Published : 2020.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study intends to the estimate the determinants and state dependence of long-term care services in Korea. For this purpose, we analyzed the transition patterns among three states of long-term care service utilization over time by using the Korea Welfare Panel Study data with the random effect multinomial logit model. It is found that the result showed a strong state dependence in long-term care service utilization. Especially, long-term care insurance for the elderly showed a strong state dependence among others. Among the individual demographic characteristics, the higher the age, the higher the probability of using long-term care insurance for the elderly, while the lower the probability when married. The characteristics of the residential region showed that the residents of the urban-rural integrated region had a significantly higher probability of using long-term care insurance than the reference region. The results of this study suggest that the long-term care service users have a strong state dependence, which means that it is important to take into account the increase in the utilization period of existing users in future demand forecasting.

본 연구는 한국 노인장기요양 서비스 이용 상태의 결정요인과 상태 의존성을 파악하고자 하였다. 이를 위해 한국복지패널 자료를 이용하여 시간이 지남에 따른 서비스 이용 상태간 전환 패턴을 랜덤효과 다항로짓 모형을 이용하여 분석하였다. 그 결과 노인장기요양 서비스 이용 상태에 있어 강한 상태 의존성을 확인하였다. 특히 초기 상태에서 노인장기요양보험 이용자는 상태가 지속되는 경향이 강한 것으로 나타났다. 개인의 인구통계학적 특성 중 연령이 높을 수록 노인장기요양보험 이용 상태일 확률이 높아지는 반면 혼인상태에 있는 경우 유의하게 낮았다. 거주지역 경우 도농 복합군 거주자는 준거지역에 비해 노인장기요양보험 이용 상태일 확률이 유의하게 높아지는 것으로 나타났다. 본 연구의 결과 노인장기요양 서비스 이용자가 강한 상태 의존성을 가진다는 사실은 향후 수요예측에 있어 기존 이용자의 이용 기간 증가도 충분히 고려하는 것이 중요함을 시사한다.

Keywords

References

  1. Y.G.Lee, "Discussions on Public Long-Term Care Insurance Reform in Germany and Reform 2008: Implications for the Stable Establishment of Long-Term Care Insurance for the Elderly in Korea," Social Welfare Policy, Vol. 36, pp.291-317, 2009. https://doi.org/10.15855/swp.2009.36.4.291
  2. M.Y.Kim, "The Problems and Improvement Plan of Long-Term Care Insurance System for the Elderly," Legislative Policy, Vol.5, pp.33-67, 2011.
  3. J.Y.Lim, "The Obstacles and Activation of Nursing Care in Long-Term Care Insurance for the Elderly," Journal of the Korea Creative Content Association, Vol 12, pp.283-299, 2012.. https://doi.org/10.5392/JKCA.2012.12.08.283
  4. W.M.Kang, "Planning a Partnership System between Long-Term Care Insurance Services for the Elderly and Care Services for the Elderly," Vol 26, pp.49-74, 2010.
  5. S.Y.Kim Soo-young, "The Problems and Development of the Long-Term Care Insurance System for the Elderly-Social Welfare Perspective," Vol 1, PP.64-97, 2013.
  6. H.B.Cha, "Discussions on the Development Process of Long-Term Care Insurance for the Elderly and the Future Direction for Improvement," Long-Term Care Research, Vol 1, pp.8-30, 2013.
  7. J.R,Yoon, "The need to reexamine and expand the scope of geriatric diseases for those under 65 years of age in Korea's long-term care insurance policy," long-term care research, Vol 2, pp.78-107, 2014.
  8. T.Kim. "A Study on Smart Warning Triangle," Journal of The Korea Internet of Things Society, Vol. 4, No.1, pp.37-41, 2018. https://doi.org/10.20465/KIOTS.2018.4.1.037
  9. T.H.Woo, "Dynamical Nuclear Waste Assessment Using the Information Feedback Oriented Algorithm Applicable to the Internet of Things(IoT)", Vol. 6, No.1, pp.3-4, 2020.
  10. H.Kim, "Utilization of long-term care services under the public long-term care insurance program in Korea: implications of a subsidy policy," Health Policy, Vol.1 , No.2, pp.166-174, 2013. https://doi.org/10.1016/j.healthpol.2013.04.009
  11. C.W.KIM, "A Study on the Social Performance of the Long-Term Care Insurance System for the Elderly", Korea Social Welfare Survey, V34, pp.273-296, 2013.
  12. H.S.Cheon, "An Investigative Analysis on the Effects of Long-Term Care Insurance for the Elderly: Using the Primary to 10th Data of the Korean Welfare Panel," Health and Social Studies, Vol 37, No1, pp.307-331, 2017.
  13. D.B.Kim, "The Effect of Long-Term Care Service on the Depression and Life Satisfaction of Family Recipients -Comparison Study Between Groups According to Participation in Leisure Activities," the Journal of the Korean Society for Family Relations, Vol. 15, No.3, pp.117-135, 2010.
  14. J.S.Lee, "Quality Evaluation of Long-Term Care Service: Current System and Improvement Direction," Long-Term Care Research, Vol. 2, No.1, pp.88-112, 2014.
  15. Y.K.Lee, "Research on the Determinants of the Long-Term Care Service for the Elderly," Korean Aging Studies, Vol. 29, No.3, pp.917-933, 2009.