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장기요양 서비스를 누가, 얼마나, 얼마에 원하고 있는가?

Other Titles
 The Want, its Determinants and the Willingness to Pay of the Long Term Care Service 
Authors
 김현철  ;  홍나래  ;  연병길  ;  박태규  ;  정우진  ;  정진욱 
Citation
 Korean Journal of Health Policy and Administration, Vol.15(4) : 136-160, 2005 
Journal Title
Korean Journal of Health Policy and Administration(보건행정학회지)
ISSN
 1225-4266 
Issue Date
2005
MeSH
Long-term care insurance ; Long term care service ; Willingness to pay ; Want ; Determinant
Keywords
Long-term care insurance ; Long term care service ; Willingness to pay ; Want ; Determinant
Abstract
Before introducing the national long-term care insurance in 2008, the want for long term care service has to be estimated and analysed. This study estimates the demand and analyses what determines the want of long term care service. This study investigated data of 326 elderlies, that was collected by age stratified random sampling. The elderlies resided in Onyang 4 - dong (urban area) and Dogo-myun (rural area) in the city of Asan. The researchers visited the elderlies and their care giver, and assessed their demand for the long term care service and examined physical, mental, socio-economic status by the assessment tools for Korean Long-Term Care System. 64% of the those who are entitled to be served refuse the long term care service. 26.7% of them wants for home care service and 7.9% want facility care service. It is estimated that the want of home care service are three or four times as much as that of facility care service. The demand for long term care service is 5.155 times higher for those who live in rural area (p=0.000), 3.040 times higher for those who do not have spouse(p=0.057), and 3.356 times higher for the people who is in medicaid than medical insurance(p=0.029). However, income(p=0.782), means(p=0.614), living alone(p=0.223), number of family to live with (p=0.341) and age of the elderly(p=0.420) are not related with the demand of long term care service. The assessment tools for Korean Long-Term Care System for need evaluation of the long term care service can reflect the demand well.(p=0.024) If medical care will cover 80% of total cost, the willingness to pay of the out of pocket money of the people with medical insurance is 67,400 Korean Won(66.77 US$) for the home care service and 182,500 Korean Won(180.78 US$) for the facility care service. There is possibility that long term care demand is still small after introducing the long term care insurance due to the care given by family members. When developing service delivery system of long term care insurance, rural area has to be given more consideration than urban area because of the higher demand. The people who do not have spouse or are in medicaid have to be given special consideration as well.
Files in This Item:
T200501675.pdf Download
DOI
OAK-2005-06786
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Chung, Woo Jin(정우진) ORCID logo https://orcid.org/0000-0003-2090-4851
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/149898
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