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Does long-term care insurance reduce the burden of medical costs? A retrospective elderly cohort s

Authors
 Jae Woo Choi  ;  Eun‐Cheol Park  ;  Sang Gyu Lee  ;  Sohee Park  ;  Hwang‐Gun Ryu  ;  Tae Hyun Kim 
Citation
 Geriatrics & Gerontology International, Vol.18(12) : 1641-1646, 2018 
Journal Title
 Geriatrics & Gerontology International 
ISSN
 1444-1586 
Issue Date
2018
Keywords
burden of medical costs ; long-term care insurance ; medical utilization
Abstract
AIM: To examine whether long-term care insurance (LTCI) reduces medical utilization and the burden of medical costs of beneficiaries. METHODS: The elderly cohort database of the National Health Insurance Service during 2005-2013 was used. The participants were 3029 beneficiaries who received consecutive LTCI services. We carried out a 1:3 case-control match on the propensity score to select a comparison group, and the final participants were 12 116 people, including 9087 who formed the control group. The dependent variables were semi-annually measured medical utilizations (inpatient, outpatient and drug prescription) and the burden of medical costs at the individual level. This study applied the method of generalized estimating equations to the data. RESULTS: The present study showed that the number of hospitalizations of beneficiaries significantly decreased compared with non-beneficiaries (ratio 0.95, 95% CI 0.95-0.96). Similarly, the length of stay of beneficiaries also showed a significant reduction compared with non-beneficiaries (ratio 0.76, 95% CI 0.73-0.79). The number of outpatient visits and receipt of drug prescriptions of beneficiaries and non-beneficiaries increased marginally. The burden of medical costs of beneficiaries reduced considerably compared with non-beneficiaries (ratio 0.80, 95% CI 0.77-0.83). CONCLUSIONS: The study results show that the burden of medical costs for LTCI beneficiaries were significantly reduced compared with non-beneficiaries, despite the rise in medical costs among older adults. The positive effect of LTCI supports continuous implementation and expansion of the LTCI service for non-beneficiaries who require care assistance.
Full Text
https://onlinelibrary.wiley.com/doi/full/10.1111/ggi.13536
DOI
10.1111/ggi.13536
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Preventive Medicine and Public Health (예방의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Tae Hyun(김태현) ORCID logo https://orcid.org/0000-0003-1053-8958
Park, So Hee(박소희) ORCID logo https://orcid.org/0000-0001-8513-5163
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
Lee, Sang Gyu(이상규) ORCID logo https://orcid.org/0000-0003-4847-2421
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/166835
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