KMID : 0191120120270000041
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Journal of Korean Medical Science 2012 Volume.27 No. 0 p.41 ~ p.46
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Role of Healthcare in Korean Long-Term Care Insurance
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Kang Im-Oak
Park Chong-Yon Lee Yun-Hwan
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Abstract
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With the rapid aging of the population, Korea introduced public long-term care insurance for older people in 2008. The long-term care insurance was designed as a separate scheme from the national health insurance, with eligibility qualifications and the certification process based on functional disability, benefits and coverage of community-based and institutional care, and a financing structure through multi-party contributions. Delivering appropriate health services to long-term care beneficiaries who manifest a high prevalence of comorbid chronic conditions with rising healthcare costs, however, presents a particular challenge. The lack of coordination between the health and long-term care sectors, limited consideration of physicians' assessments in the certification process, inadequate provision of health services in long-term care facilities, and overlapping and inefficient use of care resources act as barriers to providing comprehensive healthcare for older beneficiaries. Through active participation in the long-term care system, health professionals can help older patients navigate through the complex long-term care terrain to obtain quality healthcare.
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KEYWORD
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Aged, Delivery of Healthcare, Health Services, Insurance, Long-Term Care
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