|
KMID : 0379220200400030485
|
|
Journal of Korea Gerontological Society
2020 Volume.40 No. 3 p.485 ~ p.509
|
|
|
Literature Review on Empirical Studies of the Impact of Marketization on Quality of Care in Long-Term Care Sectors
|
|
Lee Mi-Jin
Joo Eun-Sun
|
|
|
Abstract
|
|
|
|
This study reviews empirical studies that investigated the impact of marketization of long-term care services on quality of care in Korea, England, Sweden, United States, and Japan. The trend and characteristics of marketization and regulatory system in those countries were compared. Since 2008 when long-term care insurance was introduced in Korea, we selected and reviewed empirical studies which were listed in the National Research Foundation, PubMed and Web of Science and examined the relationship between marketization and quality of care. Seven Korean, three English, two Swedish, seven American studies and one Japan study were identified and there was little evidence supporting that marketization would lead to better quality of care. Specifically, competition had no consistent relationship with quality of care while there was little evidence supporting that for-profit nursing homes tended to exhibit greater quality of care compared to non-for-profit nursing homes. The chains of for-profit nursing homes were revealed to have greater deficiencies. The findings of this review imply that improvement of quality of care may not be achieved by making for-profit nursing homes have chains. Reconstruction of nursing home markets should be needed, and the number and the proportion of public and non-for-profit nursing homes should be increased.
|
|
|
KEYWORD
|
|
|
long-term care, marketization, quality of care
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|