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KMID : 0904520070200010047
Health and Medical Sociology
2007 Volume.20 No. 1 p.47 ~ p.71
Public-Private Partnerships in Long-Term Care: Lessons from the United States
Chang Dong-Min

Abstract
With the aging of our population, the sustainable financing of long-term care for the elderly is a worldwide issue and more so for Korea. The public-private partnership program in the United States is an innovative approach for long-term care financing that rests on the combination of the public and the private sectors.
The purpose of this study is to analyze the experiences and the performance of the partnership for long-term care in the United States and to draw valuable lessons for Korea. Major suggestions are as follows.
First, when introducing the national long-term care system, Korea should reach a social agreement after discussing the optimal financing model for long-term care fully.
Second, in designing the financing system for long-term care, the government should seriously consider the appropriate share of public and private responsibilities including the role extension of private sectors.
Third, to ensure the long-run stability of long-term care financing, it should be taken various measures to control the wasteful expenditures along with the increase of total funds.
Finally, to improve the performance, it is essential to reform long-term care financing in connection with service delivery.
KEYWORD
Public-Private Partnership, Reform, Long-Term Care, Financing, Long-Term Care Insurance
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