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KMID : 1001320140410010289
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Social Welfare Policy
2014 Volume.41 No. 1 p.289 ~ p.313
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The Impact of the Marketization on the Long-term Care Provision in Terms of Service Quality
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Kwon Hyun-Jung
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Abstract
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The purpose of this study is to evaluate the impact of marketization on the quality of services of long-term care insurance program. We exploit the impact of the provider competition and user`s selection as market logic on the quality of service. A merged dataset combining surveys from 248 Long-Term Care facilities and online resources from NHIC administrative for NLTCI(National Long-Term Care Insurance) was used and analyzed by multiple regression and negative binomial regression. Unlike the policy intention of Long-Term Care program, empirical findings indicate that the effect of the service provider`s competition on the quality of service isn`t statistically significant. However, user`s choice appears increasing the quality of service. Implications as an initial research is the user`s choice which is showed by policy effect have a limited user`s service selectivity to enter the institution of one`s choice since there is a long queue. The quasi-market like long-term care insurance service depends on the government`s institutional arrangement in various stakeholder like service delivery entity and user who involved in the market to provide and receive stable services. Therefore government`s prudent and responsible decision-making is required.
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KEYWORD
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Long-Term Care Insurance program, marketization, competition, user choice, quality of service, quasi-market
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