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KMID : 1124020220380030003
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Korean Social Security Studies
2022 Volume.38 No. 3 p.3 ~ p.32
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Effect of home care services of long-term care insurance on potentially avoidable healthcare utilization and care burdens of elderly people with disabilities
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Jeon Bo-Young
Kim Cheong-Seok
Ki Myung
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Abstract
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This study showed the effects of long-term care insurance home services on potentially avoidable healthcare utilization and care burdens of family members among elderly people with disabilities. We used the Korea Health Panel of 2016-2018, and an unbalanced panel data was constructed for the elderly living in community. The final participants were 600 persons with disabilities (1,551 cases). Among the elderly people with disabilities, 9% of them used home care services. The potentially avoidable hospitalization experience was 8.6% for home care service users and 3.4% for non-users, and the potentially avoidable emergency room visit rates were 12.1% and 9.4%, and the proportion of potentially avoidable healthcare expenditure to total healthcare expenditure was 4.1% and 3.1%, respectively. The case of caregivers feeling the burden of care was 22% of home care service users and 6% of non-users, and the average daily care time was 5 hours and 0.9 hours, respectively. As a result of the panel fixed effect model, the use of home care services had a significant effect on the reduction of potentially avoidable emergency room visits and the proportion of potentially avoidable healthcare expenditure to total healthcare expenditure. In addition, the use of home care services significantly lowered the burden of caregivers. In conclusion, this study showed that the use of home care services have effect of reducing the potentially avoidable healthcare utilization and burden of caregivers of the elderly people with disabilities.
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KEYWORD
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Elderly people with disabilities, Long-Term Care Insurance, Home Care Services, Potentially avoidable healthcare, Care burden, Korea Health Panel
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