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KMID : 1142620160080020047
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Korea Aging Friendly Industry Association
2016 Volume.8 No. 2 p.47 ~ p.62
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A Study on Improvement of Approval Grade Renewal Process in Long-Term Care Insurance for the Aged
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Kim Deock-Soo
Shim Cheol-Jae
Choi Seung-Gyu
Kim Ji-Young
Park Myung-Joo
Kim Su-Kyoung
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Abstract
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Objective : This research aims to identify the problem in setting approval valid period of present long-term and discuss the solution through a result on long-term grade judgement.
Methods : The survey was conducted on gaining statistics annual report of Long-Term Care Insurance for the Aged and present condition of grade judgement in National Health Insurance Service and studying precedence and literature on overseas long-term care.
Results : It is confirmed that mortality of receiver who gets long-term care grade is high because of old age, chrome and severely illness by showing over 60% receivers of the first people admitted grade are passing within 3 years. In case of the renewal results for the receivers from 2009 to 2015 to look change of condition after valid period in long-term care, the
grades of 73.5% approval people are maintained and it means it is produced that there is no big change about situation of function compared to time of the first recognition. Also, the task in renewal examination of long-term manpower is occupied 44.2% among the tasks in approval examination.
Conclusion : It seems that the number of receivers and tasks in approval examination is going to increase by extending the rapid Population Aging and enlargement of fifth grade. Due to in terms of insurer, administration cost is occurred excessively, investigating every approval request by visiting like now causes many problems in durability of system and work efficiency. It is time to redesign system.
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KEYWORD
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Act on Long-Term Care Insurance for the Aged, Approval grade, Renewal process
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