|
KMID : 1142620190110020095
|
|
Korea Aging Friendly Industry Association
2019 Volume.11 No. 2 p.95 ~ p.109
|
|
|
Impact of implementing the Long-term care Health Insurance for the Elderly on the Medical Expenditure in a rural community
|
|
Han Nam-Kyung
|
|
|
Abstract
|
|
|
Objective : This study aimed to analyze the financial relevance to the Long-term Care Insurance and National Health Insurance by analyzing the changes in expenditure on elderly care before and after the introduction of the long-term care insurance system in rural areas.
Methods : Analyzing data collected from two divided group lived in Yangpyeong-gun. One group was 53 elderly people have received long-term care health wage for one year and control group was 212 people chosen by gender and age stratified random sampling. The data of total medical expending was analyzed by Difference-In-Difference method and also conducted multiple regression for variables of socio-demographic, economic, disease characteristics.
Results : The average total medical expense of group receiving long-term health insurance decreased by 45.12% compared to control group as a result of Difference-in-Difference analysis. In the cost segmentation, the hospitalization expense decreased by 88.61% and the medicine cost decreased by 45.12%. Multiple regression Analysis results showed that the average medical expense of people using long-term health insurance decreased by 15.4% after introducing this insurance system, but its difference was not statistically significant. The hospitalization expense increased by 2.5% and the medicine cost increased by 5.9% And the outpatient service cost increased by 5.9%, but its difference was not statistically significant.
Conclusion : The results of this study could be used as a basic data for predicting the financial relevance of National Health Insurance and Long-term Care Insurance and referring to the efficient operation of future finances.
|
|
|
KEYWORD
|
|
|
Long-Term Care Insurance, Medical expenditure for the elderly, Difference-In-Difference
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|