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KMID : 1170320160220040059
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Korean Journal of Health Economics and Policy
2016 Volume.22 No. 4 p.59 ~ p.78
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Horizontal Equity in the Use of Home Care and Health Care among Home Care Recipients under the Public Long-term Care Insurance in South Korea
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Jung Young-Il
Kim Hong-Soo
Kwon Soon-Man
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Abstract
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The purpose of this study is to evaluate income-related horizontal equity in home care utilization and health care utilization among home care recipients under the public long-term care (LTC) insurance program in South Korea. We analyzed a 5% sample of older people aged 65 or older and their health and LTC insurance data. Income-related inequality in utilization was measured by the horizontal inequity (HIwv) index. Results showed that HIwv index scores in home care utilizations were negative or zero, which implies equitable use for the poor. More frequent service use with a similar level of out-of-pocket payment suggests the appropriateness of home care use under LTC insurance need to be further evaluated. Positive HIwv scores in heath care utilizations (outpatient visits, cost and inpatient days, cost) shows potential unmet health care needs among the poor. Recommended are policy interventions that can improve the coverage of the two social insurance programs, ensuring the income-related horizontal equity.
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KEYWORD
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HIwv index, Long-term care utilization, Home care, Health care utilization, Income-related inequity, Horizontal inequity index
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