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KMID : 1170320210270020073
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Korean Journal of Health Economics and Policy
2021 Volume.27 No. 2 p.73 ~ p.94
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Determinants of the long-term care expenditures and institutional care utilization
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Chung Hye-Yoon
Hahn You-Jin
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Abstract
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This study examines the expenditures and institutional care utilization under the national Long-term Care (LTC) insurance program in Korea. Using Anderson’s behavior model, we estimate a fixed-effects regression model on nationally representative longitudinal cohort data on elderly people. Compared to the LTC insurance recipients who receive informal care from family, the recipients who do not have a primary caregiver or receive help from a formal caregiver/volunteer spend larger amounts of LTC expenditures. The recipients who do not co-reside with their family, are on a low income, and are highly dependent on others due to their low functional and cognitive capacity are also more likely to incur high LTC spending. In terms of institutional care, the elderly who do not receive informal care from family, who do not live with their family or have high physical dependency tend to be heavier users of the institutional care than home care. According to this study, household structures and informal care provided by family members play a crucial role in explaining LTC expenditures and institutional care utilization among the recipients.
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KEYWORD
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Long-term Care Insurance, Institutional care, expenditure, utilization, fixed-effects
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