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KMID : 1170320210270010097
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Korean Journal of Health Economics and Policy
2021 Volume.27 No. 1 p.97 ~ p.118
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The Social Cost of Informal Nursing Care and its Policy Implications for Integrated Nursing and Care Services
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Yi Jin-Seon
Kim Jin-Hyun
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Abstract
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Korean National Health Insurance (NHI) initiated the integrated nursing and care service scheme in 2015 to reduce patients’ economic burden of informal nursing care. This study estimated the trends and magnitudes of informal nursing care demands and costs and suggested strategies for the scheme to be successfully settled down. Data were collected from Korea Health Panel(beta ver. 1.7), NHI statistics yearbook, and National Statistical Office. Informal nursing care rate decreased from 68.8% in 2008 to 61.2% in 2018, particularly significant decline of family care rate after insurance coverage was found. While demands for informal nursing care gradually increased from 58 million persons in 2008 to 89 million persons in 2018, the estimated curve converged to saturation. Informal nursing care cost, which has been constantly increased every year, were estimated at KRW 6.9~8.0 trillion in 2018. To convert individuals' burden of informal care into social solidarity, it is required to secure adequate nurse staffing levels in hospitals, change public awareness on family care, regulate the patients‘ moral hazard, and promote home nursing care services as alternatives for inpatient care. This study would be expected to provide timely evidence to expand the pilot policy of satisfying unmet nursing care demands in Korea.
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KEYWORD
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Informal Nursing Care, Integrated Nursing and Care Service, National Health Insurance
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