Effects of Copayment Reduction in Long-Term Care Insurance on Medical Utilization in South Korea.

IF 2 3区社会学 Q2 GERONTOLOGY

Journal of Aging & Social Policy Pub Date : 2025-02-12 DOI:10.1080/08959420.2025.2461942

Sujin Kim, Jaeeon Yoo

引用次数: 0

Abstract

This study assessed the impact of reducing South Korean long-term care insurance copayment in 2018 on hospital admissions, avoidable hospitalizations, and outpatient care. Using coarsened exact matching and a triple-difference approach, the analysis was conducted on the 2017-2019 older adult cohort from the National Health Insurance Service database. Results showed decreased avoidable hospitalizations and nursing hospital stays for the low-income class. For the middle-income class, long-term hospitalizations and nursing hospital admissions decreased, while outpatient care use increased. Affordable long-term care services could enhance resource allocation and older adult beneficiaries' health conditions.

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长期护理保险共付额减少对韩国医疗利用的影响。

本研究评估了2018年减少韩国长期护理保险共付额对住院、可避免住院和门诊治疗的影响。采用粗糙精确匹配和三差法，对国民健康保险公团数据库中2017-2019年的老年人队列进行了分析。结果显示，低收入阶层可避免的住院次数和护理住院时间减少。对于中等收入阶层，长期住院和护理住院减少，而门诊护理使用增加。负担得起的长期护理服务可以改善资源分配和老年人受益人的健康状况。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Aging & Social Policy GERONTOLOGY-

CiteScore

13.00

自引率

3.90%

发文量

期刊介绍： The Journal of Aging & Social Policy offers a platform for insightful contributions from an international and interdisciplinary group of policy analysts and scholars. It provides an in-depth examination and analysis of critical phenomena that impact aging and the development and implementation of programs for the elderly from a global perspective, with a broad scope that encompasses not only the United States but also regions including Europe, the Middle East, Australia, Latin America, Asia, and the Asia-Pacific rim. The journal regularly addresses a wide array of issues such as long-term services and supports, home- and community-based care, nursing-home care, assisted living, long-term care financing, financial security, employment and training, public and private pension coverage, housing, transportation, health care access, financing, and quality, family dynamics, and retirement. These topics are of significant importance to the field of aging and social policy, reflecting the journal's commitment to presenting a comprehensive view of the challenges and solutions related to aging populations around the world.