{"title":"Effects of Copayment Reduction in Long-Term Care Insurance on Medical Utilization in South Korea.","authors":"Sujin Kim, Jaeeon Yoo","doi":"10.1080/08959420.2025.2461942","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":47121,"journal":{"name":"Journal of Aging & Social Policy","volume":" ","pages":"1-21"},"PeriodicalIF":2.0000,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Aging & Social Policy","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1080/08959420.2025.2461942","RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"GERONTOLOGY","Score":null,"Total":0}
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.
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.