Long-term care reform in Korea: lessons from the introduction of Asia's second long-term care insurance system

Chon, Yongho

doi:10.1080/02185385.2012.726422

Cited by 22 publications

(64 citation statements)

References 4 publications

(4 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While Japan and South Korea have instituted their respective LTC insurance systems, Taiwan is also moving towards this (Tamiya et al 2011;Chon 2012;Nadash and Shih 2013). The pilot in Qingdao City echoes this regional trend.…”

Section: Discussionmentioning

confidence: 99%

“…Source: Willeme et al (2012), Schut and van den Berg (2012), Chon (2012), Zuchandke et al (2012), Costa-Font and Courbage (2012) and Comas-Herrera et al (2012).…”

Section: Efficiencymentioning

confidence: 99%

“…Specifically, SHI offers universal coverage and financial protection against catastrophic out-of-pocket costs, and has the advantage of using market power to negotiate payment (Mossialos and Dixon 2002); however, coverage of services is usually limited to nursing care, and co-payments are often required (Willeme et al 2012). Separate from SHI, LTC insurance is a dedicated, stand-alone insurance arrangement for LTC services (Chon 2012;Schut and van den Berg 2012;Zuchandke et al 2012). The advantages of LTC insurance lie in that it is designed specifically to cover a broad range of LTC services.…”

Section: Analytical Frameworkmentioning

confidence: 99%

See 2 more Smart Citations

Financing institutional long-term care for the elderly in China: a policy evaluation of new models

Yang

Fang

et al. 2016

Health Policy Plan.

View full text Add to dashboard Cite

A rapid ageing population coupled with changes in family structure has brought about profound implications to social policy in China. Although the past decade has seen a steady increase in public funding to long-term care (LTC), the narrow financing base and vast population have created significant unmet demand, calling for reforms in financing. This paper focuses on the financing of institutional LTC care by examining new models that have emerged from local policy experiments against two policy goals: equity and efficiency. Three emerging models are explored: Social Health Insurance (SHI) in Shanghai, LTC Nursing Insurance (LTCNI) in Qingdao a n dam e a n s -t e s t e dm o d e li nN a n j i n g .Af o c u s e ds ystematic narrative review of academic and grey literature is conducted to identify and assess these models, supplemented with qualitative interviews with government officials from relevant departments, care home staff and service users. This paper argues that, although SHI appears to be a convenient solution to fund LTC, this model has led to systematic bias in affordable access among participants of different insurance schemes, and has created a powerful incentive for the over-provision of unnecessary services. The means-tested method has been remarkably constrained by narrow eligibility and insufficiency of funding resources. The LTCNI model is by far the most desirable policy option among the three studied here, but the narrow definition of eligibility has substantively excluded a large proportion of elders in need from access to care, which needs to be addressed in future reforms. This paper proposes three lines of LTC financing reforms for policy-makers: (1) the establishment of a prepaid financing mechanism pooled specifically for LTC costs; (2) the incorporation of more stringent eligibility rules and needs assessment; and (3) reforming the dominant fee-for-service methods in paying LTC service providers.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Source: Willeme et al (2012), Schut and van den Berg (2012), Chon (2012), Zuchandke et al (2012), Costa-Font and Courbage (2012) and Comas-Herrera et al (2012).…”

Section: Efficiencymentioning

confidence: 99%

Section: Analytical Frameworkmentioning

confidence: 99%

See 1 more Smart Citation

Financing institutional long-term care for the elderly in China: a policy evaluation of new models

Yang

Fang

et al. 2016

Health Policy Plan.

View full text Add to dashboard Cite

show abstract

“…As a result, the Korean welfare state has traditionally been reluctant to develop a public LTC infrastructure, and even though it has been developed since the introduction of the LTCI system 2008, the benefits and coverage of welfare programs are strictly limited and have been developed in a piecemeal way (Chon, 2012a;Kwon, 2005; J. W. Kim & Choi, 2012). The unsystematic nature of Korea's approach to the development of its LTC infrastructure is made clear if a brief comparison is made with Japan's experience (Chon, 2012a). Japan introduced its new LTCI system in 2000, becoming the first Asian country to introduce compulsory social LTCI.…”

Section: The Need To Reform Korea's Ltc Service System and Its Infrasmentioning

confidence: 99%

“…The experience of Korea, which became the second Asian country to introduce compulsory social LTCI, is particularly notable for a number of reasons (Chon, 2012a). Although comprehensive social LTC systems in Western developed countries, such as Sweden and the Netherlands, were built on existing local service delivery programs and gave central administrative and regulatory roles to local authorities (Campbell, Ikegami, & Gibson, 2010), a brand new centralized LTCI system with a very limited role for local authorities was developed in Korea (Chon, 2012b).…”

mentioning

confidence: 99%

The Development of Korea's New Long-Term Care Service Infrastructure and Its Results: Focusing on the Market-Friendly Policy Used for Expansion of the Numbers of Service Providers and Personal Care Workers

Chon

2013

Journal of Gerontological Social Work

Self Cite

View full text Add to dashboard Cite

One of the main reasons for reforming long-term care systems is a deficient existing service infrastructure for the elderly. This article provides an overview of why and how the Korean government expanded long-term care infrastructure through the introduction of a new compulsory insurance system, with a particular focus on the market-friendly policies used to expand the infrastructure. Then, the positive results of the expansion of the long-term care infrastructure and the challenges that have emerged are examined. Finally, it is argued that the Korean government should actively implement a range of practical policies and interventions within the new system.

show abstract

Is China facing the social risks associated with reliance on hospitalization for the care of the elderly with chronic diseases?

Wei-dong

2019

Health Planning & Management

View full text Add to dashboard Cite

Summary This study aims to investigate if China is facing the social risks associated with reliance on hospitalization for the care of the elderly with chronic diseases. Textual studies and big data analysis indicate the following outcomes: (1) The elderly population suffering from chronic diseases is expanding rapidly, while the prevalence rate also shows a growing trend; (2) the reliance on hospitalization for the care of the elderly patients exists and has caused three new social risks; and (3) these social risks are wasted health resources, poverty between individuals and families, and relative increase in the disability rate of the elderly after hospital admission. We conclude that effectively defusing the risks entails strengthening the management of chronic diseases related to communal public health, initiating the concept of “continuity of care” to pursue an active combination of medical and health care, hastening the implementation of long‐term care insurance (LTCI) and other policy measures.

show abstract

Long-term care reform in Korea: lessons from the introduction of Asia's second long-term care insurance system

Cited by 22 publications

References 4 publications

Financing institutional long-term care for the elderly in China: a policy evaluation of new models

Financing institutional long-term care for the elderly in China: a policy evaluation of new models

The Development of Korea's New Long-Term Care Service Infrastructure and Its Results: Focusing on the Market-Friendly Policy Used for Expansion of the Numbers of Service Providers and Personal Care Workers

Is China facing the social risks associated with reliance on hospitalization for the care of the elderly with chronic diseases?

Contact Info

Product

Resources

About