A Qualitative Exploratory Study on the Service Delivery System for the New Long-Term Care Insurance System in Korea
A Qualitative Exploratory Study on the Service Delivery System for the New Long-Term Care Insurance System in Korea
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DOI：
10.1080/01488376.2012.744708
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发表时间：
2013-03-01
影响因子：
1.6
通讯作者：
Chon, Yongho
中科院分区：
文献类型：
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作者：
Chon, Yongho
韩国政府为应对高龄化，从2008年7月开始实施了以老年人为对象的社会长期护理保险（LTCI）制度。本研究旨在了解国民健康保险公司（NHIC）员工与家访服务提供者对新服务提供系统的体验与评价。对主要负责老年人功能评估的国家健康保险公司工作人员和负责为老年客户提供直接服务的家访服务提供者进行了26次半结构化深度访谈。总而言之，受访者对新的服务提供系统有负面的体验，例如难以履行其职责。研究结果表明，韩国新的LTCI服务提供系统面临挑战，韩国政府需要发挥更积极的作用，特别是在引入适当的护理管理系统方面，以解决这些问题。未来需要更大样本量的研究来详细检查和理解这些问题。
To cope with the rapid growth in its aging population, the Korean government introduced a new social long-term care insurance (LTCI) system for elderly people beginning in July 2008. This study aims to understand how National Health Insurance Corporation (NHIC) staff and home-visiting service providers experienced and evaluated the new service delivery system. A total of 26 semistructured in-depth interviews were conducted with NHIC staff primarily responsible for the functional assessment of the elderly and the home-visiting service providers responsible for providing direct services to elderly clients. In summary, interviewees had negative experiences with the new service delivery system such as difficulties in carrying out their roles. The findings suggest that Korea's new LTCI service delivery system faces challenges and that a more active role for the Korean government, especially regarding the introduction of a proper care management system, is needed to address the issues. Future research with larger sample sizes is needed to examine and understand the issues in detail.