The Expansion of the Korean Welfare State and Its Results - Focusing on Long-term Care Insurance for the Elderly
The Expansion of the Korean Welfare State and Its Results - Focusing on Long-term Care Insurance for the Elderly
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DOI：
10.1111/spol.12092
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发表时间：
2014-12-01
影响因子：
3.2
通讯作者：
Chon, Yongho
中科院分区：
文献类型：
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作者：
Chon, Yongho
自21世纪初以来，韩国福利国家有了相当大的扩张。特别是，2008年为老年人推出了新的强制性长期护理保险，促进了国家一级长期护理服务的社会化。这项研究旨在考察韩国福利国家如何应对引入和实施新的LTCI系统并对其进行改革所导致的老年人日益增长的LTC需求。这项研究认为，长期信用保险的设计是为了满足有限的目标，例如提供最小的覆盖范围，以及让私人营利性市场力量在提供长期信用保险服务时发挥主导作用。由于保险的实施，在长期合作伙伴关系方面取得的一些成就和存在的一些不足之处已变得明显。为了应对出现的挑战，韩国政府在2012年宣布了一项改革计划，该计划强调了扩大覆盖范围和提高服务质量等变化。虽然改革方案也显示出一些根本性的局限性，但预计将在一定程度上有助于韩国LTCI的发展。
Since the early 2000s, there has been considerable expansion of the Korean welfare state. In particular, a new compulsory long-term care insurance (LTCI) for older people was introduced in 2008, facilitating the socialization of long-term care (LTC) services at a national level. This study aims to examine how the Korean welfare state has coped with the increasing LTC needs of older people caused by introducing and implementing a new LTCI system and reforming it. This study argues that the LTCI was designed to meet limited objectives, such as providing minimal coverage and affording private for-profit market forces a predominant role in the provision of LTCI services. Owing to the implementation of the insurance, a number of achievements and shortcomings with respect to the LTCI have become evident. To address the challenges that have emerged, the Korean government announced a reform plan in 2012, which emphasized changes such as increasing coverage and improving the quality of services. Although the reform plan also shows a number of fundamental limitations, it is expected to contribute to the development of the Korean LTCI to a certain extent.