노인장기요양보험제도가 노인진료비에 미치는 영향
분야
의약학 > 예방의학및보건학
저자
한남경 ( Nam Kyung Han ) , 정우진 ( Woo Jin Chung ) , 김노을 ( Ro Eul Kim ) , 임승지 ( Seung Ji Lim ) , 박종연 ( Chong Yon Park )
발행기관
한국보건행정학회
간행물정보
보건행정학회지 2013년, 제23권 제2호, 132~144페이지(총13페이지)
파일형식
2c301013.pdf [무료 PDF 뷰어 다운로드]
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    영문초록
    Background: The purpose of this study was to analyze the medical expense change and influencing factors after introducing long­term care insurance system. The study period was 2 years before and after introduction of the system. Methods: We analyzed data collected from two divided group lived in Incheon. Four hundred and eighty-five elderly who received long-term care wage for one year were selected for experimental group. For control group, 1,940 elderly were selected by gender and age stratified random sampling. Difference-In-difference analyses was used for evaluating policy effectiveness. Also multiple re­gression analyses were conducted to identify the factors associated with total medical expenditures. The control variables were de­mographic variables, economic status, diseases, and medical examination variables. Results: Difference-in-difference analyses showed that total average medical expenses among long-term patients has decreased by 61.85%. Of these, the hospitalization expenses have decreased by 91 .63% and the drug expenses have increased by 3 1 .85%. Multi­ple regression analyses results showed that total average medical expenses among long-term patients have significantly decreased by 46.5% after introducing the long-term care insurance. The hospitalization expenses have significantly decreased by 148.5%, whereas the drug expenses have increased by 53.60/0. And outpatient expenses have increased by 10.40/0, but the differences were not statistically significant. Conclusion: The results showed that total medical expenses and hospitalization expenses have decreased after introducing the long-term care insurance. These results could support the opinion that the health insurance spending among long-term patients will be reduced gradually by long-term care insurance through changing medical demand.
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