Health Policy Manag.
2023 Dec;33(4):479-488. 10.4332/KJHPA.2023.33.4.479.
Categorization of Regional Delivery System for the Elderly Chronic Health Care and Long-Term Care
- Affiliations
-
- 1Division of Social Welfare and Health Administration, Wonkwang University, Iksan, Korea
- 2Artificial Intelligence Institute, Seoul National University, Seoul, Korea
- 3Division of Social Welfare, Baekseok University, Cheonan, Korea
- 4Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea
- 5Department of Public Health Sciences, Seoul National University Graduate School of Public Health, Seoul, Korea
- 6Institute of Health and Environment, Seoul National University, Seoul, Korea
- KMID: 2551402
- DOI: http://doi.org/10.4332/KJHPA.2023.33.4.479
Abstract
- Background
By applying the suggested criteria for needs-based chronic medical care and long-term care delivery system for the elderly, the current status of delivery system was identified and regional delivery systems were categorized according to quantity and quality of delivery system.
Methods
National claims data were used for this study. All claims data of medical and long-term care uses by the elderly and all claims data from long-term care hospitals and nursing homes in 2016 were analyzed to categorize the regional medical and long-term care delivery system. The current status of the delivery system with a high possibility of transition to a needs-based appropriate delivery system was identified. The necessary and actual amount of regional supply was calculated based on their needs, and the structure of delivery systems was evaluated in terms of the needs-based quality of the system. Finally, all regions were categorized into 15 types of medical and care delivery systems for the elderly.
Results
Of the total 55 regions, 89.1% of regions had an oversupply of elderly medical and care services compared to the necessary supply based on their needs. However, 69.1% of regions met the criteria for less than two types of needs groups, and 21.8% of regions were identified as regions where the numbers of institutions or regions with a high possibility of transition to an appropriate delivery system were below the average levels for all four needs groups.
Conclusion
In order to establish an appropriate community-based integrated elderly care system, it is necessary to analyze the characteristics of the regional delivery system categories and to plan a needs-based delivery system regionally.
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