Department of Social Welfare, Hallym University, Gangwon, Korea.
Soc Work Public Health. 2010 Mar;25(2):185-209. doi: 10.1080/19371910903547033.
This paper examines the design and issues of the long-term care scheme in Korea: coverage, eligibility, benefit types, financing, delivery system, and role sharing of state, family, and market in long-term care. It also aims to examine the radical change and impacts on service financing, provision, and governance from the introduction of the long-term care insurance for the elderly in Korea. The first noteworthy change is that the long-term care service has transformed from the very selective service applicable only to low-income groups to a universal service for all income groups. The second notable change is that the service provision method has been changed from the provision by nonprofit organizations entrusted by the state under a monopolistic commission arrangement in the past to a new open-service provision arrangement in which free competition among service providers in service market and consumers' choice will be emphasized.
覆盖范围、资格、福利类型、融资、提供系统以及国家、家庭和市场在长期护理中的角色分担。它还旨在考察韩国引入老年人长期护理保险对服务融资、提供和治理的根本性变革和影响。第一个值得注意的变化是,长期护理服务已经从仅适用于低收入群体的非常选择性服务转变为所有收入群体的普遍服务。第二个显著变化是,服务提供方式已经从过去由国家委托非营利组织在垄断委员会安排下提供服务的方式转变为新的开放式服务提供安排,强调服务市场中服务提供商之间的自由竞争和消费者的选择。