Cost of Care and Pattern of Medical Care Use in the Last Year of Life among Long-Term Care Insurance Beneficiaries in South Korea
Using National Claims Data
Bibliographic Data
| ID | 15512368 |
|---|---|
| Authors | Sunjoo Boo (0000-0002-0402-614X, Ajou University, corresponding author), Jung‐ah Lee (0000-0003-0678-5956, Seoul National University Hospital), JungAh Lee (0000-0002-0265-5081, Laboratory of Emergency Medical Services, Seoul National University Hospital Biomedical Research Institute, 71, Daehak-ro, Jongno-gu, Seoul 03082, Korea), Hyunjin Oh (0000-0003-3756-8962, Gachon University, corresponding author) |
| Year | 2020 |
| Volume | 17 |
| Issue | 23 |
| Pages | 9078-9078 |
| Publication date | 2020-12-04 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph17239078 |
| PMID | 33291790 |
| OpenAlex | W3110109813 |
| Language | EN |
| Citations received | 2 |
| References cited | 21 |
In Korea, a substantial proportion of long-term care insurance (LTCI) beneficiaries die within 1 year of seeking the benefit. This study was conducted to evaluate the pattern of medical care use and care cost during the last year of life among Korean LTCI beneficiaries between 2009 and 2013 using the national claims data. The National Health Insurance's Senior (NHIS-Senior) cohort was used for this retrospective study. The participants were LTCI beneficiaries aged 65 or over as of 2008 who died between 2009 and 2013 ( N = 30,433). Medical costs during the last year of life were highest for those who used both medical care services and long-term care (LTC) services and increased as death approached. About half of the participants were hospitalized at the time of death. The use of LTC services at the time of death increased from 13.0 to 22.8%, while those who died at home decreased from 34 to 20%. This study suggests that the use of LTC services did not reduce medical costs by substituting unnecessary inpatient hospitalization. Quality of dying should be considered one of the goals of older adult care, and provisions should be made for palliative care at home or LTC facilities
Actuarial science · Business · Cohort · End-of-life care · Environmental health · Family medicine · Long-term care · Long-term care insurance · Medical care · Medical emergency · Medical insurance · National health insurance · Palliative care · Population · Retrospective cohort study · Diverse Approaches in Healthcare and Education Studies · Geriatric Care and Nursing Homes · Health and Wellbeing Research · Medicine · Nursing · Emergency Medicine · Gerontology
| Unique citing works | 2 |
|---|---|
| Citations per year | 0.5 |
| Citation span | 2022 - 2025 (4) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |