Development of a practical framework and indicators for monitoring integrated long-term health and care needs and service use

Bibliographic Data

ID21467356
AuthorsHongsoo Kim (0000-0002-5539-7653, Seoul National University), Nan‐He Yoon (0000-0003-1268-0149, WonKwang Health Science University, corresponding author), Nan-He Yoon, Dongmin Seo (0000-0002-3404-1172, Baekseok University), Yoon Kim (0000-0002-4837-8411, Seoul National University)
Year2024
Volume149
Pages105167
Publication date2024-11-01
Open AccessYes
TypeARTICLE
VenueHealth Policy (JOURNAL)
Journal identifiersISSN: 0168-8510 • E-ISSN: 1872-6054
PublisherElsevier BV (PUBLISHER)
DOI10.1016/j.healthpol.2024.105167
PMID39326358
OpenAlexW4402547408
LanguageEN
References cited19

This case study presents an evidence-building approach to support policy planning for integrated health and care delivery for older adults. We developed an integrated needs-assessment framework to monitor the complex long-term medical and care needs of older individuals, using routinely collected, standardized needs-assessment and utilization data from the public health and long-term care (LTC) insurance systems in South Korea. We also developed a set of misuse indicators and analyzed service utilization patterns, while accounting for their varying types of needs. Approximately 11 % of older Koreans were identified as having complex long-term medical and care needs, which were categorized into four distinct need groups. More than one-third of those in the higher-medical/lower-care needs group stayed in LTC hospitals for six months or more during the year, and about one-third of those in the higher-medical/higher-care needs group inappropriately resided in LTC facilities, where medical services are limited. The newly developed integrated needs-assessment framework and misuse indicator set provide practical tools for monitoring the extent and nature of complex needs, as well as patterns of over- or under-utilization of health and care services over time. The empirical evidence gathered here highlights the need for reforms in South Korea's health and LTC systems

Business · Economic growth · Economics · Health care · Long-term care · Process management · Frailty in Older Adults · Geriatric Care and Nursing Homes · Health disparities and outcomes · Medicine · Nursing · Marketing

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