Does long-term care insurance reduce the burden of medical costs? A retrospective elderly cohort study

Jae Woo Choi, Euncheol Park, Sang Gyu Lee, Sohee Park, Hwang Gun Ryu, Tae Hyun Kim

Research output: Contribution to journalArticle

Abstract

Aim: To examine whether long-term care insurance (LTCI) reduces medical utilization and the burden of medical costs of beneficiaries. Methods: The elderly cohort database of the National Health Insurance Service during 2005–2013 was used. The participants were 3029 beneficiaries who received consecutive LTCI services. We carried out a 1:3 case–control match on the propensity score to select a comparison group, and the final participants were 12 116 people, including 9087 who formed the control group. The dependent variables were semi-annually measured medical utilizations (inpatient, outpatient and drug prescription) and the burden of medical costs at the individual level. This study applied the method of generalized estimating equations to the data. Results: The present study showed that the number of hospitalizations of beneficiaries significantly decreased compared with non-beneficiaries (ratio 0.95, 95% CI 0.95–0.96). Similarly, the length of stay of beneficiaries also showed a significant reduction compared with non-beneficiaries (ratio 0.76, 95% CI 0.73–0.79). The number of outpatient visits and receipt of drug prescriptions of beneficiaries and non-beneficiaries increased marginally. The burden of medical costs of beneficiaries reduced considerably compared with non-beneficiaries (ratio 0.80, 95% CI 0.77–0.83). Conclusions: The study results show that the burden of medical costs for LTCI beneficiaries were significantly reduced compared with non-beneficiaries, despite the rise in medical costs among older adults. The positive effect of LTCI supports continuous implementation and expansion of the LTCI service for non-beneficiaries who require care assistance. Geriatr Gerontol Int 2018; 18: 1641–1646.

Original languageEnglish
Pages (from-to)1641-1646
Number of pages6
JournalGeriatrics and Gerontology International
Volume18
Issue number12
DOIs
Publication statusPublished - 2018 Dec 1

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Long-Term Care Insurance
long-term care insurance
Cohort Studies
Costs and Cost Analysis
Drug Prescriptions
costs
National Health Programs
medication
Outpatients
utilization
drug
Propensity Score
Insurance Benefits
hospitalization
health insurance
Inpatients
Length of Stay
Hospitalization
assistance
Group

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Gerontology
  • Geriatrics and Gerontology

Cite this

Choi, Jae Woo ; Park, Euncheol ; Lee, Sang Gyu ; Park, Sohee ; Ryu, Hwang Gun ; Kim, Tae Hyun. / Does long-term care insurance reduce the burden of medical costs? A retrospective elderly cohort study. In: Geriatrics and Gerontology International. 2018 ; Vol. 18, No. 12. pp. 1641-1646.
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Does long-term care insurance reduce the burden of medical costs? A retrospective elderly cohort study. / Choi, Jae Woo; Park, Euncheol; Lee, Sang Gyu; Park, Sohee; Ryu, Hwang Gun; Kim, Tae Hyun.

In: Geriatrics and Gerontology International, Vol. 18, No. 12, 01.12.2018, p. 1641-1646.

Research output: Contribution to journalArticle

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AU - Lee, Sang Gyu

AU - Park, Sohee

AU - Ryu, Hwang Gun

AU - Kim, Tae Hyun

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