Health Policy Manag.  2017 Jun;27(2):139-148. 10.4332/KJHPA.2017.27.2.139.

Differences in Family Caregivers' Opinions about Out-of-Pocket Payment for Long-Term Care Facilities by Income Levels

Affiliations
  • 1Institute for Health Insurance Policy Research, National Health Insurance Service, Wonju, Korea. 070007@nhis.or.kr

Abstract

BACKGROUND
The purpose of this study is to investigate family caregivers' opinions about out-of-pocket payment for long-term care (LTC) facilities, and find the differences in the opinions for family caregivers of all different levels of income.
METHODS
We used the data of the study on out-of-pocket payment in national long-term care insurance, including 1,552 family caregivers with the elderly in long-term care facilities.
RESULTS
The average out-of-pocket payment per month was 511,635 Korean won and distributed from 230,750 to 1,365,570 Korean won. The amount of out-of-pocket payment might be affected by not co-payment but the cost of non-covered service. There were differences in them for family caregivers of all different levels of income. Opinions were surveyed about 5 issues. By levels of income, there were differences in their opinions about 3 issues, the financial burden on LTC, the necessity of reducing out-of-pocket payments, and to be willing to pay more for a high quality service. But there were not different opinions about the interruption of LTC service and staying with LTC facilities.
CONCLUSION
These findings suggest that the range of out-of-pocket payment for LTC facility is wide and it can be a burden to lower income group. It should be to prepare the policies to ease the financial burden and support the appropriate LTC use.

Keyword

Long-term care facility; Out-of-pocket payment; Income level; Long-term care insurance

MeSH Terms

Aged
Caregivers
Health Expenditures*
Humans
Insurance, Long-Term Care
Long-Term Care*
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