Health Policy Monitor
Skip Navigation

Plan to finance long-term care for the disabled

Country: 
Südkorea
Partner Institute: 
Department of Health Policy and Management, School of Public Health, Seoul National University
Survey no: 
(12) 2008
Author(s): 
Soonman Kwon
Health Policy Issues: 
Pflege, Finanzierung, Leistungskatalog, Zugang, Vergütung
Current Process Stages
Idee Pilotprojekt Strategiepapier Gesetzgebung Umsetzung Evaluation Veränderung/Richtungswechsel
Implemented in this survey? ja nein ja nein nein nein nein
Featured in half-yearly report: G-politik in Industrieländern 12

Abstract

As the new long-term care insurance, launched in July 2008, provides coverage only for long-term care of the elderly, government has decided to implement a pilot program for long-term care for the disabled. It is expected to enhance solidarity by meeting the long-term care needs of those with disabilities and their families. Several key design questions will be tested in the one-year pilot program to be implemented next year.

Purpose of health policy or idea

Long-term care insurance, which began in July 2008, covers long-term care of the elderly (over 65 years old), not covering long-term care related to disability. Government's plan for long-term care financing for disability aims to meet the need of the disabled and improve the inequity of the new long-term care insurance by providing coverage for all types of long-term care. Government has decided to launch a pilot program for long-term care for disability in July 2009. After the one-year pilot, government will finalize the long-term care financing for disability, including benefit coverage and whether it should be merged with long-term care insurance for the elderly.

Main points

Main objectives

To meet the long-term care needs of those with disabilities.

Type of incentives

Financial and non-financial incentives: Insurance coverage of LTC will be a financial incentive for access to LTC for the disabled. LTC insurnace will be an opportunity to organize the delivery of LTC (including quality of care) for the disabled.

Groups affected

Those with disabilities and their families, long-term care providers

 Suchhilfe

Characteristics of this policy

Innovationsgrad traditionell recht innovativ innovativ
Kontroversität unumstritten kaum umstritten kontrovers
Strukturelle Wirkung marginal fundamental fundamental
Medienpräsenz sehr gering neutral sehr hoch
Übertragbarkeit sehr systemabhängig recht systemabhängig systemneutral

Political and economic background

Purpose and process analysis

Current Process Stages

Idee Pilotprojekt Strategiepapier Gesetzgebung Umsetzung Evaluation Veränderung/Richtungswechsel
Implemented in this survey? ja nein ja nein nein nein nein

Origins of health policy idea

In July 2008, long-term care insurance was implemented to meet the long-term care needs of the elderly and to reduce unnecessary social admissions of the elderly in health care institutions. The new long-term care insurance covers the long-term care of elderly, and provides coverage for long-term care of the non-elderly only when they are associated with age-related illness. As a result, long-term care need of the disabled is not met by the new long-term care insurance.

When the law on long-term care insurance for the elderly was passed in April 2007, the need for long-term care financing for disability was raised. In February 2008, government established the task force for long-term care financing for disability. In August 2008, government and the Committee on Policy Coordination for the Disabled has approved the 5-year plan for the policy for the disabled, and decided to implement a one-year pilot program of long-term care for the disabled in July 2009.

Initiators of idea/main actors

  • Regierung
  • Patienten, Verbraucher

Approach of idea

The approach of the idea is described as:
new:

Stakeholder positions

There are a few issues, to be tested throught the pilot program. Long-term care (LTC) financing for disability can be merged with the current LTC insurance (for the elderly), or can be introduced as a separete program with tax-based financing. Government also needs to make a decision on the benefit coverage of LTC financing for disability such as the types of services to be covered.

People with disabilities are the strong supporting group for the introduciton of LTC financing for disability. People with serious disabilities are stronger suppporters of the introduction of a separate LTC financing for disability, while those with minor disabilities seem to favor the extension of current welfare services for the disabled.

Actors and positions

Description of actors and their positions
Regierung
Ministry of Health Welfare and Familysehr unterstützendunterstützend stark dagegen
Patienten, Verbraucher
People with disabilitiessehr unterstützendunterstützend stark dagegen

Actors and influence

Description of actors and their influence

Regierung
Ministry of Health Welfare and Familysehr großsehr groß kein
Patienten, Verbraucher
People with disabilitiessehr großgroß kein
People with disabilitiesMinistry of Health Welfare and Family

Positions and Influences at a glance

Graphical actors vs. influence map representing the above actors vs. influences table.

Expected outcome

The new long-term care insurance is not equitable because it covers only the long-term care needs of the elderly. Therefore government's plan for long-term care financing for disability will enhance solidarity by providing coverage for the disabled and improve the quality of life of those with disabilities and their families. Several key issues in the design of the proposed financing mechanism are expected to be tested and resolved in the pilot program next year.

Impact of this policy

Qualität kaum Einfluss relativ starker Einfluss starker Einfluss
Gerechtigkeit System weniger gerecht System gerechter System gerechter
Kosteneffizienz sehr gering high sehr hoch

References

Sources of Information

www.mw.go.kr

Author/s and/or contributors to this survey

Soonman Kwon

Empfohlene Zitierweise für diesen Online-Artikel:

Kwon, Soonman. "Plan to finance long-term care for the disabled". Health Policy Monitor, October 2008. Available at http://www.hpm.org/survey/rok/a12/1