노인장기요양보험제도 시설급여의 문제점과 개선방안

Issues and Improvement for Elderly Long-Term Care Insurance System : focused on institutional care

This paper reviews several issues and drawbacks on institutional care for the elderly in LTC system. Under the law and operational guidelines, people in the first class and part of the second class based on care ratings are eligible to use institutional care. Current rating procedure has, however, revealed a lack of objectivity; accessibility for institutional facilities shows huge differences by local governments and residential regions; after national exam system has introduced, front-line workers at some regions are in short supply; 20% of co-payment rate also lays a burden on the low-class elderly. Several modifications are required to improve LTC care utilization, equal access, and better outcomes.