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A Study on the Utilization Status by Type of Benefit in the National Long-Term Care Insurance for the Elderly

  • The Journal of Transdisciplinary Studies
  • Abbr : JTS
  • 2025, 9(3), pp.121~128
  • DOI : 10.22685/jts.2025.9.3.121
  • Publisher : The Society for Transdisciplinary Studies
  • Research Area : Interdisciplinary Studies > Interdisciplinary Research
  • Received : August 12, 2025
  • Accepted : August 29, 2025
  • Published : December 31, 2025

Jieun Hwang ORD ID 1

1단국대학교

Accredited

ABSTRACT

Objectives: This study was conducted to analyze the utilization status of the National Long-Term Care Insurance system, which was introduced to address the surging demand for elderly care due to rapid population aging, and to seek sustainable development strategies. Methods: The analysis was performed using the National Health Insurance Corporation's Senior Cohort 2.0 database from 2008 to 2019. Results: The incidence rate of long-term care certification has been continuously increasing since 2011, reaching 1,346 for men and 2,117 for women per 100,000 population in 2019. The rate for women was notably higher than for men, and the gap widened over the study period. The monthly average utilization rate of long-term care benefits peaked in 2013 (90.5% for men and 93.0% for women) but maintained an overall increasing trend. Home-visit care accounted for the highest proportion, with a utilization rate of 41.6% for men and 42.8% for women in 2019. Furthermore, the monthly average usage days for facilities (29.1 days for men and 29.5 days for women) and nursing hospitals (27.1 days for men and 27.9 days for women) remained consistently high, while the usage days for day and night care services showed a steady increase, reaching 28.3 days per month for men by 2019. Conclusions: To address the increase in long-term care demand, it is essential to improve the equity of the grade system, reduce out-of-pocket costs, and integrate related services such as those from nursing hospitals. Additionally, it is necessary to foster a workforce with practical caregiving skills and ensure a stable working environment to enhance professionalism and reduce turnover.

Citation status

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