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@article{ART002331210},
author={한은정 and Hwang, Rahil and Jungsuk Lee},
title={Utilization and Expenditure of Health Care and Long-term Care at the End of Life : Evidence from Korea},
journal={Korea Social Policy Review},
issn={1226-0525},
year={2018},
volume={25},
number={1},
pages={99-123},
doi={10.17000/kspr.25.1.201803.99}

TY - JOUR
AU - 한은정
AU - Hwang, Rahil
AU - Jungsuk Lee
TI - Utilization and Expenditure of Health Care and Long-term Care at the End of Life : Evidence from Korea
JO - Korea Social Policy Review
PY - 2018
VL - 25
IS - 1
PB - Korean Association of Social Policy
SP - 99
EP - 123
SN - 1226-0525
AB - Purpose: This study empirically investigates the utilization and expenditure of health care and long-term care at the last year of life for long-term care beneficiaries in Korea. Methods: This study used National Health Insurance and Long-term Care Insurance claims data of 271,474 LTCI beneficiaries, who died from July 2008 to December 2012. Their cause of death, place of death, health care costs, and the provision of aggressive care were analyzed. Results: Cardio-vascular disease(29.8%) and cancer(15.3%) were reported as their major cause of death, and hospital(64.4%), home(22.0%), social care facility(9.2%) were analyzed as the place of death. 99.3% of subjects used both health care and long-term care during the last 1 year of life. The average survival period were 516.2 days after they were LTCI beneficiaries. The health care expenditure gradually increased near the death, and the last month were three times more rather than the first month. Furthermore, 31.8% experienced some aggressive cares(CPR, blood transfusion, hemo-dialysis, etc.) at the last month of life. Conclusion: The results of this study suggest that it is important to develop the end of life care policies(for example, hospice, advanced care directives) for the LTCI beneficiaries. They might contribute to the improvement of quality of life and the reduction of health care expenditure of the elderly at the end-of-life.
KW - health care utilization;expenditure;the last year of life;long-term care beneficiaries
DO - 10.17000/kspr.25.1.201803.99
ER -

한은정, Hwang, Rahil and Jungsuk Lee. (2018). Utilization and Expenditure of Health Care and Long-term Care at the End of Life : Evidence from Korea. Korea Social Policy Review, 25(1), 99-123.

한은정, Hwang, Rahil and Jungsuk Lee. 2018, "Utilization and Expenditure of Health Care and Long-term Care at the End of Life : Evidence from Korea", Korea Social Policy Review, vol.25, no.1 pp.99-123. Available from: doi:10.17000/kspr.25.1.201803.99

한은정, Hwang, Rahil, Jungsuk Lee "Utilization and Expenditure of Health Care and Long-term Care at the End of Life : Evidence from Korea" Korea Social Policy Review 25.1 pp.99-123 (2018) : 99.

한은정, Hwang, Rahil, Jungsuk Lee. Utilization and Expenditure of Health Care and Long-term Care at the End of Life : Evidence from Korea. 2018; 25(1), 99-123. Available from: doi:10.17000/kspr.25.1.201803.99

한은정, Hwang, Rahil and Jungsuk Lee. "Utilization and Expenditure of Health Care and Long-term Care at the End of Life : Evidence from Korea" Korea Social Policy Review 25, no.1 (2018) : 99-123.doi: 10.17000/kspr.25.1.201803.99

한은정; Hwang, Rahil; Jungsuk Lee. Utilization and Expenditure of Health Care and Long-term Care at the End of Life : Evidence from Korea. Korea Social Policy Review, 25(1), 99-123. doi: 10.17000/kspr.25.1.201803.99

한은정; Hwang, Rahil; Jungsuk Lee. Utilization and Expenditure of Health Care and Long-term Care at the End of Life : Evidence from Korea. Korea Social Policy Review. 2018; 25(1) 99-123. doi: 10.17000/kspr.25.1.201803.99

한은정, Hwang, Rahil, Jungsuk Lee. Utilization and Expenditure of Health Care and Long-term Care at the End of Life : Evidence from Korea. 2018; 25(1), 99-123. Available from: doi:10.17000/kspr.25.1.201803.99

한은정, Hwang, Rahil and Jungsuk Lee. "Utilization and Expenditure of Health Care and Long-term Care at the End of Life : Evidence from Korea" Korea Social Policy Review 25, no.1 (2018) : 99-123.doi: 10.17000/kspr.25.1.201803.99