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Development of a practical framework and indicators for monitoring integrated long-term health and care needs and service use

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  • Kim, Hongsoo
  • Yoon, Nan-He
  • Seo, Dongmin
  • Kim, Yoon

Abstract

This case study presents an evidence-building approach to support policy planning for integrated health and care delivery for older adults. We developed an integrated needs-assessment framework to monitor the complex long-term medical and care needs of older individuals, using routinely collected, standardized needs-assessment and utilization data from the public health and long-term care (LTC) insurance systems in South Korea. We also developed a set of misuse indicators and analyzed service utilization patterns, while accounting for their varying types of needs. Approximately 11 % of older Koreans were identified as having complex long-term medical and care needs, which were categorized into four distinct need groups. More than one-third of those in the higher-medical/lower-care needs group stayed in LTC hospitals for six months or more during the year, and about one-third of those in the higher-medical/higher-care needs group inappropriately resided in LTC facilities, where medical services are limited. The newly developed integrated needs-assessment framework and misuse indicator set provide practical tools for monitoring the extent and nature of complex needs, as well as patterns of over- or under-utilization of health and care services over time. The empirical evidence gathered here highlights the need for reforms in South Korea's health and LTC systems.

Suggested Citation

  • Kim, Hongsoo & Yoon, Nan-He & Seo, Dongmin & Kim, Yoon, 2024. "Development of a practical framework and indicators for monitoring integrated long-term health and care needs and service use," Health Policy, Elsevier, vol. 149(C).
    • Handle: RePEc:eee:hepoli:v:149:y:2024:i:c:s0168851024001775
    DOI: 10.1016/j.healthpol.2024.105167
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    References listed on IDEAS

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    1. Andrew M Briggs & Islene Araujo de Carvalho, 2018. "Actions required to implement integrated care for older people in the community using the World Health Organization's ICOPE approach: A global Delphi consensus study," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-16, October.
    2. Kim, Hongsoo & Kwon, Soonman, 2021. "A decade of public long-term care insurance in South Korea: Policy lessons for aging countries," Health Policy, Elsevier, vol. 125(1), pages 22-26.
    3. Kim, Hongsoo & Jung, Young-Il & Kwon, Soonman, 2015. "Delivery of institutional long-term care under two social insurances: Lessons from the Korean experience," Health Policy, Elsevier, vol. 119(10), pages 1330-1337.
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