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A Typological Framework for Long-Term Care Delivery Systems : Regional Differences and Policy Directions

원문정보

초록

영어

This study analyzes Korea's regional LTC delivery systems and suggests policy improvements based on regional characteristics. Using data from 2016-2024, this study applied quadrant analysis with two indicators: personal care workers per 1,000 employed persons and approved LTC recipients per km². The 17 regions were classified into four groups based on comparison to national averages. Analysis revealed increasing disparities between regions over time, with Euclidean distance analysis showing approximately 70% of this growing heterogeneity attributable to changes in recipient density. Four distinct regional types were identified: Group 1 (high supply-high demand) metropolitan areas suitable for home-based care; Group 2 (low supply-high demand) needing workforce policies; Group 3 (low supply-low demand) facing home-care implementation challenges; and Group 4 (high supply-low demand) requiring residential support policies. The findings suggest that differentiated policy approaches are necessary rather than uniform home-based care policies nationwide.

목차

ABSTRACT
Introduction
Theoretical Framework
Integrated Application of Spatial Mismatch and Labor Market Segmentation Theories
Measurement Indicators and Theoretical Validity
Method
Data Sources, Measurement, and Analytical Period
Methodological Framework: Quadrant Analysis
Results
Policy Implications and Discussions
Conclusion
Acknowledgement
References

저자정보

  • Hee Seung Lee Health Insurance Research Institute, National Health Insurance Service

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