Effect of long-term care insurance on communication/recording tasks for in-home nursing care services

2004 ◽  
Vol 38 (2) ◽  
pp. 101-113 ◽  
Author(s):  
Yoshihisa Hirakawa ◽  
Yuichiro Masuda ◽  
Kazumasa Uemura ◽  
Masafumi Kuzuya ◽  
Akihisa Iguchi
Keyword(s):  
Nursing Care ◽  
Long Term Care ◽  
Home Nursing ◽  
Term Care ◽  
Care Services ◽  
Long Term Care Insurance ◽  
Home Nursing Care

Systemwechsel in der Pflegeversicherung?

2007 ◽  
Vol 58 (1) ◽  
pp. 28-51
Author(s):  
Dirk Meyer
Keyword(s):  
Nursing Care ◽  
Structural Changes ◽  
Term Care ◽  
Related Services ◽  
Care Services ◽  
Efficiency And Effectiveness ◽  
Long Term Care Insurance ◽  
Economic Perspectives ◽  
The Individual

Summary In October 2004, in Germany a pre-operating study was started in order to prove the feasibility and consequences of the use of personal budgets by persons who are in need of nursing care. About 1.000 care dependent persons living in seven regions are included in this triannual study. For three years they receive a budget amounting to 100 percent of their right of benefit in kind according to the German compulsory long term care insurance. This budget has to be used exclusively for care-related services and must not be spent for assistance deliv­ered by family members or neighbours. From socio-economic perspectives, the personal budget will result in a pro­motion of individuals instead of certain services or service institutions. An analysis shows, that the consequences might be an increased efficiency and effectiveness as well as structural changes within the supply of nursing care services. But to achieve these advantages, certain conditions must be provided. At first, the amount of the budget has to correspond to the individual need of care, which can change over time. Secondly, a misapplication of the personal fund has to be prevented without to exclude the potential of local or family dedication. And finally, new ways of quality assurance are requested due to the scope for development, which arises through deregulation.

scholarly journals Socioeconomic Costs of Dementia Based on Utilization of Health Care and Long-Term-Care Services: A Retrospective Cohort Study

2021 ◽  
Vol 18 (2) ◽  
pp. 376
Author(s):  
Eun-Jeong Han ◽  
JungSuk Lee ◽  
Eunhee Cho ◽  
Hyejin Kim
Keyword(s):  
Long Term Care ◽  
Quality Care ◽  
Survey Study ◽  
Community Based ◽  
Term Care ◽  
Care Services ◽  
Long Term Care Insurance ◽  
Community Based Services ◽  
Socioeconomic Cost

This study examined the socioeconomic costs of dementia based on the utilization of healthcare and long-term care services in South Korea. Using 2016 data from two national insurance databases and a survey study, persons with dementia were categorized into six groups based on healthcare and long-term care services used: long-term care insurance users with home- and community-based services (n = 93,346), nursing home services (n = 69,895), and combined services (n = 16,068); and long-term care insurance non-users cared for by family at home (n = 192,713), living alone (n = 19,526), and admitted to long-term-care hospitals (n = 65,976). Their direct and indirect costs were estimated. The total socioeconomic cost of dementia was an estimated US$10.9 billion for 457,524 participants in 2016 (US$23,877 per person). Among the six groups, the annual per-person socioeconomic cost of dementia was lowest for long-term care insurance users who received home- and community-based services (US$21,391). It was highest for long-term care insurance non-users admitted to long-term care hospitals (US$26,978). Effective strategies are necessary to promote long-term care insurance with home- and community-based services to enable persons with dementia to remain in their communities as long as possible while receiving cost-efficient, quality care.

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