ArticleBMC health services research2014
Does long-term care insurance affect the length of stay in hospitals for the elderly in Korea?: a difference-in-difference method.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed.
- Measuring financial risk protection in long-term care insurance among older adults: quasi-experimental evidence from China.BMC geriatrics · 2026Article
- Observational
- Shifting from a provider-centered to a person-centered model of long-term care for older patients in Korea: a narrative review.Ewha medical journal · 2025Article
- Association of health-care and long-term care resources for patients with dementia with institutionalization and death: Evidence from South Korea.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025Article
- The effects of public long-term care insurance on the long-term care industry in China: a quasi-experimental study.BMC geriatrics · 2025Article
- Value-Based Health Care: Long-Term Care Insurance for Out-of-Pocket Medical Expenses and Self-Rated Health.International journal of environmental research and public health · 2022Article
- The superposition effects of air pollution on government health expenditure in China- spatial evidence from GeoDetector.BMC public health · 2022Article
- Cost-Sharing Effects on Hospital Service Utilization Among Older People in Fukuoka Prefecture, Japan.International journal of health policy and management · 2022Article
- Actual compliance rate of Enhanced Recovery After Surgery protocol in laparoscopic distal gastrectomy.Journal of minimally invasive surgery · 2021Article
- Review of evolution of the public long-term care insurance (LTCI) system in different countries: influence and challenge.BMC health services research · 2020Review
- The Health Effects of Long-Term Care Insurance.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study examines the effects of long-term care insurance (LTCI) on the length of stay (LoS) of senior citizens under the national health insurance of Korea.
methodsThe subjects include 3,903,448 people aged 65 and over as of July 1, 2008 when the LTCI was introduced in Korea. This study uses their panel data which traced the records of medical services and LTCI services for the same people from 2007 to 2010, and applies a difference-in-difference approach on LTCI users from levels 1, 2, and 3 who are the treatment group and non-LTCI users who are the control group.
resultsWe found that the LoS of LTCI users is 1.27 days greater than that of non-LTCI users, but the LoS of level 1 and level 2 beneficiaries decreases by 8.35 and 2.84 days, respectively, whereas the LTCI does not reduce the LoS of level 3 beneficiaries.
conclusionsThe reason why there is an effect on the LoS of level 1 and 2 beneficiaries is that these groups could choose to utilize institutional care services provided by the LTCI, and out-of-pocket costs of institutions are lower than that of hospitals. However, the reason why there is no effect on the LoS of level 3 beneficiaries is that they are not permitted to use the institutional care services in the Korean LTCI policy. Therefore, we recommend a modification in the LTCI system that facilitates the use of long-term care institutional services by level 3 beneficiaries without conflicting Korea's LTCI principle to promote home-based care services instead of the institutional care services.
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