¼­ºñ½º ÁúÀÇ Ãø¸é¿¡¼­ °íÂûÇÑ ³ëÀÎÀå±â¿ä¾ç¼­ºñ½º °ø±Þ±¸Á¶¿¡ ´ëÇÑ ½ÃÀåÈ­ºÐ¼®
The Impact of the Marketization on the Long-term Care Provision in Terms of Service Quality

»çȸº¹ÁöÁ¤Ã¥ 2014³â 41±Ç 1È£ p.289 ~ p.313

±ÇÇöÁ¤(Kwon Hyun-Jung) - ¼º±Õ°ü´ëÇб³ »çȸº¹ÁöÇаú

Abstract

º» ¿¬±¸´Â ³ëÀÎÀå±â¿ä¾ç¼­ºñ½º ½ÃÀåÈ­ÀÇ Á¤Ã¥³í¸®·Î¼­ °ø±ÞÀÚ °æÀï°ú ÀÌ¿ëÀÚ ¼±ÅÃÀÌ ¼­ºñ½º Áú¿¡ ¾î¶°ÇÑ Á¤Ã¥È¿°ú¸¦ °¡Áö´ÂÁö °ËÁõÇϴµ¥ ÀÖ´Ù. ÀÚ·á ¼öÁýÀº Àå±â¿ä¾ç¼­ºñ½º¸¦ Á¦°øÇÏ´Â Àü±¹ 248°³ Àå±â¿ä¾ç½Ã¼³¿¡ ´ëÇÑ ¼³¹®ÀÚ·á¿Í ÀÎÅÍ³Ý ÀڷḦ °áÇÕÇÏ¿´°í, ºÐ¼®¹æ¹ýÀº ´ÙÁßȸ±ÍºÐ¼®°ú À½ÀÌÇ×ȸ±ÍºÐ¼®À» È°¿ëÇÏ¿´´Ù. °æÇèÀû ¿¬±¸ÀÇ °á°ú´Â Á¤Ã¥ Àǵµ¿Í´Â ´Þ¸® °ø±ÞÀÚ °æÀïÀÌ ¼­ºñ½º Áú¿¡ ¿µÇâÀ» ¹ÌÄ¡Áö´Â ¸øÇÏ´Â °ÍÀ¸·Î ³ªÅ¸³µ´Ù. ÇÏÁö¸¸, ÀÌ¿ëÀÚ ¼±ÅÃÀº ¼­ºñ½º Áú °á°úº¯¼ö¿¡¼­ ¹Ì¹ÌÇÏ°Ô ³ªÅ¸³µ´Ù. Ãʱ⠿¬±¸·Î¼­ ÀÌ ¿¬±¸°¡ °¡Áö´Â ÇÔÀÇ´Â Á¤Ã¥È¿°ú·Î¼­ ³ªÅ¸³­ ÀÌ¿ëÀÚÀÇ ¼±Åõµ ¿À·£ ´ë±â¿­À» ±â´Ù·Á¾ß ÀÚ½ÅÀÌ ¿øÇÏ´Â ½Ã¼³¿¡ ÀÔ¼Ò°¡ °¡´ÉÇÏ´Ù´Â Á¡¿¡¼­ ÀÌ¿ëÀÚÀÇ Á¦ÇÑµÈ ¼±ÅüºÀ» °®´Â´Ù´Â »ç½ÇÀÌ´Ù. Àå±â¿ä¾ç¼­ºñ½º¿Í °°Àº À¯»ç½ÃÀå¿¡¼­´Â Á¤ºÎ°¡ Àå±â¿ä¾ç¼­ºñ½ºÀÇ Á¦µµÀû ¹è¿­À» ¾î¶»°Ô ±¸ÃàÇÏ´À³Ä¿¡ µû¶ó ÀÌ ½ÃÀå¿¡ Âü¿©ÇÑ ´Ù¾çÇÑ ÀÌÇØ°ü°èÀÚ(¼­ºñ½º °ø±ÞÁÖü, ÀÌ¿ëÀÚ)°¡ ¾ÈÁ¤µÈ ¼­ºñ½º¸¦ Á¦°øÇÏ°í ¹ÞÀ» ¼ö ÀÖ´Ù. ÀÌ¿¡ ´ëÇÑ Á¤ºÎ¿ªÇҷμ­ ½ÅÁßÇÑ Á¤Ã¥°áÁ¤°ú Ã¥ÀÓ¼ºÀÌ ¿ä±¸µÈ´Ù.
The purpose of this study is to evaluate the impact of marketization on the quality of services of long-term care insurance program. We exploit the impact of the provider competition and user`s selection as market logic on the quality of service. A merged dataset combining surveys from 248 Long-Term Care facilities and online resources from NHIC administrative for NLTCI(National Long-Term Care Insurance) was used and analyzed by multiple regression and negative binomial regression. Unlike the policy intention of Long-Term Care program, empirical findings indicate that the effect of the service provider`s competition on the quality of service isn`t statistically significant. However, user`s choice appears increasing the quality of service. Implications as an initial research is the user`s choice which is showed by policy effect have a limited user`s service selectivity to enter the institution of one`s choice since there is a long queue. The quasi-market like long-term care insurance service depends on the government`s institutional arrangement in various stakeholder like service delivery entity and user who involved in the market to provide and receive stable services. Therefore government`s prudent and responsible decision-making is required.

Å°¿öµå

Àå±â¿ä¾çº¸ÇèÁ¦µµ, ½ÃÀåÈ­, °æÀï, ÀÌ¿ëÀÚ ¼±ÅÃ, ¼­ºñ½º Áú, À¯»ç½ÃÀå
Long-Term Care Insurance program, marketization, competition, user choice, quality of service, quasi-market
¿ø¹® ¹× ¸µÅ©¾Æ¿ô Á¤º¸
µîÀçÀú³Î Á¤º¸
ÇмúÁøÈïÀç´Ü(KCI) 
ÁÖÁ¦ÄÚµå
ÁÖÁ¦¸í(Target field)
¿¬±¸´ë»ó(Population)
¿¬±¸Âü¿©(Sample size)
´ë»ó¼ºº°(Gender)
Áúº´Æ¯¼º(Condition Category)
¿¬±¸È¯°æ(Setting)
¿¬±¸¼³°è(Study Design)
¿¬±¸±â°£(Period)
ÁßÀç¹æ¹ý(Intervention Type)
ÁßÀç¸íĪ(Intervention Name)
Å°¿öµå(Keyword)
À¯È¿¼º°á°ú(Recomendation)
¿¬±¸ºñÁö¿ø(Fund Source)
±Ù°Å¼öÁØÆò°¡(Evidence Hierarchy)
ÃâÆdz⵵(Year)
Âü¿©ÀúÀÚ¼ö(Authors)
´ëÇ¥ÀúÀÚ
DOI
KCDÄÚµå
ICD 03
°Ç°­º¸ÇèÄÚµå