In early 2003, the Roh Mu-hyun Government adopted the policy that long-term care system would be in force from 2007, and it opened 'the Public Long-term Care Promotion and Planning Team' as an advisory team to make the system structure. Prior to enforcement of public long-term care insurance in the ...
In early 2003, the Roh Mu-hyun Government adopted the policy that long-term care system would be in force from 2007, and it opened 'the Public Long-term Care Promotion and Planning Team' as an advisory team to make the system structure. Prior to enforcement of public long-term care insurance in the nation, the study introduced suggestion points of nursing insurance system in Japan. Firstly, the public long-term care insurance system would be introduced as follows: At first, a model system would be in force from July 2005 to June 2006 in the nation. The first program is to manage the public long-term care insurance system by health insurance fund from 2007 to 2010. The second program is to manage an independent system from 2007. The third program is to do model business for five years starting from 2005 and to do main business from 2010. The Japanese Government introduced nursing insurance in a hurry because medical expenses for older people rapidly increased owing to long-term hospitalization of the ones who had neither home nor money ( 增田擁熊, 2003). Being different from Japan, patients in Korea should bear high co-payment and could not stay at hospitals for older people and nursing rooms because of limited number, so that they were not likely to be in hospital for a long time without money (Park Su-cheon, 2005:67) . Considering insufficient nursing home in the nation, the Government needs not introduce the public long-term care insurance system in a hurry. However, the Government is required to construct nursing infrastructure urgently to satisfy nursing demand and to give nursing services partially and to introduce the system completely later. Secondly, social consensus should be made. In 1970, in Japan, nursing system for older people became social issue. The Japanese people cognized limit of family nursing in the process of various kinds of nursing policies for older people, and the Japanese Government had financial difficulties, and the Japanese people made consensus that high quality nursing would be made at home but could not be a fundamental program for post nursing. In Korea, however, urgent needs and justification of the nursing system were emphasized. The point at issue is thought to be very much important to let the people agree to it. Thirdly, management entity is thought to be important. A draft of the public long-term care insurance system suggested the program that the National Health Insurance Corporation would manage the system and local governments would support it. The draft considered mixture of management entity, that is to say, the National Health Insurance Corporation and local governments. Despite of advantages of mutual cooperation, the management entity shall have uncertain responsibility owing to dual management system: And, single health insurance system would be reorganized to be multi-health insurance systems. Being different from Japan, Korea has adopted single insurer system in the nation of health insurance to be easy to settle unbalance of insurance finance between regions, and the National Health Insurance Corporation shall collect insurance premium to alleviate local governments' burden. In Japan, local governments may be likely to make change of patterns of local administration by managing nursing system. Local autonomous government can be made by nursing administration that can meet regional characteristics and make residents participate in it. Fourthly, the public long-term care insurance system should last continuously. After 4-years trial, the nursing system in Japan reached a conclusion that continuity of the system would be important. The nursing service joined by family and neighbors may be effective in cost and elevate quality to be a shortcut to continuous system. A draft of the public long-term care insurance system in Korea is much similar to nursing insurance in Japan. However, Korea has different long-term care history, aging degree, economic ability, nursing home infrastructure, family consciousness, and local autonomy levels, etc to have difficulties at introducing Japanese system as it is. Therefore, the study suggested followings to minimize trials and errors based on Japanese experience. The introduction of the public long-term care system to Korea is not thought to be much quick. Currently, the governmental policies for older people were not free from relief of the poor based on low income households, in particular, in nursing home. Therefore, the Government is required to establish nursing system and to get nursing finance and to reach national consensus. And, the Korean Government is required to set up directions of aging policy by referring to welfare policy of not only Japan but also other advanced countries and to put an emphasis upon the subject of aging above all of other areas such as politics, economy and culture, etc.
In early 2003, the Roh Mu-hyun Government adopted the policy that long-term care system would be in force from 2007, and it opened 'the Public Long-term Care Promotion and Planning Team' as an advisory team to make the system structure. Prior to enforcement of public long-term care insurance in the nation, the study introduced suggestion points of nursing insurance system in Japan. Firstly, the public long-term care insurance system would be introduced as follows: At first, a model system would be in force from July 2005 to June 2006 in the nation. The first program is to manage the public long-term care insurance system by health insurance fund from 2007 to 2010. The second program is to manage an independent system from 2007. The third program is to do model business for five years starting from 2005 and to do main business from 2010. The Japanese Government introduced nursing insurance in a hurry because medical expenses for older people rapidly increased owing to long-term hospitalization of the ones who had neither home nor money ( 增田擁熊, 2003). Being different from Japan, patients in Korea should bear high co-payment and could not stay at hospitals for older people and nursing rooms because of limited number, so that they were not likely to be in hospital for a long time without money (Park Su-cheon, 2005:67) . Considering insufficient nursing home in the nation, the Government needs not introduce the public long-term care insurance system in a hurry. However, the Government is required to construct nursing infrastructure urgently to satisfy nursing demand and to give nursing services partially and to introduce the system completely later. Secondly, social consensus should be made. In 1970, in Japan, nursing system for older people became social issue. The Japanese people cognized limit of family nursing in the process of various kinds of nursing policies for older people, and the Japanese Government had financial difficulties, and the Japanese people made consensus that high quality nursing would be made at home but could not be a fundamental program for post nursing. In Korea, however, urgent needs and justification of the nursing system were emphasized. The point at issue is thought to be very much important to let the people agree to it. Thirdly, management entity is thought to be important. A draft of the public long-term care insurance system suggested the program that the National Health Insurance Corporation would manage the system and local governments would support it. The draft considered mixture of management entity, that is to say, the National Health Insurance Corporation and local governments. Despite of advantages of mutual cooperation, the management entity shall have uncertain responsibility owing to dual management system: And, single health insurance system would be reorganized to be multi-health insurance systems. Being different from Japan, Korea has adopted single insurer system in the nation of health insurance to be easy to settle unbalance of insurance finance between regions, and the National Health Insurance Corporation shall collect insurance premium to alleviate local governments' burden. In Japan, local governments may be likely to make change of patterns of local administration by managing nursing system. Local autonomous government can be made by nursing administration that can meet regional characteristics and make residents participate in it. Fourthly, the public long-term care insurance system should last continuously. After 4-years trial, the nursing system in Japan reached a conclusion that continuity of the system would be important. The nursing service joined by family and neighbors may be effective in cost and elevate quality to be a shortcut to continuous system. A draft of the public long-term care insurance system in Korea is much similar to nursing insurance in Japan. However, Korea has different long-term care history, aging degree, economic ability, nursing home infrastructure, family consciousness, and local autonomy levels, etc to have difficulties at introducing Japanese system as it is. Therefore, the study suggested followings to minimize trials and errors based on Japanese experience. The introduction of the public long-term care system to Korea is not thought to be much quick. Currently, the governmental policies for older people were not free from relief of the poor based on low income households, in particular, in nursing home. Therefore, the Government is required to establish nursing system and to get nursing finance and to reach national consensus. And, the Korean Government is required to set up directions of aging policy by referring to welfare policy of not only Japan but also other advanced countries and to put an emphasis upon the subject of aging above all of other areas such as politics, economy and culture, etc.
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