[논문]한국·일본·독일의 공적 장기요양보험제도 재정부담 완화 과정 비교

윤나영; 이동현

doi:10.4332/kjhpa.2022.32.3.258

[국내논문] 한국·일본·독일의 공적 장기요양보험제도 재정부담 완화 과정 비교
A Study on the Mitigation Methods of Financial Burden in Public Long-term Care Insurance System: Comparison of South Korea, Japan, and Germany 원문보기

Health policy and management = 보건행정학회지, v.32 no.3, 2022년, pp.258 - 271

윤나영 (연세대학교 일반대학원 보건학과) , 이동현 (연세대학교 보건대학원 국제보건학과)

Abstract ▼ AI-Helper

The rapidly aging trend of Korea is a major factor that threatens the sustainability of the long-term care insurance system. Therefore, looking at how Japan and Germany mitigated the financial burden when they managed similar long-term care insurance systems will provide important implications for improving the Korean system in the future. The study was conducted using the literature review method, and the "country" was set as a unit for the case analysis. The three countries selected are Korea, Japan, and Germany. Recently in Korea, the insurance premium rates of all subjects have been rapidly rising, which can exacerbate the issue of intergenerational equity. On the other hand, Japan has responded to the aggravating finances for long-term care insurance due to aging by raising coinsurance for selected groups like the wealthy elderly. Germany is selectively raising the insurance premium rates by additionally increasing the premium rate for childless recipients. A more preventive and quality-oriented care service plan can be promoted by referring to the recent changes in Japan and Germany. In addition, a more effective and selective increase in payment burden in Japan and Germany could be considered in response to a recent equity issue in Korea.

주제어

표/그림 (8)

그림 Figure 1. Yearly long-term care insurance rate in Korea (%) [20].
그림 Figure 2. Long-term care preventive service in Japan [34]
그림 Figure 3. Decision flow of user burden [34].
그림 Figure 4. Population aged 65 and above in Germany (% of total population) [42].
그림 Figure 5. Status of public long-term care insurance balance in Germany [52].
표 Table 1. Independence evaluation criteria in Germany [51]
그림 Figure 6. Changes in the premium rate of public long-term care insurance in Germany (%) [52].
표 Table 2. Comparison of long-term care insurance financial mitigation in Korea, Japan, and Germany

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동의어: Packet Collision Rate

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용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

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