노인장기요양보험의 미래수요 예측 = Estimating Future Needs of the Korean Public Long Term Care Insurance

다국어 초록 (Multilingual Abstract)

Public long term care insurance, which aims to improve social welfare for elderly people, has been managed for about thirty months. Among various problems indicated so far, demands for service turns out be higher than expected. Under-estimation of demands may cause problems on stable management for long term care service. In order to resolve the problem and to develop the insurance service, future costs for long term care service should be estimated by appropriate method. And it is essential to predict future needs for cost projections. This study suggests an actuarial model for the projection of the needs for various levels of long term care service admission based on empirical data and multi-state Markov model.

참고문헌 (Reference)

1 서동민, "노인장기요양보험제도의 재정구조와 전망" 한국보건경제정책학회 14 (14): 27-56, 2008

2 "노인장기요양보험 주요통계" 건강보험공단 2009

3 "노인장기요양보험 인정자 현황 (2010)-2010년 12월" 건강보험공단 2010

4 윤희숙, "노인장기요양보험 급여비용의 중장기 추계" 한국보건행정학회 20 (20): 37-63, 2010

5 서동민, "노인요양보장제도 도입에 따른 재정추계 기본모형 개발 및 관련변수에 대한 연구" 한국사회보장학회 21 (21): 161-198, 2005

6 최인덕, "노인 장기요양 보험 대상자 및 시설, 인력 추계" 한국사회보장학회 26 (26): 375-400, 2010

7 Benjamin, B., "The Analysis of Mortality and Other Actuarial Statistics" The Institute of Faculty of Actuaries 1993

8 Leung, E., "Projecting the Needs and Costs of Long Term Care in Australia" 10 : 343-385, 2004

9 Karlsson, M., "Long Term Care Financing in Four OECD Countries: Fiscal Burden and Distributive Effects" 80 : 107-134, 2007

10 Ross, S.M., "Introduction to Probability Models" Academic Press 2009

11 Karlsson, M., "Future Costs for Long-Term Care Cost Projections for Long-Term Care for Older People in the United Kingdom" 75 : 187-213, 2006

12 Rickayzen, B.D., "A Multi-State Model of Disability for the United Kingdom: Implications for Future Need for Long-Term Care for the Elderly" 8 : 341-393, 2002

13 Walsh, D.E.P., "A Model for Projecting the Number of People Who Will Require Long-Term Care in the Future Part III: The Projected Numbers and the Funnel of Doubt" City University 2000

14 Rickayzen, B.D., "A Model for Projecting the Number of People Who Will Require Long-Term Care in the Future Part II: The Multiple State Model" City University 2000

15 Walsh, D.E.P., "A Model for Projecting the Number of People Who Will Require Long-Term Care in the Future Part I: Data Considerations" City University 2000

16 Goddard, E, "1994 General Household Survey: Follow-up of the Health of People Aged 65 and Over" Department of Health 1998