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KDI - Korea Development Institute

KDI - Korea Development Institute



Policy Study Policy Issues and Challenges in Welfare Policies for Elderly Care December 31, 2020


Series No. 2020-06

Policy Study KOR Policy Issues and Challenges in Welfare Policies for Elderly Care #Welfare Policy
DOI P-ISBN979-11-5932-606-6 E-ISBN979-11-5932-612-7

December 31, 2020

  • 프로필
    LEE, Youngwook
With rapid aging, pubic expenditure on long-term care (LTC) is expected to increase significantly. The financial burden on LTC will be even greater as women’s active economic activities and weakening social norms of elderly care are expected to reduce informal care by families. However, currently projected LTC expenditures do not take into account the decline in informal care, and as such, is highly likely to be underestimated. This study examines the relationship between informal care and formal care for the elderly, and projects future LTC expenditure according to the change in informal care. Also, this study investigates the implicit costs of informal care, such as a decrease in the economic activity and quality of life of caregivers, and discusses policy directions to reduce these costs and support informal care.

The empirical results show that informal care by the children serves as a partial substitution to formal care, and this effect is more evident among those aged 75 or older. Given the estimated substitution effect between informal care and formal care, the reduction in informal care is expected to increase LTC expenditure by 17 to 19%. On the other hand, informal care is provided at the expense of family members. The results show that the provision of informal care decreases the labor force participation rate and increases the probability of retirement. Also, the provision of informal care has a negative effect on the quality of life of caregivers. The cost of informal care increases as the period of care is prolonged.

Informal care is important in that it can reduce government expenditures related to elderly care and help the elderly maintain their lives at home. However, we need to take into account the costs paid by caregivers. In this sense, the support for informal care needs to be strengthened. It is necessary to encourage the use of family leave and short-term care to provide temporary respite to caregivers, and to expand psychological counseling and treatment for them. Also, family care leave and work-hour reduction for family care should be promoted at work. In order to achieve sustainable and high-quality elderly care, it is important to make policy efforts to properly share the role of elderly care between the government and informal sector.
요 약

제1장 서 론

제2장 노인돌봄 관련 제도 개괄
 제1절 노인장기요양보험제도
 제2절 노인돌봄서비스
 제3절 지역사회 통합돌봄

제3장 노인돌봄 제공 현황 및 추이
 제1절 횡단면 분석
 제2절 코호트 분석

제4장 비공식 돌봄과 공식 돌봄 간의 대체
 제1절 기존 문헌
 제2절 연구 설계
 제3절 데이터
 제4절 분석 결과
 제5절 소결

제5장 비공식 돌봄의 비용
 제1절 경제활동에 대한 비용
 제2절 삶의 질 감소 비용
 제3절 소결

제6장 비공식 돌봄과 장기요양보험비용 추계
 제1절 비용 추계방식
 제2절 기초통계량
 제3절 비용 추계 결과
 제4절 소결

제7장 비공식 돌봄 지원정책 개선방향
 제1절 기존 비공식 돌봄 지원정책
 제2절 비공식 돌봄 지원정책 개선방향

제8장 결 론

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