인지기능 정보 연계를 통한 치매 환자 대상 노인장기요양급여 확대 정책 효과

Abstract

Republic of Korea(ROK) has implemented dementia limited long-term care(LTC) rate that Rating-V at July 2014, Cognitive assistant Rating at January 2018. It needs to be Quantitatively confirmed that the approval rate of dementia to increase after policy extension. This study combined National Health Insurance Service Ilsan Hospital cognitive function test and National Health Insurance data and Long-term Care Insurance data. the approval rate of dementia has been increasing between 2011~2018. The approval points(AP) for LTC tended to increase as the cognitive function level deceases, but there was no significant change in the AP according to the policy expansion. although there was not quite the correlation between cognitive function level and LTC approval, it was confirmed that the possibility of LTC approval increased as the policy extended. ROK has directed LTC approval to mild dementia rather than changing the LTC AP calculation method. the result of above is consistent with the policy direction. This study can be used as evidence that the current LTC policy is a positive effect on LTC approval for mild dementia.