Reports from National Health Insurance Service Describe Recent Advances in Health Insurance (The Effect of Integrated Care After Discharge From Hospitals on Outcomes Among Korean Older Adults): Health Insurance

2024 FEB 06 (NewsRx) -- By a News Reporter-Staff News Editor at Hospital & Nursing Home Daily -- Fresh data on health insurance are presented in a new report. According to news reporting out of Gangwon Do, South Korea, by NewsRx editors, research stated, “The Korean government implemented a pilot project for integrated care of older adults in August 2019. the pilot project of integrated care provided housekeeping support, nutrition support, movement assistance, home repair, consultations and education for healthy lifestyle, and some home-based primary care to older patients discharged from hospitals. This study investigated the outcomes of this project among older adults who participated in it after discharge from the hospital.”

Our news journalists obtained a quote from the research from National Health Insurance Service: “This study combined the data from the pilot project survey with that from the National Health Insurance Service. The participants comprised 1,895 older adults who participated in the pilot project between August 01, 2019 and April 30, 2022. For comparison, 7,145 older adults who lived in regions where no pilot project were selected as the matched group using propensity score matching. The length of home stay, total expenses of national health insurance and long-term care insurance, emergency visits, and hospital readmission for the same disease were measured, till July 31, 2022. Statistical analysis was performed through difference-in-differences analysis using a generalized estimating equation and the Cox proportional hazards model. The results indicated an increase of 35.2 days (95% confidence interval [CI] 30.7, 39.8) in length of home stay over an average observation period of 550.5 days and a reduction of 6,960 USD (95% CI: -7,924, -5,996) in total expenses for participants compared to the controls. The odds ratio of emergency visits of the pilot project participants was 0.56 (95% CI 0.48, 0.65) compared with the controls. The hazard ratio for hospital readmission for the same disease after hospital discharge was 3.53 (95% CI 2.98, 4.19) times higher in project participants than that in the controls.”

According to the news reporters, the research concluded: “The pilot project for integrated care has resulted in an increased length of home stay and hospital readmission and reduced total expenses and emergency visits among older patients discharged from hospitals. The integrated care after discharge from hospitals can help older adults to continue living in the place where they lived, and improved collaboration between clinics and hospitals is required to prevent readmissions.”

For more information on this research see: The Effect of Integrated Care After Discharge From Hospitals on Outcomes Among Korean Older Adults. International Journal of Health Policy and Management, 2024. (International Journal of Health Policy and Management - http://www.ijhpm.com/). The publisher for International Journal of Health Policy and Management is Maad Rayan Publishing Company.

A free version of this journal article is available at https://doi.org/10.34172/ijhpm.2023.7997.

Our news editors report that additional information may be obtained by contacting Jae Woo Choi, Community Care Research Center, Health Insurance Research Institute, National Health Insurance Service, Gangwon, South Korea. Additional authors for this research include Ae Jung Yoo. Our reports deliver fact-based news of research and discoveries from around the world.