Browse

Developing a framework for performance assessment of the public long-term care system in Korea: methodological and policy lessons

Cited 0 time in Web of Science Cited 0 time in Scopus
Issue Date
2020-02-22
Publisher
BMC
Citation
Health Research Policy and Systems. 2020 Feb 22;18(1):27
Keywords
Long-term care systemsperformance measurementsocial long-term care insurance
Abstract
Background
Limited evidence exists on how to assess long-term care system performance. This study aims to report on the process and results of developing a performance assessment framework to evaluate the long-term care system financed by the public long-term care insurance in South Korea.

Methods
The framework was developed through a six-step approach, including setting the goals and scope of performance assessment in the given policy context, reviewing existing performance frameworks, developing a framework with a wide range of potential indicators, refining the framework through a series of Delphi surveys and expert meetings, examining the feasibility of generated indicators through a pilot test, receiving the comments of stakeholders, and finalising the performance framework.

Results
The finalised framework has 4 domains – coverage, quality of care, quality of life and system sustainability – and 28 indicators, including 10 core indicators to monitor long-term care system performance. Usability and feasibility along with policy relevance were important criteria in selecting these indicators. The proposed framework can be used to assess the performance of the long-term care system in Korea, and the framework and its methodological approach can be benchmarks for other countries developing their own framework.

Conclusions
It is critical to reconcile and prioritise various stakeholders views and information needs as well as to balance methodological rigor with practical usefulness and feasibility in the development and implementation of a long-term care performance monitoring system.
ISSN
1478-4505
Language
English
URI
https://hdl.handle.net/10371/168731
DOI
doi.org/10.1186/s12961-020-0529-8
Files in This Item:
Appears in Collections:
Graduate School of Public Health (보건대학원)Dept. of Public Health (보건학과)Journal Papers (저널논문_보건학과)
  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse