Elderly Livings and Elderly Welfare Policy in Korea
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1 Elderly Livings and Elderly Welfare Policy in Korea Chan Woo Kim, Ph.D. Catholic University of Korea The1st North-East Asian Forum on Population Aging in Tokyo
2 Contents 1. Current Demographic, Living and Socio- Economic Status of Elders 2. Overview of Elderly Welfare Services 3. Expectations and Future Directions
3 I. Current Demographic, Living and Economic Status of Elders
4 2015 Elderly Population in Korea (Statistics Korea, 2015) # of Elderly people : 6.62 million (13.1% of Total Population) 76.6% : Living Urban Area (56.4%, 94) Sex ratio: 71.7 (male): 100 (female) Elderly Dependency Ratio: 17.9 ( , ) % of No-Education: 9.6% (36.7%, 94)
5 Rapid Aging Trends Year to reach % of the proportion Years to change 7% 14% 20% 7 14% 14 20% Japan France Germany UK Korea
6 International Comparisons for 50 years ( )
7 Demographic Structure(2011) (birth) 1,000,000 (3 rd baby boomer) 900, (2nd baby boomer) (1st baby boomer) 800, , ,000 Total pop. 48 million Aging Pop. 11.3% 500, , , , ,000 0 (Source Statistics Korea )
8 Living & Economic status (2014 National Elderly Survey: KIHASA) % of Living Alone + Couple only Elders/ Total Elders 25.2% (1994) 44.9% (1998) 67.5% (2014) Ave. Yearly Income : 23.5 million Won (20,000 $) % of Public Pension : 39.6% (16.1%, 05) Very Low actual amount ( 08 : 20yr contribution) Elderly Suicide (1 st of OECD) 55.5 /100, 000 Male : 2.7 times higher than female
9 Increasing Medical Care Cost <% of Reimbursed pay for elderly care from NHI and Monthly Medical care cost per one elder > (Source: Statistics Korea. 2011)
10 Ⅱ. Overview of Welfare Elderly Services
11 Korean Social Welfare System Social Welfare System Social Insurance Public Assistance Social Welfare Service Health insurance Pension insurance Long-term care insurance Unemployment insurance Industrial accident compensation insurance Livelihood protection (Elders - 30% ) Medical Aid Welfare for the elderly Welfare for the disabled Welfare for children Welfare for the women Medical for psychiatric Social work The policies underlined are related to the aging population.
12 Elderly Welfare Policies in Korea Health & Longterm Care Social Insurance (for all) National Health Insurance National Long-term Care Insurance for elders Funding Resource Tax-based Services (Mostly for mid- or lowincome) Center for the dementia Service for early detection of dementia Support for treatment for the dementia Support for the old-agerelated optical surgery Governing Organizations MHW (Ministry of Health and Welfare) National Health Insurance Corporation (NHIC) Local government Income Maintenance National Pension service Service for Job-seeking elders MHW National Pension Corporation Local government Housing Living facility Local government Social Services Care services for elders Elderly Welfare center Meal service Senior discounts etc. MHW Local government
13 Elderly Welfare Services and Target Populations Health & Long-term Care Social services for elders Long-term care insurance Center for the dementia support Service for early detection of dementia Support for treatment for the dementia Support for the old-age-related optical surgery Target population LTC level 1-5 Elders with dementia and their family 60 over (low-income priority) 60 over (50% below average income) 60 over (below poverty line and threshold) Job Service for Job-seeking elders 60 over with working-condition Housing Social Services Living facility Social Care services for elders Elderly Welfare community center Meal service(free or low-price) Senior discounts etc. 65 over (below poverty line and threshold) No LTC eligible elders with frailty 60 over 60 over 65 over
14 NLTCI Coverage in Korea (N, %) Applicants (% of all elders) 295,715 (5.9) 402,815 (9.5) 759,339 (13.8) 632,695 (10.9) 696,480 (11.1) 727,748 (11.9) Eligible pop ulation (% of all elders) 146,643 (2.9) 286,907 (5.2) 315,994 (5.7) 320,261 (5.7) 385,094 (6.1) 412,239 (6.7) Utilization r ate (Source: NHIC LTC statistics, )
15 LTC Level Distribution between (% of Total-elders) Care Level Level Points *Accum *Accum *Accum *Accum 1 95 pt Dementia Not covered by LTCI until Now : with Dementia Diagnoses Entry of Level 3 lowered to (2012.7) 51(2013.7) *Accum: Accumulated %
16 III-1. Social and Economic Expectations Enhancing QOL in elders later life Reducing caregiving burden: Economic and psychological burden Support for Women Workforce Attendance Social Service Job Opportunity: ,400 LTC nursing homes, 11,000 community care center & 200,000 nursing aides working Elderly care industry: Care devices, interior, architecture etc. Efficiency of Health care cost: Acute care beds Convalescent(preparing) Nursing home
17 III-2. Future Direction of Elderly Welfare Coordination between medical field and social care field Housing issues for elders Increase of in-home care services instead of institutionalized care: Variation of Community care service Encouraging Social Involvement and Maintaining social links Coordination btw Central and Local Gov. Financial sustainability and Political Power
18 Thank You.
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