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1 2008 7 1 1 4 5 1 1998 2003 2005 3 2 2008 7 1 2009 7 30 2009 11 18

2009 2009 2008 1 1 1 1 65 1970 3.1 2000 7.2 7 2008 10.7 14 2018 1 2 1985 41.92008 50.0 2004 15 59 2003 2010 79 2020 114 OECD

1 65 2006 2006 11 2 65 5 2007 3 1998 2000 2008 2009 2010 2018 2026 46,287 47,008 48,607 48,747 48,875 49,340 49,039 65 3,069 3,395 5,016 5,193 5,367 7,057 10,218 6.6 7.2 10.3 10.7 11.0 14.3 20.8 2007 2008 2009 2010 2011 4,810 5,016 5,193 5,357 5,537 883 931 976 1,021 1,065 18.4 18.6 18.8 19.1 19.2 OECD 2005 2006 2005 2004 2003 2002 OECD 2008 OECD Health Data Version : December 2008, Http : //www.oecd.org /health/healthataglance

4 65 1 OECD 2008Long-term Care for Older People, forthcoming, OECD, Paris. 65 1.132004 OECD 13.5 3, 4 2 3 2001 8 2002 7 2003 2 2003 2004 2

2003 2004 3 21 2005 2 7 20

2008 6 4 2 2007 2 1 2008 4 15 2009 5 47 2,647 65 9.1

5 65 65 a b b/a 5,176,242 472,647 9.1 4,714,165 339,890 7.2 417,087 124,085 29.8 44,990 8,672 19.3 20 15 10 7.52009 1 2009 a 7.2 29.8 19.3 5 2009 5 1 3 5 25 9,456 40 8,552 63.5 2008 6 78.4 2008 9 66.3 61.284.9 6 2009 5 25 9,456 20 2,492 78 85.6 78 53.5 68.6 7 2008 7 52.2 2009 5

a 326,018 233,961 86,874 6 259,456 100 198,649 76.6 57,578 22.2 b 1 2 3 b/a 59,680 69,099 130,677 66,652 79.6 46,968 54,726 96,955 35,312 84.9 11,861 13,513 32,204 29,296 66.3 3,229 5,237 851 860 1,518 2,044 61.2 1.2 1 2009 a 7 259,456 198,649 57,578 3,229 1 59,680 2 69,099 3 130,677 202,492 78.0 150,959 76.0 49,312 85.6 2,221 68.8 45,718 76.6 56,863 82.3 99,911 76.5 62,677 24.2 40,128 20.2 22,029 38.3 520 16.1 23,324 39.1 26,158 37.9 13,195 10.1 138,811 53.5 110,019 55.4 27,103 47.1 1,689 52.3 22,305 37.4 30,509 44.2 85,997 65.8 1,004 0.4 812 0.4 180 0.3 12 0.4 89 0.1 196 0.3 719 0.6 1 2009 a 78 2 80 2009 5

13 8,811 2008 7 2 9,874 4 1.4 2 2008 7 39.1 2009 5 68.6 8, 9, 10 a b 8 08 7 8 9 10 11 12 09 1 2 3 4 5 146,643 166,598 183,065 194,456 205,361 214,480 222,700 232,230 242,080 251,290 259,456 76,476 100,285 114,624 127,921 139,048 148,749 157,046 167,119 185,530 195,197 202,492 b/a 52.2 60.2 62.6 65.8 67.7 69.4 70.5 72.0 76.6 77.7 78.0 c 46,114 51,029 52,228 53,610 55,224 56,370 57,056 58,092 61,652 62,514 62,677 c/b 60.3 50.9 45.6 41.9 39.7 37.9 36.3 34.8 33.2 32.0 30.9 d 29,874 48,638 61,543 73,420 82,905 91,431 99,027 108,068 122,885 131,686 138,811 d/b 39.1 48.5 53.7 57.4 59.6 61.5 63.1 64.7 66.2 67.5 68.6 e 488 618 853 891 919 948 963 959 993 997 1,004 e/b 0.6 0.6 0.7 0.7 0.7 0.6 0.6 0.6 0.5 0.5 0.5 1 2009 a 9 8

10 8 11 2008 7 2008 12 2009 5 1,395 1,717 2,016 58,425 68,581 76,216 46,114 56,370 62,677 2009 5 2009 12 2008 7 2008 12 2009 5 2,823 4,362 6,031 1,654 3,006 4,271 461 626 688 641 806 925 397 691 1,020 364 733 880 6,340 10,224 13,815 2009 5 2009 2009 5 1,480 2,000

11 2 2009 12 2 6 2009 4 1,137 2008 1 101 11 2009 4 45 13 08 1 08 2 08 3 08 4 08 5 08 6 08 9 08 12 09 4 101 490 819 941 981 1,009 1,065 1,080 1,137 389 329 122 40 28 56 15 57 2,235 9,952 33,963 70,355 224,568 333,984 456,633 7,717 24,011 36,392 154,213 109,416 122,649 08 3 1 2009 b

3 2008 8 2009 6 2 2008 8 514 75 83 50 72 51 2008 2009 6 1,000 40.2 24 79.8 80.8 91.7 43.8 40.836.0 49.4 19.0 16.9 14.2 2009 d 2 2 2008 7 7 90.32009 3 96.5 2008 6 90.8 2008 7

95.52009 3 99.2 74.32009 3 88.9 6 2008 2008 4.05 2009 4.78 0.73 1 1 20 30 3 1 1

2 4

2009 3 1 3 12.1 3 25 2009 5 5 4 2009 d 48 59

5 20 15 50 2009 1 50 50 60

10 1 2007 1,137 40 80 2009

2 1 5

1964 1990 1989 1988 11 1999 4 1995 7 1 1 2005 7 2006 3 9 6 2 2006 4 2007 3 12 1 8 1 3 2007 5 2008 6 14 1999 12 2003 3 2004 3 2005 4 2005 6 6 2005 7 2006 3 2006 2 2008. 7 2006 7 8 2006 7 2007 3 2007 5 13 2007 5 2008 6 2007 10 1 2007 11 2008 2 2008 4 2 2008 6 2008 7 2007

65 64 2008 1 2 2010 3 4 5 5 20 2008 1 3 2014 2008 1 2 2010 4 2020 5 2014 4 2020 5 40 10 20 40 20 2008 1 2 2010 3 2014 4 2020 5 50 20 10 20 2008 1 3 2014 4 2020 5 40 20 10 2006 2 4 10 6 1 2 3 3 65

1 240 2 120 2006 OECD 2009 2009 No.167 67 78 2003 2009 1 3 79 90 2006 20052005 10 11 2008 2006 20072007 20092009 5 2008 Vol.4 49 83 2009 Vol.43 263 286 2007 2007 a 2007 b 2008 2009 a 1 2009 b 1 2009 c

2009 d 2008 2009 Vol.29 1 149 175 OECD 2008 OECD Health Data Version : December 2008 http : //www.oecd.org/health/healthataglance

Long-term care Insurance System of South Korea Achievements and issues at the point of one year from enforcement Ham Ill Woo The public long-term care insurance system of South Korea enforced from July 1, 2008, made its 1st anniversary. Some points, such as privatization, extension of the system from the restrictive service only for public assistance recipients or low income earners to the general service covering all the aged, and commercialization in which foundation of private long-term care institutions were promoted by the government, are counted as the significances of this new registration. The number of long-term medical-treatment organizations increased quickly in only one year. However, from now on, not only expanding infrastructure, but also evaluating the institutional framework is needed from the mid- and long-term viewpoint. In this paper development, achievements, and problems of South Korea public long-term care insurance were discussed at the point of one year from enforcement. Firstly, background and history in the legislating process were investigated. Secondly, problems were pointed out from the current situation. Last, some future issues and suggestions were presented.