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일 시범 지역 의료급여수급권자 대상의 텔레케어 사례관리 효과

 The Effects of Tele-care Case Management Services for Medical Aid Beneficiaries

지역사회간호학회지 2010년 21권 3호 p.351 ~ 361
KMID : 0607720100210030351
안양희 ( Ahn Yang-Heui ) - 연세대학교 원주의과대학 간호학과

김의숙 ( Kim Eui-Sook ) - 연세대학교 간호대학
고일선 ( Ko Il-Sun ) - 연세대학교 간호대학

Abstract

Purpose: This study was done to analyze the effects of tele?care case management services using secondary
data.

Methods: A descriptive research design was utilized, and the participants were 134 medical aid beneficiaries who were in either the high?risk group or the preventive group. Case management services were delivered by 8 care managers. Data were analyzed using PAWS Statistics 17 through descriptive statistics and paired t?test.

Results: After the case management intervention, the participants’ health quality of life, self?care competency,
and reasonable medical care utilization increased significantly for the high?risk group. However there were no significant changes in the preventive group.

Conclusion: The results showed that the tele?care case management services were effective for high?risk medical aid beneficiaries. Further studies with controls for constitutional variables and a comparison group are required to validate the robustness of the effectiveness of the case management program in the present study.
KeyWords

Case management, Medicaid, Quality of life, Self-care, Utilization
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학술진흥재단(KCI) KoreaMed