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Case Management for Medical Aid Beneficiaries in Korea: Findings from Case-control Study

Asian Nursing Research 2014년 8권 4호 p.274 ~ 281
KMID : 1022320140080040274
신희선 ( Shin Hee-Sun ) - Dankook University Department of Nursing

오진주 ( Oh Jin-Joo ) - Dankook University Department of Nursing

Abstract

Purpose: This study was to evaluate effects of case management provided for 7 months for medical aid in Korea.

Methods: This study was a retrospective comparative study using secondary data analysis.
Data from two pre-existing survey were reanalyzed. The data were collected through door to-door interviews using the structured questionnaire. For the medical service use, claims data from the Korea National Health Insurance Corporation was used. Subjects were 73 in the intervention group and 118 in the control group.

Results: There was no significant change in the intervention group in self-care ability (p = .296), medication adherence (p = .194) or quality of life (p = .903) compared to those of the control group. For hospital visiting days, it appeared to decrease in the intervention group (p = .038) but with no significant difference from that of the control group (p = .157). Neither were there significant differences in medical expenditures (p = .605).

Conclusion: Although the effect of case management in this study appeared extremely limited, the short intervention period and characteristics of the medical aid beneficiaries and the limit of controlling only the demand side were discussed as factors to be considered. Nurses have been carrying out professional roles in case management in Korea. However more efforts are needed to develop case management as an area for nursing specialization.
KeyWords

case management, health expenditures, medicaid, quality of life
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SCI(E) MEDLINE 학술진흥재단(KCI) KoreaMed