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Lee, Oh, and Choi: Comparison of Case Management between Tele Care Regions and General Care Regions in Korean Medicaid
Original Article
Journal of Korean Academy of Nursing Administration

Journal of Korean Academy of Nursing Administration 2010; 16(4): 381-388.

Published online: 31 December 2010

DOI: https://doi.org/10.11111/jkana.2010.16.4.381

Comparison of Case Management between Tele Care Regions and General Care Regions in Korean Medicaid

Hyun-Joo Lee1, Jin-Joo Oh2, Jeong-Myung Choi3

1Professor, Department of Nursing, Woosong University, Korea.

2Professor, Department of Nursing, Dankook University, Korea.

3Professor, Department of Nursing, Suwon Science College, Korea.

Correspondence: Lee, Hyun-Joo. Department of Nursing, Woosong University, 226-2 Jayang-dong, Dong-gu, Daejeon 300-718, Korea. Tel: 82-42-630-9291, annalee@wsu.ac.kr

Received 30 May 2010       Revised 1 October 2010       Accepted 3 November 2010

Copyright © 2010 Korean Academy of Nursing Administration

Abstract

Purpose

The purpose of the study was to compare recipients' health behavior, attitude to using medicaid, medication compliance, and the changes in hospital cost and visit-day of in-patient and out-patient care between tele-care regions (TCR) and general care regions (GCR) in Korean medicaid.

Method

The design of the study was ex-post facto comparing recipients in TCR and GCR. The sample included 625 persons in TCR and 410 persons in GCR. To collect materials, the case manager interviewed recipients of medicaid and filled out questionnaires which were analyzed through SAS/PC 9.1.

Results

In studying health behavior and medication, compliance was not significant. However, the attitude to using medicaid was significantly more positive in TCR than in GCR. In out-patients, the change of hospital visit-day was not significant between TCR and GCR, but TCR showed a reduction in hospital cost compared to GCR. For in-patient recipients, GCR showed a greater reduction in changes in hospital cost and visit-day compared to TCR.

Conclusions

The results of the study show that attitudes to using medicaid via telephone are positive and results are more effective than hospital visit consultation, and the cost of out-patient care could be reduced.

Keywords: Medicaid, Case Management, Health Care, Medical Use

Figures and Tables

Table 1
Difference of the case management in the TCR and GCR
jkana-16-381-i001

†Tele Care Region; ‡General Care Region

Table 2
Individual characteristics of TCR and GCR
jkana-16-381-i002

†Tele Care Region; ‡General Care Region

Table 3
Health behavior of TCR and GCR
jkana-16-381-i003

†Tele Care Region; ‡General Care Region

Table 4
Attitude of using medicaid and medication compliance of TCR and GCR
jkana-16-381-i004

†Tele Care Region; ‡General Care Region

Table 5
Medication compliance of TCR and GCR
jkana-16-381-i005

†Tele Care Region; ‡General Care Region

Table 6
Change of the use hospital and cost of TCR and GCR
jkana-16-381-i006

†Tele Care Region; ‡General Care Region

References

1. Dunn AL, Marcus BH, Kampert JB, Garcia ME, Kohl HW, Blair SN. Comparison of life style and structured interventions to increase physical activity and cariorespiratory fitness: A randomized trial. JAMA. 1999. 281(4):327–334.
crossref
2. Green LW, Kreuter MW. Health promotion planning: An educational and ecological approach. 1999. 3rd ed. Mayfield Publishing Co.
3. Kim YS, Nam JJ, Kim MY, Ko IS, Lee DM, Kim GS, et al. A study for improving the over users of the out-patient of the hospital in korea medi-caid. 2007. Seoul: Ministry of Health & Welfare & Nursing Research Institute in Yonsei University.
4. Lee IS, Lee YL, Kang HK, Hong YS, Kim SW, Jo JA, et al. A study on the evaluation of the case management in Korea medi-caid. 2004. Seoul: Welfare Research Institute in Yonsei University.
5. Ministry of Health & Welfare. Report on the Reform of the Korea Medicaid. 2007a.
6. Ministry of Health & Welfare. Guide of the Korea Medicaid in 2008. 2007b.
7. Mulahy N. Essential readings in case management. 1998. An Aspen Publication.
8. National Health Insurance Corporation. The statistics of the Korean Medicaid 2008. 2009.
9. Oh JJ, Choi JM, Yu YS. Job analysis and methods for enhancing efficiency of medical aid client managers. 2008. Chungnam: Dankook University.
10. Park YS, Han KJ, Ha YS, Song MS, Kim SJ, Chung CW, Park YH, Koh CK, Kwon WK, Lee JY, Hwang SW. Effects of telephone counseling on health and service satisfaction after discharge in Gynecologic cancer women. J Korean Acad Soc Nurs Educ. 2008. 14(2):294–304.
crossref
11. Shin YS, Shin HW, Hwang DK, No IC. Monitoring for the cost benefit of korea medi-caid. 2007. Ministry of Health & Welfare & The Korea Institute for Health and Social Affairs.
12. Shin YE, Shin HC, Shin HW, Park EJ, Hong SW, Shin SM, et al. Study on the practice of health care and using hospital in korea medi-caid. 2008. Korea Human Resource Development Institute for Health and Welfare.
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