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

Yang Heui Ahn; Eui Sook Kim; Il Sun Ko

doi:10.12799/jkachn.2010.21.3.351

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Ahn, Kim, and Ko: The Effects of Tele-care Case Management Services for Medical Aid Beneficiaries

Original Article

Journal of Korean Academy of Community Health Nursing 2010; 21(3): 351-361.

Published online: 4 April 2014

DOI: https://doi.org/10.12799/jkachn.2010.21.3.351

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

Yang Heui Ahn¹, Eui Sook Kim², Il Sun Ko³

¹Professor, Department of Nursing, Wonju College of Medicine, Yonsei University, Korea.

²Emeritus Professor, College of Nursing, Yonsei University, Korea.

³Professor, College of Nursing, Yonsei University, Korea.

Address reprint requests to: Ahn, Yang Heui, Department of Nursing, Wonju College of Medicine, Yonsei University, 162 Ilsan-dong, Wonju 220-701, Korea. Tel: 82-33-741-0383, Fax: 82-33-743-9490, ahn57@yonsei.ac.kr

Received 27 June 2010 Revised 19 September 2010 Accepted 20 September 2010

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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

Figures and Tables

Table 1

General Characteristics of Subjects (N=134)

^†The unanswered were excluded; ^‡Disease code.

Table 2

Comparison of Case Management Needs between Pre and Post-Intervention by Groups (N=134)

Table 3

Comparison of Health Quality of Life between Pre and Post-intervention by Groups (N=134)

Table 4

Comparison of Self-care Competency between Pre and Post-intervention by Groups (N=134)

Table 5

Comparison of Medical Care Utilization between Pre and Post-intervention by Groups (N=134)

Notes

This work was supported by a research grant from Yonsei University Wonju College of Medicine (YUWCM-2009-47).

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