Journal List > J Korean Acad Community Health Nurs > v.21(3) > 1058181

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

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.

Figures and Tables

Table 1
General Characteristics of Subjects (N=134)
jkachn-21-351-i001

The unanswered were excluded; Disease code.

Table 2
Comparison of Case Management Needs between Pre and Post-Intervention by Groups (N=134)
jkachn-21-351-i002
Table 3
Comparison of Health Quality of Life between Pre and Post-intervention by Groups (N=134)
jkachn-21-351-i003
Table 4
Comparison of Self-care Competency between Pre and Post-intervention by Groups (N=134)
jkachn-21-351-i004
Table 5
Comparison of Medical Care Utilization between Pre and Post-intervention by Groups (N=134)
jkachn-21-351-i005

Notes

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

References

1. Case Management Society of America. Definition of case management. 2002. Retrieved March 28, 2009. from http://www.cmsa.org.
2. Choi GC, Bae SI, Kim KH, Lee DH. Analysis of innovative outcomes and suggestions on 2007 Medical Aid Program. Seoul: National Health Insurance Corporation;2008.
3. Cohen J. Statistical power analysis for the behavioral sciences. New York: Lawrence Erlbaum Associates, Publishers;1988.
4. Dean K. Self-care components of lifestyles, the importance of gender, attitudes and the social situation. Soc Sci Med. 1989; 29(2):137–152.
crossref
5. Eunpyeong-gu. Year Book of Eonpyeong Statistics. Seoul: Eunpyeong-gu;2009.
6. Han MA, Ryu SY, Park J, Kang MG, Park JG, Kim KS. Health-related quality of life assessment by the EQQol-5D in some rural adults. J Prev Med Public Health. 2008; 41(3):173–180.
7. Kasl SV, Cobb S. Health behavior, illness behavior and sick role behavior. Arch Environ Health. 1966; 12:246–266.
crossref
8. Kim ES, Lee JR, Yoo WS, Lee YP, Lim SJ, Cho JH, et al. Case management for utilizing reasonable medical service of long-term hospitalized patients among medical aid beneficiaries. Seoul: Medical Aid Program Center;2009.
9. Kim ES, Ahn YH, Ko IS, Lee KO, Ko JS. Planning and development of guide for medical aid case management services. Seoul: Ministry of Health, Welfare, and Family Yonsei University · College of Nursing, Institute of Nursing Policy;2008.
10. Kim ES, Nam JJ, Kim MY, Ko IS, Lee DM, Kim KS, et al. Long-tern medical service use status of medical aid beneficiaries and it's improvements. Seoul: Yonsei University College of Nursing, Institute of Nursing Policy;2007.
11. Kim SM. Utilization changes of hypertension patients according to the medical aid program types. Incheon: Gachon University of Medicine and Science;2009. Unpublished master's thesis.
12. Kim YH. Case management of schizophrenic patients. J Korean Acad Psychiatr Ment Health Nurs. 1997; 6(2):298–306.
13. Kim HG. Development of case management model for the bed-ridden elderly at home and its evaluation: Focusing on RAI MDS-HC 2.0 application. Seoul: Chung-Ang University;2001. Unpublished doctoral dissertation.
14. Lee IS, Kim SW. The factor influencing behavior of health care of medicaid recipients. Yonsei Soc Welf Rev. 2004; 11:66–99.
15. Lee IS, Kim DK, Um TY. The study of relationship between self-respect and quality of life and dedication effect of depression among the recipients of the medical security with a chronic disease. Korean J Soc Welf Res. 2007; 17:79–104.
16. Morales-Asencio JM, Gonzalo-Jimenez E, Martin-Santos FJ, Morilla-Herrera JC, Celdraan-Manas M, Millan Carrasco A, et al. Effectiveness of a nurse-led case management home care model in primary health care: A quasi-experimental, controlled, multi-centre study. BMC Health Serv Res. 2008; 8:193–206.
crossref
17. Ministry of Health, Welfare, and Family. Introduction for medical aid program in 2010. Seoul: Ministry of Health, Welfare, and Family;2009.
18. Oh JJ. Outcome of a pilot project on case management service for medical aid clients. J Korean Acad Public Health Nurs. 2010; 24(1):61–70.
19. Onder G, Liperoti R, Solidato M, Carpenter I, Steel K, Bernabei R, et al. Case management and risk of nursing home admission for older adults in home care: Results of the aged and home care study. J Am Geriatr Soc. 2007; 55:439–444.
20. Park HJ. The factors affecting the mental health of the recipients of the national basic livelihood security. Jeonju: Chonbuk National University;2003. Unpublished master's thesis.
21. Park KA. The related factors on medication adherence in elderly patients with hypertension or diabetes mellitus. Daegu: Kyungpookk National University;2010. Unpublished master's thesis.
22. Rhee WH. Developing a case management strategies program for Korean medical aid clients. Seoul: Hanyang University;2006. Unpublished doctoral dissertation.
23. Riegel B, Carlson B, Kopp Z, LePetri B, Glaser D, Unger A. Effect of a standardized nurse case-management telephone intervention on resource use in patients with chronic heart failure. Arch Intern Med. 2002; 162:705–712.
crossref
24. Schraeder C, Fraser CW, Clark I, Long B, Shelton P, Waldschmidt V, et al. Evaluation of a primary care nurse case management intervention for chronically ill community dwelling older people. J Clin Nurs. 2008; 17:407–417.
crossref
25. Shin EY, Kim CH, Yoo WS, Kim HG, Kim CY. The effect of case management program for diabetic patients in Korean community. J Korean Acad Community Health Nurs. 2003; 14(4):559–567.
26. Shin HR, Lim SJ, Cho JH. Support and evaluation on case management of medical aid program. Seoul: Korea Human Resource Development Institute of Health and Welfare;2009.
27. Shin YS, Shin HW, Whang DG. Medical aid case management & its effects analysis I. Seoul: Korea Institute for Health and Social Affairs;2007.
28. So AY, Kim YM, Kim EY, Kim CY, Kim CH, Kim HG, et al. Effects of community-based case management program for clients with hypertension. J Korean Acad Nurs. 2008; 38(6):822–830.
crossref
29. Yang SO, Ahn SY, Yim ES, Kwon MS. The effects of customized home visiting health service in Gangwon-do: Focused on hypertension and DM clients. J Korean Acad Community Health Nurs. 2008; 19(1):88–100.
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