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Original Article

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

Hyun-Joo Lee1, Jin-Joo Oh2, Jeong-Myung Choi3
Journal of Korean Academy of Nursing Administration 2010;16(4):381-388.
Published online: December 31, 2010

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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: May 30, 2010   • Revised: October 1, 2010   • Accepted: November 3, 2010

Copyright © 2010 Korean Academy of Nursing Administration

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  • 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.
  • Key Words: Medicaid; Case Management; Health Care; Medical Use
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Table 1
Difference of the case management in the TCR and GCR
jkana-16-381-i001.jpg

†Tele Care Region; ‡General Care Region

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

†Tele Care Region; ‡General Care Region

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

†Tele Care Region; ‡General Care Region

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

†Tele Care Region; ‡General Care Region

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

†Tele Care Region; ‡General Care Region

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

†Tele Care Region; ‡General Care Region

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Trends of Research on the Case Management of Medicaid Beneficiaries in Korea
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      Journal of Korean Public Health Nursing.2015; 29(3): 412.     CrossRef
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      Young Jin Ahn, Yun-Kyoung Choi
      Journal of the Korea Academia-Industrial cooperation Society.2015; 16(8): 5430.     CrossRef
    • A Study on Influential Factors on Satisfaction with the Use of Medical Services by the Qualified Recipients of Medical Aid(focusing on the period after the introduction of the selected medical center system)
      Jin-Woo Lee, Se-I Yang, Kwang-Hwan Kim
      Journal of Digital Convergence.2014; 12(3): 289.     CrossRef
    • Validation of a Needs Assessment Tool for Case Management in Korean Medical Aid Beneficiaries
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      Journal of Korean Academy of Nursing.2012; 42(4): 549.     CrossRef
    • Multilevel Analysis of Health Care Service Utilization among Medical Aid Beneficiaries in Korea
      Yang Heui Ahn, Ok Kyung Ham, Soo Hyun Kim, Chang Gi Park
      Journal of Korean Academy of Nursing.2012; 42(7): 928.     CrossRef

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    Comparison of Case Management between Tele Care Regions and General Care Regions in Korean Medicaid
    J Korean Acad Nurs Adm. 2010;16(4):381-388.   Published online December 31, 2010
    DOI: https://doi.org/10.11111/jkana.2010.16.4.381
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    Comparison of Case Management between Tele Care Regions and General Care Regions in Korean Medicaid
    J Korean Acad Nurs Adm. 2010;16(4):381-388.   Published online December 31, 2010
    DOI: https://doi.org/10.11111/jkana.2010.16.4.381
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    Comparison of Case Management between Tele Care Regions and General Care Regions in Korean Medicaid
    Comparison of Case Management between Tele Care Regions and General Care Regions in Korean Medicaid

    Difference of the case management in the TCR and GCR

    †Tele Care Region; ‡General Care Region

    Individual characteristics of TCR and GCR

    †Tele Care Region; ‡General Care Region

    Health behavior of TCR and GCR

    †Tele Care Region; ‡General Care Region

    Attitude of using medicaid and medication compliance of TCR and GCR

    †Tele Care Region; ‡General Care Region

    Medication compliance of TCR and GCR

    †Tele Care Region; ‡General Care Region

    Change of the use hospital and cost of TCR and GCR

    †Tele Care Region; ‡General Care Region
    Table 1 Difference of the case management in the TCR and GCR

    †Tele Care Region; ‡General Care Region

    Table 2 Individual characteristics of TCR and GCR

    †Tele Care Region; ‡General Care Region

    Table 3 Health behavior of TCR and GCR

    †Tele Care Region; ‡General Care Region

    Table 4 Attitude of using medicaid and medication compliance of TCR and GCR

    †Tele Care Region; ‡General Care Region

    Table 5 Medication compliance of TCR and GCR

    †Tele Care Region; ‡General Care Region

    Table 6 Change of the use hospital and cost of TCR and GCR

    †Tele Care Region; ‡General Care Region

    Table 1

    Table 2

    Table 3

    Table 4

    Table 5

    Table 6

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