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Original Article

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

Journal of Korean Academy of Nursing Administration 2010;16(4):381-388.
Published online: December 31, 2010

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: 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.
  • 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.
  • 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.
  • 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.
  • 13. http://www.nhsdirect.nhs.uk/.
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
      Soon Ock Kim, Jeonghyun Cho
      Journal of Korean Public Health Nursing.2015; 29(3): 412.     CrossRef
    • The Effect of Case Management Services for High-risk Medicaid Beneficiaries
      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
      Yang Heui Ahn, Eui Sook Kim, Ok Kyung Ham, Soo Hyun Kim, Soon Ok Kim, Myung Kyung Song
      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
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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
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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

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