Research in Community and Public Health Nursing

Original Articles

Effects of Medicaid Case Manager's Communication Competence and Stress on Their Job Satisfaction: Seung Joo Lim; J Korean Acad Community Health Nurs. 2019;30(2):195-205. Published online June 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.2.195

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Abstract PDF: PURPOSE
This study was conducted to identify effects of Medicaid Case Manager's communication competence and stress on their job satisfaction.
METHODS
The current work is descriptive research, and the participants were 154 medicaid case managers. Data were collected between May and July, 2017 through Embrain, a specialized research organization. The data were analyzed using independent t-test, ANOVA, and multiple regression.
RESULTS
The mean communication competence of the medicaid case managers was 3.61, stress 1.76, and their job satisfaction 2.74. Age and average monthly compensation brought significant differences in their job satisfaction. Their communication competence was correlated with stress (r=âˆ’.35, p<.001), but not with their job satisfaction. The stress was the most influential factor in job satisfaction (Î²=âˆ’.45).
CONCLUSION
The results of this work show that the medicaid case managers' communication competence was not an influence factor of their job satisfaction, which is different from implications from the previous studies and needs confirmation through future research. In addition the results of this study also suggest that stress management can be a useful approach to the improvement of medicaid case managers' job satisfaction.

The Death Anxiety and Depressive Symptoms among Poor Older Women in Rural Areas: The Moderating Effect of Social Support: Seung Joo Lim, Young Ko, Chun Mi Kim, Hung Sa Lee; J Korean Acad Community Health Nurs. 2017;28(4):440-449. Published online December 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.4.440

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PURPOSE
This study was conducted to identify the moderate effect of social support on the relationship between death anxiety and depressive symptoms among poor older women in rural areas.
METHODS
This was a secondary analysis of the data from 209 women who were participated in the intervention study to evaluate the effectiveness of depression prevention program. Data were collected between April and September 2012. The data were analyzed using moderate multiple regressions.
RESULTS
Among these poor older women, depressive symptoms were associated with death anxiety and social support. Self-esteem support had a moderating effect on the relationship between death anxiety and depressive symptoms.
CONCLUSION
The results indicate that the self-esteem support was effective in decreasing depressive symptoms and death anxiety in poor older women. In order to reduce their depression and make positive changes in their lives, self-esteem improvement programs are needed.

Citations

Citations to this article as recorded by

The influence of tai chi on the death anxiety of elderly people living alone: the chain mediating effect of social support and psychological capital
Jiali Zhou, Baoyuan Wu, Lining Su, Xiujie Ma
Frontiers in Psychology.2024;[Epub] CrossRef
Death anxiety, self‐esteem, and health‐related quality of life among geriatric caregivers during the COVID‐19 pandemic
Xia Zhao, Weihua Zhang, Yonggang Su, Yanping Song, Huaxin Si, Lifeng Zhu
Psychogeriatrics.2022; 22(2): 236. CrossRef
Death Depression Among Older Adults: A Concept Analysis Utilizing An Evolutionary Approach
Ameneh Yaghoobzadeh, Rebecca H. Lehto, Leila Mardanian Dehkordi, Mohammad Ali Cheraghi, Shahzad Pashaeipour
Research and Theory for Nursing Practice.2022; 36(3): 265. CrossRef
Cohort profile: Korean Urban Rural Elderly (KURE) study, a prospective cohort on ageing and health in Korea
Namki Hong, Kwang-Joon Kim, Su Jin Lee, Chang Oh Kim, Hyeon Chang Kim, Yumie Rhee, Yoosik Youm, Jin-Young Choi, Hyun-Young Park
BMJ Open.2019; 9(10): e031018. CrossRef

The Effects of a Positive Psychology Improvement Program on Elders' Depression and Death Anxiety: Seung Joo Lim, Hung Sa Lee, Chun Mi Kim, Young Go; J Korean Acad Community Health Nurs. 2015;26(3):238-247. Published online September 30, 2015; DOI: https://doi.org/10.12799/jkachn.2015.26.3.238

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Abstract PDF

PURPOSE
This study was conducted to investigate the effects of a positive psychology improvement program on elders' depression and death anxiety.
METHODS
This was conducted as a quasi-experimental study with non-equivalent control group pretest-posttest design. The participants were community elders aged over 65 recruited by convenient sampling. A total of 94 elders (32 in the individual experimental group, 32 in the collective experimental group, and 30 in the control group) participated. Data were collected between April and September, 2012 and analyzed by using SPSS/WIN 21.
RESULTS
The individual and group approach experimental groups had significantly lower scores of depression than the control group after the treatment (F=7.50, p=.001). For death anxiety, however, only the individual experimental group had a significantly lower score compared to the control group (F=4.56, p=.013).
CONCLUSION
These results indicate that the positive psychology improvement program was effective in decreasing depression and death anxiety in the elderly. Therefore, the program needs to be applied in a customized way fittingly to the characteristics of the elderly in community, and individually and/or collectively according to its purposes.

Citations

Citations to this article as recorded by

Impact study on the Livelihood and Health Program at Workability Skills Training Foundation, Inc.
Sevillia S Felicen, Leonila M Adarlo
International Journal of Research Studies in Management.2022;[Epub] CrossRef
Aging and Positive Psychology
Ray Marks
Journal of Aging Research and Healthcare.2021; 4(1): 43. CrossRef
Effects of Positive Psychology-Based Program for the Depressed Pregnant Women
Hyeon Hee Shin, Yeong Hee Shin
Journal of The Korean Society of Maternal and Child Health.2021; 25(2): 109. CrossRef
Influence of Positive Psychological Capital and Death Awareness on Terminal Care Performance of Hematooncology Unit Nurses
Seo Yeon Jung, Jeong Hye Kim
The Korean Journal of Hospice and Palliative Care.2019; 22(2): 77. CrossRef
The Death Anxiety and Depressive Symptoms among Poor Older Women in Rural Areas: The Moderating Effect of Social Support
Seung Joo Lim, Young Ko, Chunmi Kim, Hung Sa Lee
Journal of Korean Academy of Community Health Nursing.2017; 28(4): 440. CrossRef

Trend Analysis of Experimental Research Papers on Community Health Nursing: Based on Researches Published in the Journal of Korean Academy of Community Health Nursing, 1989~2012: Chun Mi Kim, Seung Joo Lim; J Korean Acad Community Health Nurs. 2014;25(2):146-157. Published online June 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.2.146

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Abstract PDF

PURPOSE
The objective of this study is to analyze systematically the trends of experimental researches in the area of community health nursing.
METHODS
This is a study based on literature review, which analyzed 137 experimental research papers in the Journal of Korean Academy of Community Health Nursing, from the first issue in 1989 to those in 2012.
RESULTS
1) The proportion of experimental researches in the total published papers was 14.9%. 2) The mainly used research method was quasi-experiment, which was 60.6% of them, and there was no RCT. 3) Convenient sampling was used in 95.6% of the researches. 4) Only 5.1% were reviewed for keeping the ethical standards for the study objects by the IRB. 5 When classified by the Omaha Classification System, psycho-social researches were most frequent, which were followed by physiological, health-related behavioral, and environmental ones in order of frequency.
CONCLUSION
This study found that the proportion of experimental research papers was increasing in the 2000s and ethical standards were required more rigorously. However, it was suggested that the research design be more elaborated and sampling methods be manifested to reduce research bias and errors.

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
Research Trends Analysis of Published Papers in the Journal of Korean Ophthalmic Optics Society
Se-Hoon Jung, Hee-Kyoung Park, Ok-Jin Lee
Journal of Korean Ophthalmic Optics Society.2015; 20(2): 93. CrossRef

The Effects of Case Management for Medicaid on Healthcare Utilization by the Medicaid System: Seung Joo Lim; J Korean Acad Community Health Nurs. 2010;21(4):375-385. Published online December 31, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.4.375

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Abstract PDF

PURPOSE
This study examined the effects of case management (CM) for Medicaid on healthcare utilization considering the Medicaid system.
METHODS
Data were extracted from survey data on "Healthcare utilization and health status of Medicaid beneficiaries" conducted in 2007 and 2008 by the Ministry for Health, Welfare and Family Affairs. This study was designed to compare the effects on healthcare utilization between the CM group and the non-CM group. The subjects were 535 Type I Medicaid beneficiaries who utilized healthcare more than 365 days during 2006.
RESULTS
The outpatient days and medication days of the CM group decreased significantly more than those of the non-CM group with the copayment system. There were no significant differences of healthcare utilization between the CM group and the non-CM group with the designated doctor system.
CONCLUSION
CM worked effectively on Medicaid beneficiaries' outpatient healthcare utilization with the copayment system. However, its effects on hospitalization, which is a major cause increasing the total expense, were not observed. Therefore, future studies are needed to develop strategies to reduce hospitalization and Medicaid beneficiaries' outpatient healthcare utilization with the designated doctor system.

Citations

Citations to this article as recorded by

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
The Effects of the Designated Doctor System on Health Care Utilization of Medical Aid Beneficiaries with Chronic Diseases
Min Jung Kim, Young-Ha Cho, Nam Hee Park
Journal of Korean Academy of Community Health Nursing.2015; 26(3): 278. 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
Effectiveness of Community-based Case Management for Patients with Hypertension
Soon-Nyoung Yun, In-Sook Lee, Jin Hyun Kim, Young Ko
Journal of Korean Academy of Community Health Nursing.2014; 25(3): 159. CrossRef
The Effects of the Designated Doctor System on the Health of Medical Aid Beneficiaries
Jeongmyung Choi, Jinjoo Oh
Journal of Korean Academy of Community Health Nursing.2012; 23(4): 438. CrossRef

Change in Healthcare Utilization by Disease Severity after Case Management for Medicaid: Seung Joo Lim; J Korean Acad Community Health Nurs. 2010;21(3):321-332. Published online September 30, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.3.321

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4 Citations

Abstract PDF

PURPOSE
This study examined change in healthcare utilization by disease severity after case management (CM) for Medicaid.
METHODS
Data were extracted from survey data on "Healthcare utilization and health status of Medicaid beneficiaries" conducted in 2007 and 2008 by the Ministry for Health, Welfare and Family Affairs. This study was designed to compare change in healthcare utilization between the CM group and the non-CM group. The subjects were 528 Type I Medicaid beneficiaries who utilized healthcare more than 365 days during 2006.
RESULTS
In beneficiaries having fewer than 3 among the 11 notified diseases, the CM group showed a significantly larger decrease in outpatient day, outpatient expense, medication day, and medication expense than the non-CM group. In beneficiaries having 3 or more among the 11 notified diseases, however, there was no significant difference in healthcare utilization between the CM group and the non-CM group.
CONCLUSION
CM worked effectively on Medicaid beneficiaries outpatient healthcare utilization for mild diseases. However, its effects on hospitalization, which is a major cause increasing the total expense, were not observed. Therefore, a future study is needed to develope strategies to reduce hospitalization and care for Medicaid beneficiaries with severe diseases.

Citations

Citations to this article as recorded by

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
Comparing the Needs of Case Management between Medical Aid Beneficiaries with Simple and Multiple Chronic Diseases
Yang Heui Ahn, Yeonok Suh, Ok Kyung Ham, Hee Kyung Kim
The Korean Journal of Rehabilitation Nursing.2015; 18(2): 98. CrossRef
Case Management for Medical Aid Beneficiaries in Korea: Findings from Case-control Study
Hee-Sun Shin, Jin-Joo Oh
Asian Nursing Research.2014; 8(4): 274. 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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