Research in Community and Public Health Nursing

Original Articles

[English] The Difficulty of Case Management or Counseling for Non-suicidal Self-injury in Adolescents: Focused on the Factors in the Community: Yeo Won Jeong, In Hong Kim, Young Hee Park; J Korean Acad Community Health Nurs. 2021;32(1):1-11. Published online March 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.1.1

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Abstract PDF: Purpose
This qualitative study is aimed to explore the factors in the aspect of the community that made it difficult for field experts to conduct counseling and case management. Methods: A total of four focus group interviews composed of 15 field experts including nurses were conducted. Results: A theme, six categories and 22 subcategories were derived. As for the theme, it was found that legal, educational, and environmental systems reflecting non-suicidal self-injury of the characteristics in adolescents were insufficient. In the legal aspect, the defect of the parental education legal system, the reality of having to rely on parental consent when supporting adolescents with non-suicidal self-injury; in the educational aspect, the lack of manuals and education for counseling and case management for adolescents with non-suicidal self-injury; in the environmental aspects, the defect of economic burden and support, a lack of information systems for various organizations in the local community, absence of a dedicated support system for adolescent with non-suicidal self-injury and a lack of human and physical resources. Conclusion: Based on the results of this study, there needs to be a responsible institution that can comprehensively manage the non-suicidal self-injury of adolescents, and efforts to develop the competence of community nurses.

[English] Social Network, Self-Care Agency and Quality of Life of High-risk Beneficiaries in Case Management of Medicaid: Ju Young Park, Jung Tae Son; J Korean Acad Community Health Nurs. 2017;28(4):421-430. Published online December 31, 2017; DOI: https://doi.org/10.12799/jkachn.2017.28.4.421

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Abstract PDF: PURPOSE
This study investigates the social network, self-care agency, and quality of life of high-risk beneficiaries in case management of Medicaid and the correlations between these variables. It also identifies influencing factors on their quality of life.
METHODS
The subjects included 187 individuals chosen from the high-risk beneficiaries in case management of Medicaid in D Metropolitan City. Data was collected through direct interviews based on a structured questionnaire on home visits.
RESULTS
The perceived health status was the most influential factor in their quality of life, followed by self-care agency, mutual support network, and natural support network in order. These factors explained 40.6% of their quality of life.
CONCLUSION
These findings raise a need to develop a nursing intervention program to increase the self-care agency of the high-risk beneficiaries in case management of Medicaid.

[English] Effectiveness of Community-based Case Management for Patients with Hypertension: Soon Nyoung Yun, In Sook Lee, Jin Hyun Kim, Young Ko; J Korean Acad Community Health Nurs. 2014;25(3):159-169. Published online September 30, 2014; DOI: https://doi.org/10.12799/jkachn.2014.25.3.159

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Abstract PDF: PURPOSE
The purpose of this study was to evaluate the effectiveness of case management for patients with hypertension on their health status and medical service utilization.
METHODS
This study was a secondary analysis of data collected for a larger study of chronic disease management in 2008 using the National Health Insurance Corporation database. A total of 12,944 patients who received case management for hypertension were included in this analysis. The subjects of case management were classified into subgroups, namely, over-use, under-use, and non-use groups according to the amount of medical service utilization. To compare the medical service utilization, a control group was selected randomly. The data were analyzed through descriptive statistics, McNemar test, and ANOVA.
RESULTS
All the subgroups displayed significant differences in blood pressure, self-management, social support, and their characteristics of medical service utilization. The total medical expense of the under-use and non-use groups increased after case management. However, there was no decrease in the medical expense of the over-use group.
CONCLUSION
This finding suggests that there is a need to re-examine why patients overuse medical services and to supplement specific strategies for encouraging appropriate medical service utilization, and enhancing case management efforts for the over-use group.

[English] The Effects of Case Management for Clients with Clonorchiasis in Riverside Areas: Chun Mi Kim, Hee Gerl Kim, Kyung Ja June, Souk Young Kim; J Korean Acad Community Health Nurs. 2012;23(4):427-437. Published online December 31, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.4.427

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Abstract PDF

PURPOSE
In order to lower the infection rate and the reinfection rate of Clonorchiasis in high-risk areas, we performed and analyzed a case management on people with chlonorchisis.
METHODS
The data was collected from April 2010 to March 2011. A community health practitioner was selected as a case manager based on our training program. The intervention group had 58 participants with three months of case management and the control group had 144 participants handled with traditional methods.
RESULTS
The pre and post-test in the intervention group and the control group showed us improved knowledge of Clonorchiasis, attitudes and behavior toward eating freshwater fish. The results of post-test between the intervention group and the control group showed statistically significant differences in all categories, except a hand-washing category. However, one year after a case management, there was no significant difference in the failure rate of treatment.
CONCLUSION
The case management was effective for people infected with Clornorchiasis near riverside areas; however, in order to lower the rates of reinfection and treatment failure, it is necessary to perform continuous monitoring and regular evaluations.

Citations

Citations to this article as recorded by

A new method for estimating the prevalence of clonorchiasis in Korea
Jin-Young Jeong, Jin Yong Lee, Byung-Suk Chung, Younghyun Choi, Allison Baer Alley, Hyun Joo Kim
Medicine.2017; 96(13): e6536. CrossRef
Population-Based Regional Cancer Incidence in Korea: Comparison between Urban and Rural Areas
Haa-Na Song, Se-Il Go, Won Sup Lee, Yire Kim, Hye Jung Choi, Un Seok Lee, Myoung Hee Kang, Gyeong-Won Lee, Hoon-Gu Kim, Jung Hun Kang, Yune Sik Kang, Jeong-Hee Lee, Jin-Myung Jung, Soon Chan Hong
Cancer Research and Treatment.2016; 48(2): 789. CrossRef

[English] Effects of Tailored Case Management using a Gatekeeper for the Depressed Single-household Elderly Population: Focusing on the Mental Health Case Management: Yun Jung Choi, Mi Ra Won; J Korean Acad Community Health Nurs. 2012;23(4):376-385. Published online December 31, 2012; DOI: https://doi.org/10.12799/jkachn.2012.23.4.376

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11 Citations

Abstract PDF

PURPOSE
The aim of this study was to evaluate the effects of tailored case management using a gatekeeper on depression and life satisfaction in the single-household elderly population.
METHODS
The design of Quasi experiment was applied to compare the variables before and after the management. Ninety-seven people who had depression categorized by the Korean Geriatric Depression Scale.
RESULTS
Depression (t=11.22, p<.001) and life satisfaction (t=-5.36, p<.001) were improved after management in comparison to the results of pre-tests, and the differences were statistically significant. The difference in the pre-test and post-test scores of the support system (chi2=13.89, p<.001) were significant, while the differences in the perception of depression (chi2=.02, p=.891) and coping methods (chi2=.34, p=.558) were not statistically significant.
CONCLUSION
Tailored case management using a gatekeeper is effective to reduce the degree of depression and improve life satisfaction in the single-household elderly population having depression. This study offers a model of individualized as well as systemic mental health care for the community of single-house hold elderly people as an effective means for prevention of and early intervention in depression.

Citations

Citations to this article as recorded by

Effects of Client‐Centered Occupational Therapy Intervention in Older Adults With Depression: A Randomized Controlled Trial
HyeongGi Jeong, DeokJu Kim, Patricia Belchior
Occupational Therapy International.2025;[Epub] CrossRef
Examining Utilization of Formal Supports and Related Impacts on Overall Well-Being Among East Asian American Family Caregivers of Persons With Dementia: A Mixed-Methods Study
Kathy Lee, Jessica Cassidy, Jihui Lee, Chang Hyun Seo, Alan Kunz Lomelin, Hye-Won Shin, Joshua D Grill, Tonya J Roberts
The Gerontologist.2024;[Epub] CrossRef
The mediating effect of life satisfaction and the moderated mediating effect of social support on the relationship between depression and suicidal behavior among older adults
Mi‐Ra Won, Eun‐Joo Choi, Eunjung Ko, Youn‐Joo Um, Yun‐Jung Choi
International Journal of Geriatric Psychiatry.2021; 36(11): 1732. CrossRef
Mediating Effects of Social Support on Depression and Suicidal Ideation in Older Korean Adults With Hypertension Who Live Alone
Eun Jeong NAM, Jong-Eun LEE
Journal of Nursing Research.2019; 27(3): e20. CrossRef
Case management effectiveness for managing chronic illnesses in Korea: a systematic review
J.Y. Joo, M.F. Liu
International Nursing Review.2019; 66(1): 30. CrossRef
A social psychiatric approach to suicide prevention
Sung-Wan Kim, Min Jhon, Mina Kim, Jong-Woo Paik, Jae-Min Kim, Jin-Sang Yoon
Journal of the Korean Medical Association.2019; 62(2): 93. CrossRef
Effects of a Program to Improve Mental Health Literacy for Married Immigrant Women in Korea
Yun-Jung Choi
Archives of Psychiatric Nursing.2017; 31(4): 394. CrossRef
Factors Affecting the Intention to Participate in Healthcare Programs among Elders Living Alone
Mi Sook Song, Sunjoo Boo
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 319. CrossRef
Material hardship and depression among low‐income households in South Korea: Differences by household type
Jaeseung Kim, Joyce Shim, RaeHyuck Lee
International Journal of Social Welfare.2016; 25(2): 187. CrossRef
A Study on the Effect of Education Method for Adolescent's Suicide Prevention Using HMD and Virtual Reality
Yungil Lee
Journal of Korea Multimedia Society.2016; 19(2): 495. CrossRef
A Study on the Experience of Depression in Elderly Women Living Alone
Mi-Ra Won, Kwang Ja Lee
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(3): 195. CrossRef

[English] The Effects of a Case Management Program of Customized Home Visiting Health Service for Clients with Arthritis: Soon Ok Yang, Myung Soon Kwon, Yong Jun Choi, Seung Hee Lee; J Korean Acad Community Health Nurs. 2011;22(2):151-161. Published online June 30, 2011; DOI: https://doi.org/10.12799/jkachn.2011.22.2.151

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9 Citations

Abstract PDF

PURPOSE
The purpose of this study was to analyze the effects of a case management program on range of motion, pain, depression and self efficacy in community-dwelling older women with knee arthritis.
METHODS
The research design was one-group pre and post-test design with 40 participants with knee arthritis who agreed to participate in the 12-week case management program. Data were collected four times, before and after 4, 8 and 12 weeks.
RESULTS
Repeated measures ANOVA revealed significant differences between before and after the service in range of motion, pain, depression and self efficacy. Significant improvements from the baseline to 4 weeks after the service were observed in the measurements of range of motion, pain, depression and self efficacy. There were no significant differences in range of motion, pain and depression between 4 and 12 weeks after the services.
CONCLUSION
This study represents the first effort showing that a case management program can have positive outcomes on range of motion, pain, depression and self efficacy for older women with knee arthritis. More research using a control group pre-post test design considering time lapse is needed in order to examine more accurately the effects of case management programs for knee arthritis.

Citations

Citations to this article as recorded by

Effects of Accelerated Rehabilitation Exercise on the Senior Fitness Test (SFT), Isometric Muscle strength, and Blood Profile in Older Adult Women with Degenerative Knee Osteoarthritis
Ju-ri Lee, Hong-sun Song, Tae-beom Seo, Jong-baek Lee
Korean Journal of Sport Science.2024; : 81. CrossRef
Effects of spatial accessibility of community health services on the activities of daily living among older adults in China: a propensity score matching study
Yuee Li, Xiaohui Liu
Frontiers in Public Health.2024;[Epub] CrossRef
Effects of a nurse-led multicomponent intervention for frail older adults living alone in a community: a quasi-experimental study
Mi Sook Song, Sunjoo Boo
BMC Nursing.2022;[Epub] CrossRef
Long-term Monitoring of Changes in Blood Pressure, Blood Glucose, and Total Cholesterol Levels among Frail Older Individuals Receiving Home Health Care Nursing in South Korea
Young-Ran Chin, Hyo Young Lee
Journal of Community Health Nursing.2021; 38(1): 13. CrossRef
Benefit analysis of visiting healthcare in public health centers
Sukja Ko, Young-Ho Jung, Jae Yong Lee
Korean Journal of Health Education and Promotion.2018; 35(5): 69. CrossRef
The Effects of Foot Reflexology on Arthralgia, Ankylosis, Depression, and Sleep in Community-dwelling Elderly Women with Osteoarthritis
Chung Soon Kim, Kwang Soo Yoo, Se Hwa Hong
Journal of Korean Academy of Community Health Nursing.2014; 25(3): 207. CrossRef
Symptoms, aging-stereotyped beliefs, and health-promoting behaviors of older women with and without osteoarthritis
Hyun-E Yeom
Geriatric Nursing.2013; 34(4): 307. CrossRef
Effects of Tailored Case Management using a Gatekeeper for the Depressed Single-household Elderly Population -Focusing on the Mental Health Case Management-
Yun-Jung Choi, Mi-Ra Won
Journal of Korean Academy of Community Health Nursing.2012; 23(4): 376. CrossRef
The Effects of Case Management for Clients with Clonorchiasis in Riverside Areas
Chunmi Kim, Hee-Gerl Kim, Kyung-Ja June, Souk-Young Kim
Journal of Korean Academy of Community Health Nursing.2012; 23(4): 427. CrossRef

[English] 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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5 Citations

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

[English] The Effects of Tele-care Case Management Services for Medical Aid Beneficiaries: Yang Heui Ahn, Eui Sook Kim, Il Sun Ko; J Korean Acad Community Health Nurs. 2010;21(3):351-361. Published online September 30, 2010; DOI: https://doi.org/10.12799/jkachn.2010.21.3.351

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4 Citations

Abstract PDF

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.

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
A study on the Effectiveness of Case Management in Elderly Medicaid Beneficiaries by Geographic Location
Jeong-Hyun Cho, Soon-Ock Kim, Myeong-Kyeong Song, Eun-Shil Yim
Journal of Korean Public Health Nursing.2012; 26(2): 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

[English] 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

[English] The Effects of Customized Home Visiting Health Service in Gangwon-do: Focused on Hypertension and DM Clients: Soon Ok Yang, Soo Yeon Ahn, Eun Shil Yim, Myung Soon Kwon; J Korean Acad Community Health Nurs. 2008;19(1):88-100. Published online March 31, 2008

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Abstract PDF: PURPOSE
This study was to present the effects of home visiting health service on hypertension and DM clients.
METHOD
The one-group pretest-posttest design was applied to 127 hypertension and 116 DM clients. To evaluate the effects of visiting nursing service, biological indexes and self-care abilities were measured from April to July, 2007.
RESULT
Biological indexes and self-care abilities were improved in the hypertension and DM clients who received visiting nursing service. Especially, blood pressure and fasting blood sugar showed a dramatic decrease.
CONCLUSION
Home visiting health service by public health centers is considered to be an effective nursing service in Gangwon-do. Therefore, case management is demanded not only for hypertension and DM but also for other chronic diseases.

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