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HOME > J Korean Acad Community Health Nurs > Volume 23(4); 2012 > Article
Original Article
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):438-445.
DOI: https://doi.org/10.12799/jkachn.2012.23.4.438
Published online: December 31, 2012

1Department of Nursing, Suwon Science College, Hwaseong, Korea.

2Department of Nursing, Dankook University, Cheonan, Korea.

• Received: November 12, 2012   • Accepted: December 22, 2012

Copyright © 2012 Korean Academy of Community Health Nursing

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  • Purpose
    Medical Aid Beneficiaries were surveyed to identify differences in health behaviors, adherence to drug regimen, and quality of life between those people in the Designated Doctor System and those who are not.
  • Methods
    A total of 1,327 study subjects were separated into three groups: those in the Designated Doctor System for 2 years, those in for 1 year, and those not in the system.
  • Results
    After the introduction of the Designated Doctor System, 55.8% and 67.9%, respectively, of the subjects in the Designated Doctor System complained of inconvenience in relation to hospital use and the patient referral process. Also, the rate of emergency room use or hospitalization guided by the Designated Doctor System was only 8.7% and 6.5%, respectively. There were no significant differences in health behaviors and adherence to drug regimens between those in the Designated Doctor System and those who are not.
  • Conclusion
    This study was carried out early in the introduction of the system. Therefore, it is necessary to monitor the positive and negative effects of the Designated Doctor System for a full reflection of its impact.
Table 1
Individual Characteristics of Client
jkachn-23-438-i001.jpg
Table 2
Reasons for Choice & Inconvenience of Designated Doctor System Appliers
jkachn-23-438-i002.jpg
Table 3
The Degree of Limit in Medical Accessibility due to Designated Doctor System
jkachn-23-438-i003.jpg
Table 4
Health Behavior of Client
jkachn-23-438-i004.jpg
Table 5
Medication Adherence and Quality of Life in Client
jkachn-23-438-i005.jpg
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    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

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