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The Effects of Tele-care Case Management Services for Medical Aid Beneficiaries

Article information

Res Community Public Health Nurs. 2010;21(3):351-361
Publication date (electronic) : 2014 April 04
doi : https://doi.org/10.12799/jkachn.2010.21.3.351
Yang Heui Ahn1, Eui Sook Kim2, Il Sun Ko3
1Professor, Department of Nursing, Wonju College of Medicine, Yonsei University, Korea.
2Emeritus Professor, College of Nursing, Yonsei University, Korea.
3Professor, College of Nursing, Yonsei University, Korea.
Address reprint requests to: Ahn, Yang Heui, Department of Nursing, Wonju College of Medicine, Yonsei University, 162 Ilsan-dong, Wonju 220-701, Korea. Tel: 82-33-741-0383, Fax: 82-33-743-9490, ahn57@yonsei.ac.kr
Received 2010 June 27; Revised 2010 September 19; Accepted 2010 September 20.

Abstract

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.

Keywords: Case management; Medicaid; Quality of life; Self-care; Utilization

Notes

This work was supported by a research grant from Yonsei University Wonju College of Medicine (YUWCM-2009-47).

References

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Article information Continued

© 2013 Korean Academy of Community Health Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Funded by : Yonsei University Wonju College of Medicine
Award ID : YUWCM-2009-47

Table 1

General Characteristics of Subjects (N=134)

Table 1

†The unanswered were excluded; ‡Disease code.

Table 2

Comparison of Case Management Needs between Pre and Post-Intervention by Groups (N=134)

Table 2

Table 3

Comparison of Health Quality of Life between Pre and Post-intervention by Groups (N=134)

Table 3

Table 4

Comparison of Self-care Competency between Pre and Post-intervention by Groups (N=134)

Table 4

Table 5

Comparison of Medical Care Utilization between Pre and Post-intervention by Groups (N=134)

Table 5