Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Validation of a Needs Assessment Tool for Case Management in Korean Medical Aid Beneficiaries

의료급여수급권자의 사례관리 요구측정도구의 타당도와 신뢰도 검증

  • 안양희 (연세대학교 원주의과대학 간호학과) ;
  • 김의숙 (연세대학교 간호대학) ;
  • 함옥경 (인하대학교 간호학과) ;
  • 김수현 (인하대학교 간호학과) ;
  • 김순옥 (의료급여사례관리사업지원단) ;
  • 송명경 (의료급여사례관리사업지원단)
  • Received : 2011.07.11
  • Accepted : 2012.07.23
  • Published : 2012.08.31
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Abstract

Purpose: The purpose of this study was to validate the Needs Assessment Tool for Case Management (NATCM) for use with Korean medical aid beneficiaries. Methods: Psychometric testing was performed with a sample of 645 Korean medical aid beneficiaries, which included 41 beneficiaries who were selected using proportional sampling method, to examine intraclass correlation coefficients (ICC). Data were evaluated using item analyses, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), Cronbach's alpha, and ICC. Results: Through psychometric testing the final version of NATCM was found to consist of two subscales: 1) Appropriateness of Health Care Utilization (5 items) and 2) Self Care Ability (6 items). The two subscale model was validated by CFA (RMSEA=.08, GFI=.97, and CFI=.93). Internal consistency measured by Cronbach's alpha was .82, and subscale reliability ranged from .79 to .84. The ICC of the NATCM between case managers was .73 and between case managers and health care professionals. .82. Conclusion: This study suggests that the final version of NATCM is a brief, reliable, and valid instrument to measure needs of Korean medical aid beneficiaries. Therefore, the NATCM can be effectively utilized as an important needs assessment as well as outcome evaluation tool for case management programs in Korea.

Keywords

References

  1. Ahn, Y. H., Kim, E. S., & Ko, I. S. (2010). The effects of tele-care case management services for medical aid beneficiaries. Journal of Korean Academy Community Health Nursing, 21(3), 351-361. https://doi.org/10.12799/jkachn.2010.21.3.351
  2. Ahn, Y. H., Kim, E. S., Jang, S. J., Ham, O. K., Kim, S. H., Kim, S. O., et al. (2010, May). Validation of needs assessment tool for case management among recipients in Korean medicaid. Seoul: Ministry of Health and Welfare.
  3. Anderson, K. L., & Rokosky, J. S. (2001). Evaluation of a home health patient classification instrument. Western Journal of Nursing Research, 23(1), 56-71. http://dx.doi.org/10.1177/01939450122044952
  4. Allen, C. E., Easley, C. E., & Storfjell, J. I. (1986). Cost management through caseload/workload analysis. In F. A. Shaffer (Ed.), Patients and purse strings: Patient classifcation and cost management (pp. 331-346). New York: National League for Nursing.
  5. Byrne, G., Brady, A. M., Griffith, C., Macgregor, C., Horan, P., & Begley, C. J. (2006). The Community Client Need Classification System - a dependency system for community nurses. Journal of Nursing Management, 14(6), 437-446. http://dx.doi.org/10.1111/j.1365-2934.2006.00672.x
  6. Center for Medicare and Medicaid Service. (2009). Case management regulation. Retrieved April 20, 2009, from http://www.cms.hhs.gov/
  7. Fleiss, J. L., & Cohen, J. (1973). The equivalence of weighted kappa and the intraclass correlation coefficient as measures of reliability. Educational and Psychological Measurements, 33, 613-619. http://dx.doi.org/10.1177/001316447303300309
  8. Kim, E. S., Ahn, Y. H., Ko, I. S., Lee, K. O., & Ko, J. S. (2008). Planning and development of guide for medical aid case management services. Seoul: Ministry of Health, Welfare, and Family & Yonsei University College of Nursing, Institute of Nursing Policy.
  9. Lee, E. O., Im, N. Y., & Park, H. A. (1998). Statistical analysis and nursing medical research. Seoul: Soomoonsa.
  10. Lee, H. J., Oh, J. J., & Choi, J. M. (2010). Comparison of case management between tele care regions and general care regions in Korean medicaid. Journal of Korean Academy of Nursing Administration, 16(4), 381-388. https://doi.org/10.11111/jkana.2010.16.4.381
  11. Ministry of Health and Welfare. (2009). Guide for medical aid program in 2009. Seoul: Author.
  12. Ministry of Health, Welfare and Family. (2011). Guide for medical aid program in 2011. Seoul: Author.
  13. Nunally. (1978). Psychometric theory (2nd ed.). NY: McGraw-Hill.
  14. Oh, J. J. (2010). Outcome of a pilot project on case management service for medial and clients. Journal of Korean Academy of Public Health Nursing, 24(1), 61-70.
  15. Polit, D. F., & Beck, C. T. (2008). Nursing research: Generating and assessing evidence for nursing practice (8th ed.). Philadelphia, PA: Lippincott Williams & Wilkins, a Wolters Kluwer Business.
  16. Shin, Y. S., Shin, H. W., & Hwang, D. K. (2007). Case management and its the effectiveness in Korean Medicaid. Seoul: Korea Institute for Health and Social Affairs.
  17. Shin, Y. S. (2010). Direction to go for medical aid. Health and Welfare Policy Forum, 167, 28-38.

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