Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
권호 표지
DOI QR코드

DOI QR Code

Medical Aid Beneficiaries' Experiences of Receiving Medical Aid Case Management

의료급여 수급자가 인식한 의료급여 사례관리 이용 경험

  • 조정현 (인제대학교 간호대학, 건강과학연구소) ;
  • 송명경 (안동과학대학교 간호학과) ;
  • 정경인 (대동대학교 간호학과) ;
  • 김삼숙 (대동대학교 간호학과)
  • Received : 2020.03.04
  • Accepted : 2020.04.20
  • Published : 2020.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to explore the perception of medical aid beneficiaries on their experiences of receiving case management. Methods: Data were collected through in-depth interviews with sixteen medical aid beneficiaries who had been receiving medical aid case management from at least one year ago. The data were analyzed using the NVivo software program for its qualitative content analysis. Results: Three categories emerged from the data: "not perceived but come into my territory", "realized the necessity of changes and begin to take care of my own health", and "satisfied passively with some of my changes." With respect to these categories, eight sub-categories were ultimately identified. Conclusion: It would be effective if both medical aid beneficiaries and case managers can set the case management goals and management plans together at the beginning of case management. It is also needed to develop a comprehensive case management model tailored to the characteristics and needs of the beneficiaries.

Keywords

References

  1. Ahn, Y. J., & Choi, Y, K. (2015). The effect of case management services for high-risk medicaid beneficiaries. Journal of the Korea Academia-Industrial Cooperation Society, 16(8), 5430-5441. https://doi.org/10.5762/KAIS.2015.16.8.5430
  2. Center for Medicaid in Korea. (2020). History of medicaid case management. Retrieved April 08, 2020, from https://www.macmc.or.kr/page.do?pgmid=macm020103
  3. Choi, A, S., Kim, M, H., Kim, S, O., & Yang, S. J. (2007). An analysis of nursing research trends about case management published in Korea. Journal of Korean Public Health Nursing, 21(2), 252-261.
  4. Choi, J. M. (2013). A study of health care service utilization and health behavior among medical aid beneficiaries in terms of whether to apply a designated doctor system. Journal of Korean Academy of Rural Health Nursing, 8(1), 5-12. https://doi.org/10.22715/JKARHN.2013.8.1.005
  5. Cho, J. H., Kim, S. O., Song, M. K., & Yim, E. S. (2012). A study on the effectiveness of case management in elderly medicaid beneficiaries by geographic location. Journal of Korean Public Health Nursing, 26(2), 289-302. https://doi.org/10.5932/JKPHN.2012.26.2.289
  6. Elo, S., & Kyngas, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), 107-115. https://doi.org/10.1111/j.1365-2648.2007.04569.x
  7. Hwang, D. K., Lee, S. Y., Woo, J. S., Kim, M. J., Park, K. R., Seo, E. W., et al. (2018). A study on efficient management plan of medical aid case management project. Research Report. Sejong: Korea Institute for Health and Social Affairs.
  8. Hwang, J. Y., Kim, B., & Kim, K. (2014). A qualitative study on attitude, acceptability, and adaptation for home-delivered meal services in the Korean elderly from the perspective of life context. Korean Journal of Community Nutrition, 19(5), 459-467. http://dx.doi.org/10.5720/kjcn.2014.19.5.459
  9. Kang, H. J., Oh, Y. S., Baek, H. Y., Ha, S. I., Kim, S. Y., Seo, E. W., et al. (2017). Korea healthcare quality report. Research Report. Sejong: Korea Institute for Health and Social Affairs.
  10. Kim, J. S., & Lee K, J. (2012). Effectiveness analysis on medicaid case management and its implications. Health and Welfare Policy Forum, 191(0), 50-59.
  11. Kim, S. A. (2012). The effects of case management intervention by medical aid case manager. Unpublished master's thesis, Hanyang University, Seoul.
  12. Kim, S. O., & Cho, J. H. (2015). Trends of research on the case management of medicaid beneficiaries in Korea. Journal of Korean Public Health Nursing, 29(3), 412-425. https://doi.org/10.5932/JKPHN.2015.29.3.412
  13. Lee, K. A. (2007). A study on the uses of medical benefits service-with a focus on the personal experiences of elderly recipients the basic livelihood security. Unpublished master's thesis, Seoul Women's University, Seoul.
  14. Lee, K. (2018). Health care perspectives on community care. Journal of Korean Medicine Association, 61(10), 586-589. https://doi.org/10.5124/jkma.2018.61.10.586
  15. Locke, E. A., & Latham, G. P. (1990). A theory of goal setting & task performance. Englewood Cliffs, NJ: Prentice-Hall.
  16. Ministry of Health and Welfare. (2020-a). Guideline for medical aid program in 2020. Sejong: Ministry of Health and Welfare.
  17. Ministry of Health and Welfare. (2020-b). Manual of medical aid case management in 2020. Sejong: Ministry of Health and Welfare.
  18. Moon, J. Y., & Kim, K. H. (2014). Conceptual approach to the client-centered delivery system of social welfare for model development. Journal of Budget and Policy, 3(1), 163-207. https://doi.org/10.35525/nabo.2014.3.1.005
  19. Mullahy, C. M. (1998). Essential readings in case management. 2nd ed. Gaithersburg MD: Aspen Publishers.
  20. Oh, J. J. (2009). On-the-job experiences of medical aid managers. Korean Journal of Occupational Health Nursing, 18(1), 84-97.
  21. Park, E. J., & Kim, C. M. (2008). Case management process identified from experience of nurse case managers. Journal of Korean Academy of Nursing, 38(6), 789-801. https://doi.org/10.4040/jkan.2008.38.6.789
  22. Park, J. Y., & Son, J. T. (2017). Social network, self-care agency and quality of life of high-risk beneficiaries in case management of medicaid. Journal of Korean Academy of Community Health Nursing, 28(4), 421-430. https://doi.org/10.12799/jkachn.2017.28.4.421
  23. Park, Y. H., & Lee, Y. J. (2017). Qualitative analysis of medical usage patterns of medical aid patients. The Korea Contents Society, 17(9), 39-49. https://doi.org/10.5392/JKCA.2017.17.09.039
  24. Sandelowski, M. (1986). The problem of rigor in qualitative research. Advances in Nursing Science, 8(3), 27-37. https://doi.org/10.1097/00012272-198604000-00005
  25. Shin, Y. S., Shin, H. O., & Hwang, D. K. (2008). Medical aid case management and effect analysis II. Seoul: Korea Institute for Health and Affairs.
  26. Shteynberg, G., & Galinsky, A. D. (2011). Implicit coordination: Sharing goals with similar others intensifies goal pursuit. Journal of Experimental Social Psychology, 47(6), 1291-1294. https://doi.org/10.1016/j.jesp.2011.04.012
  27. Sohn, J. I. (2008). The phenomenological study on medical aid beneficiaries' lived experiences of discrimination in Korean health care. Unpublished master's thesis. Seoul National University, Seoul.
  28. Song, M. K. (2015). Experience of health care utilization among medical aid excessive-users in Korea. Unpublished doctoral dissertation, Hanyang University, Seoul.
  29. Sohn, C. W., & Kim, J. A. (2017). Reality of healthcare utilization and health behaviors of medical aid beneficiaries in Seoul. Seoul: The Seoul Institute.