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http://dx.doi.org/10.5932/JKPHN.2012.26.2.289

A study on the Effectiveness of Case Management in Elderly Medicaid Beneficiaries by Geographic Location  

Cho, Jeong-Hyun (College of Nursing, Korea University)
Kim, Soon-Ock (Department of Nursing, Kyungbok Univeristy)
Song, Myeong-Kyeong (College of Nursing, Hanyang University)
Yim, Eun-Shil (Department of Nursing, Daegu Health College)
Publication Information
Journal of Korean Public Health Nursing / v.26, no.2, 2012 , pp. 289-302 More about this Journal
Abstract
Purpose: The purpose of this study was to compare the effectiveness of case management in elderly medicaid beneficiaries according to geographic location. Methods: Data were collected from 23,633 elderly medicaid beneficiaries assigned from over users of medicaid. We used the need assessment tool developed by the government, which consists of 19 items with four subscales. Results: Among elderly medicaid beneficiaries, statistically significant differences in effectiveness of case management were observed for quality of life, self-care competency, medical care utility, and support system. Differences in case management effectiveness were higher in urban areas than in metropolitan or rural areas. Conclusion: The differentiated and tailored intervention model based on characteristics of participants, resource distribution, and geographic location may be needed for effective case management for elderly medicaid beneficiaries.
Keywords
Aged; Medicaid; Case management; Geographic locations;
Citations & Related Records
Times Cited By KSCI : 3  (Citation Analysis)
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1 Shin, Y. A., Shin, H. C., Shin, H. W., Park, E. J., Hong, S. W., Shin, S. M., Lim, S. J., Cho, J. H., Choi, S., & Hwang, D. K. (2008). Health services use and health status of medicaid beneficiaries according to medicaid policy change. Seoul: Ministry of Health, Welfare and Family Affairs, Korea Human Resource Development Institute for Health and Welfare, & Institute of Case Management for Medicaid.
2 Shin, Y. S., Choi, B. H., Shin, H. W., Hwang, D. K., & Yoon, S. J. (2005). Medical expenditure status and reforming the reward of medicaid for medicaid beneficiaries. Seoul: Ministry of Health and Welfare, & Korea Institute for Health and Social Affairs.
3 Shin, Y. S., Shin, H. W., & Hwang, D. K. (2007). Effectiveness of case management for medicaid I. Seoul: Korea Institute for Health and Social Affairs.
4 Shin, Y. S., Shin, H. W., Hwang, D. K., &, Rho, I. C. (2006). Monitoring for medicaid financial efficiency. Seoul: Korea Institute for Health and Social Affairs.
5 Son, S. R. (2005). A comparative study on the life quality of the elderly in urban and rural areas. Unpublished master's thesis, Honam University, Gwangju.
6 Sunwoo, D., & Oh, J. S. (2009). Policy issues for maintaining the living activity function of elderly people. Health and Welfare Policy Forum, 149, 64-76.
7 Lee, J. H., & Song, M. Y. (2004). The study of community-oriented welfare service for the rural elderly: focused on 'villages supported by special programs for the rural elderly. The Korean Journal of Community Living Science, 15(3), 149-165.
8 Lee, K. A. (2006). A study on the uses of medical benefits service-with a focus on the personal experiences of elderly recipients of the basic livelihood security. Unpublished master's theses, Seoul Women's University, Seoul.
9 Lee, S. H. (2012). Health behaviors and health status according to socioeconomic status of the elderly in Daegu. Journal of Korean Public Health Nursing, 26(1), 113-125.   DOI   ScienceOn
10 Lee, Y. J. (2005). Regional distribution and characteristics of health care resources. Journal of the Korean Regional Science Association, 21(3), 3-27.
11 Lee, Y. J. (2007). A Study of the factors and the regional difference of Medical aid program recipient's medical utilization. Social Welfare Policy, 28, 233-251.
12 Ministry of Health and Welfare (2010). Guideline for medicaid program in 2010. Seoul: Author.
13 Oh, J. J., Choi, J. M., & Ji, Y. G. (2009). Health services use and health status of medicaid beneficiaries according to medicaid policy change. Seoul: Ministry of Health, Welfare and Family Affairs, Korea Human Resource Development Institute for Health and Welfare, & Dankook University.
14 Ministry of Health and Welfare (2011). Ministry of Health and welfare year book 2011. Seoul: Author.
15 National Health Insurance Corporation (2011). The statistics of the Korean medicaid 2010. Seoul: Author.
16 Oh, J. J. (2010). Outcome of a pilot project on case management service for medical aid clients. Journal of Korean Public Health Nursing, 24(1), 61-70.
17 Rhee, W. H. (2006). Developing a case management strategies program for a Koream medical aid clients. Unpublished doctor's thesis, Hanyang University, Seoul.
18 Jee, Y. S., & Goo, C. M. (2007). The Differences of Abilities to Physical Activity, Social Networks,Depression Degrees of Elderly between residing Rural and Urban. Journal of Coaching Development, 9(2), 425-439.
19 Jang, I. S. (2003). A study on self-related health of elderly women in a rural community. Journal of Korean Public Health Nursing, 17(1), 35-46.
20 Joo, K. S., Kim, H. J., Lee, S. H., & Min, H. Y. (1996). A comparative study on medical utilization between urban and rural Korea. Korean Journal of Preventive Medicine, 29(2), 311-329.
21 Kang, Y. S., Kim, E. S., Gu, M. O., & Eun, Y. (2003). A study on the health status and the needs of health-related services of female elderly in an urban-rural combined city. Journal of Korean Public Health Nursing, 17(1), 47-57.
22 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 Affairs & Yonsei University.
23 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.
24 Kim, E. S., Ahn, Y. H., Song, A, R., Lee, J. Y., Ham, O. K., Seo, Y. O., Kim, J., Lim, S. J., Cho, J. H., Kim, S. O., Song, M. K., & Kim, K. S. (2010). The administration and evaluation system for medicaid beneficiaries in long-term treatment. Seoul: Ministry of Health and Welfare, Korea Human Resource Development Institute for Health and Welfare, & Institute of Case Management for Medicaid.
25 Kim, E. S., Nam, J. J., Kim, M. Y., Ko, I. S., Lee, D. M., Kim, K. S., Choi, J. S., Park, H. J., Shin, S. M., Lee, S. H., & Yang, I. S. (2007). Long-tern medical service use status of medical aid beneficiaries and it's improvements. Seoul: Yonsei University College of Nursing, Institute of Nursing Policy.
26 Kim, S. T. (2000). A comparative study on enjoying silver medicare service between urban and rural community. Unpublished master's thesis, Jeonju University, Jeonju.
27 Han, H. K., Lee, J. A., & Jung, E. K. (2002). The effect of a coordinating program of health and welfare on the function and quality of life of rural elderly: based on interdisciplinary case management team approach. Journal of Korean Social Welfare Administration, 8, 61-81.
28 Ahn, Y. H., Song A. R., Ham, O. K., Kim, C. O., Jung, J. A., Bae, I. J., Choi, S. H., Kim, S. O., & Song, M. K. (2011). Development of case management intervention for effective medicaid case management. Seoul: Ministry of Health and Welfare, Korea Human Resource Development Institute for Health and Welfare, & Yonsei University.
29 Ahn, Y. H., Kim, E, S., & Ko, I. S. (2010-a). The effects of tele-care case management services for medical aid beneficiaries. Journal of Korean Academy of Community Health Nursing, 21(3), 351-361.   DOI
30 Ahn, Y. H., Kim, E. S., Jang, S. J., Ham, O. K., Kim, S, H., Kim, S. O., & Song, M. K. (2010-b). The need for case management in medicaid beneficiaries. Seoul: Ministry of Health, Welfare & Yonsei University.