• 가족자원경영과 정책
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• 제17권3호
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• pp.125-144
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• 2013

This aim in this study is to investigate the meaning of case management and management in general from the case manger's perspective, as well as case mangers' abilities and networks. We also propose a development direction for the establishment of a local integrated family-centered community management system. Regarding the collection of qualitative data, focus group interviews (FGIs) were conducted with 11 case managers from social welfare organizations in the city of C. The interviews consisted of open-ended questions in the following four categories: understanding of case management, case managers' abilities, case management environments, and local community networks. According to the interview analysis, a total of 16 subcategories in 9 categories and 4 domains have been identified. Due to the ambiguity regarding the concept of case management, case management was completely dependent upon individual case managers' abilities. In particular, family-centered case management was found to exist in several organizations in the same region. In terms of case management environments, the following problems have been observed: absence of related departments and staff, confusion regarding performance evaluation standards, limitations in sharing information among organizations, limitations in resource exploration and management, redundant support, and an uncomfortable relationship between the private and public sector. Horizontal exchange and cooperation among organizations are essential to establish and facilitate a local community network. After all, to establish a local family-centered community case management system, the roles of a Healthy Families Center and a Multi-cultural Family Support Center as parts of a family-centered transfer system should be fully emphasized in local society, and the performance of family-centered case management should be developed.

• 대한간호학회지
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• 제43권6호
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• pp.791-800
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• 2013

Purpose: This study was done to test a structural equation modeling of case management outcomes in order to identify parameters affecting case management outcomes for the community-dwelling vulnerable elders. Methods: Data were collected from 309 nurses (case managers) and community-dwelling vulnerable elders (clients) from public health centers. For data analysis, descriptive statistics, Pearson correlation analysis, factor analysis, and covariance structure analysis were performed using SPSS Version 18.0 for Windows and Amos 16.0. Results: The hypothetical model had an acceptable fit: GFI=.97, CFI=.95, RMSEA=.02, SRMR=.05. The factor "case managers' singularity" had the greatest impact on case management outcomes in this model. In addition, the factor "case management practice" influenced case management outcomes; however, client characteristics did not. Case managers' singularity affected case management outcomes directly and indirectly, with case management practice mediating the latter effect. Conclusion: These results suggest that the causal relationship between case management outcomes and factors influencing these outcomes should be clarified through longitudinal research including a variety of client characteristics. In addition, in future studies, analysis of the effects of programs to improve manpower quality and examine the relationships among case management outcomes should be done.

• 한국산업보건학회지
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• 제32권1호
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• pp.64-77
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• 2022

Objectives: The purpose of this study is to objectify the level of case management performance and the factors influencing performance, to improve the case management performance at the Korea Worker's Compensation & Welfare Service (KWCWS) on the basis of the recognition of the objective realities of case management by job coordinators at the KWCWS, to develop a model of case management fit for the KWCWS, and to provide a basis for establishing guidelines for standardized case management. Methods: A total of 156 questionnaires were distributed to job coordinators at the KWCWS's headquarters, six regional headquarters, and 55 branches. One hundred forty-one questionnaires were collected and 126 were analyzed statistically using SPSS 21.0. Factor analysis and reliability analysis were conducted to verify the validity and reliability of the main measurement items in the research model. Frequency analysis was conducted for general characteristics of survey subjects. Frequency analysis or descriptive statistics were conducted to identify the level of independent variables (case manager's individual variables, job variables, institutional and organizational variables). Dependent variables (case management performance) and the degree of correlation were analyzed through correlation analysis between research variables. Multiple regression analysis and hierarchical regression analysis were conducted to examine the effect of independent variables on case management performance. Results: The results of the study showed that the level of overall performance in the five stages of case management was ordinary, with an average level of 3.45 on a 5-point scale. Levels of performance by step were institutional approach and intake (3.69), assessment (3.63), goal setting and intervention planning (3.46), implementation of intervention plan (3.32), and evaluation and termination (3.20), in that order. The explanatory power of case management performance (overall) by case managers with the KWCWS was case manager's institutional and organizational variables, job variables, and individual variables, in that order. At each stage of case management, the explanatory power of a case manager's institutional and organizational variables was found to be the greatest. The model changes at each stage of case management assume similar aspects statistically. In hierarchical regression analysis, it was institutional support that had a significant effect on case management performance (overall), and institutional support had the greatest effect. The results of multiple regression analysis in which all variables are input simultaneously showed that institutional support and expertise as well as self-efficacy had a positive effect. However, case management work experience, expertise (technology), and autonomy were found to have a negative effect during the stage of case management performance. Conclusions: As a result of the study, it was confirmed that raising the case manager's expertise and support from the institution and organization are important factors to improve the level of case management performance. The research also derived practical ways of reinforcement of case manager capacity, institutional and organizational support, operation of rehabilitation-case management teams, and occupational health-related aspects.

• 지역사회간호학회지
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• 제13권3호
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• pp.444-455
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• 2002

Purpose: This study was performed to develop the case management program that can provide the qualitative health care service to satisfy the increasing needs for health care elderly and prevent the increase in medical cost cased by prolonged and repetitive hospitalization. Method: The survey was completed as follows. First, 290 elderly patients who would be soon discharged in 4 hospitals are participated in the survey on needs of nursing care and case management programs. Second, 70 professionals working at 5 hospitals including doctors, nurses, social workers and so on are participated in the survey on the case management team operation. Result: Level of needs to Nursing care and case management programs showed so high. Professionals suggested on the case management team operation. Finally, based on the survey and literature review, the case management program was developed. Conclusion: In this study, the specific models for the five case management services were suggested. It is thought that the service provision by the case management team based on the multi-disciplinary case management program model suggested in this study would be suggested as a constituent of the effective health care delivery system for the hospitalized elderly patients.

• 가정과삶의질연구
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• 제33권4호
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• pp.51-65
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• 2015

Case management is becoming increasingly more important in the field of social welfare. The purpose of this study was to examine the practice of case management at community child centers and to identify factors influencing their performance. In addition, this study also analysed the performance level of case management at each stage and the factors influencing the level at each stage. For the purpose of this study, data obtained from about 181 community child center workers in Busan, Ulsan and Gyeongsangnamdo were analyzed. According to the results of the analysis, in Model 1 which represents the category of socio-demographic and personal factors, three factors namely gender, experience in case management, and interpersonal skills were found to be significantly influential and they have an explanatory power of 21.5%. Under the category of organizational factors in Model 2, four factors were found to be influential: experience in case management, interpersonal skills, availability of case management guidelines, and holding case conferences. These factors account for 33% explanatory power, 11.5% higher than that of Model 1. In Model 3 which represents the third category of community network literacy, three factors namely interpersonal skills, availability of case management guidelines, and ability to utilize networks were found to influence case management at community child centers, and they have an explanatory power of 43.4%, 10.4% higher than that of Model 2. For the practice of social welfare, these findings have the implication that community child center workers need to improve their interpersonal skills by cultivating communication skills, collaborative problem-solving skills, conflict-management skills, and other relevant skills. Furthermore, it is necessary to provide specific guidelines for case management, to have regular case conferences, to establish a community network, and to reinforce cooperation and mutual support among institutions within the network.

• 한국직업건강간호학회지
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• 제10권1호
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• pp.110-119
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• 2001

This study was performed to review applying the case management to the occupational health nursing as a cost-effective way for injured workers. The case management for injured workers is a comprehensive management system, which is composed of planning and implementing in cooperation with employee, employee' family, medical service provider team, employer and case manager, to provide high quality health services to employee and their family. The case management process for injured workers is similar to the nursing process. It thus appears that the occupational health nurse is best personnel to perform the role of case manager for injured workers in workplace. As a case manager in workplace. the occupational health nurse would be expected to get both knowledge and experiences, to get trusted from the employee and employer, and to expand professional domain in changing health care environment.

• 디지털융복합연구
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• 제15권4호
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• pp.489-497
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• 2017

본 연구는 사회복지관에서 사례관리를 실천할 때 기본적으로 수행해야할 사례관리활동의 목록을 과학적 방법에 기반하여 개발하는 데 목적을 두었다. 이를 위하여 먼저 문헌조사와 전문가들의 내용타당도를 확보하여 89개의 예비항목을 개발하였다. 체계표집방식을 활용하여 전국의 사회복지관 127개소를 무작위로 선정하고, 각 기관에서 현재 사례관리를 수행하고 있는 실무자 277명을 대상으로 척도의 타당화를 확인하였다. 탐색적 요인분석, 신뢰도, 타당도 분석을 통하여 최종적으로 11요인의 61개 항목으로 구성된 사례관리활동목록을 개발하였다. 개발된 사례관리활동목록을 바탕으로 실천전략을 제시하였다.

• 한국보건간호학회지
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• 제28권2호
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• pp.258-269
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• 2014

Purpose: This study was conducted in order to present the effects of case management of a home visiting health service for clients with hypertension. Method: One-group pretest-posttest design was used. The subjects were 280 clients who received case management among the first and second registered group. The data were eight-week-case management results from January to December, 2010. In order to evaluate the effect of the visiting nursing service, biological indexes(blood pressure, total cholesterol, triglyceride, high density lipoprotein, low density lipoprotein, BMI) and self-care abilities(knowledge/attitude of hypertension, management of medication, nutritional care, confidence of self care) were measured. Result: Biological indexes and self-care abilities were improved, except total cholesterol, low density lipoprotein. Conclusion: The case management of home visiting health service by public health centers is considered to be an effective nursing service. Therefore, greater effort is needed for better maintenance of case management, and more research is needed in order to examine a variety of biological indexes.

• 가족자원경영과 정책
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• 제17권1호
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• pp.39-61
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• 2013

This paper analyzed the experience of case management experts and single mothers in managing the cases, as the useful approach for family enrichment of a low-income single parent family. The analysis included five case managements and interview with three case management experts for single-parent families. Four of the five cases have been in progress at present. According to the analysis, the main appeals for single-parent families were economy and basic life, physical and mental health, family and social relationships, and child care and education. Furthermore, the interview with the case management experts identified the difficulty in managing single-parent family cases, especially those cases with complicated demands and problems, barriers to expert management, and required support for family enrichment. Finally, this paper analyzed the implementation process of case management for single-parent families in a specific area, meaning that the results of this paper do not represent all single-parent families. Moreover, the analyzed reports were specific to the case management implementation process. Thus, the contents, which were not recorded in the reports, were not fully reflected, and the in-depth analysis of multilateral aspects was restricted.

• 가정과삶의질연구
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• 제31권2호
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• pp.41-57
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• 2013

This paper analyzed the implementation process of experts managing the case of grandparent and grandchildren families in the case management process, as the useful approach to strengthen the function of grandparent and grandchildren family. The methodology were the analysis on 6 management cases by step and the analysis on the interview with 3 experts implementing the case management on grandparent and grandchildren families. As a result, major complaints from grandparent and grandchildren families were basic livelihood and economy area, physical and mental health area, child care and education area and culture area. The service goals were set by such classification and support service was provided using the internal and external resources. The case management process was effective for improving the satisfaction on life by positively changing the grandchildren and promoting the psychological and emotional stability. 6 cases were under the post management after the analysis was completed and linked to the program 'Reinforcement of Family Ability of Grandparent and Grandchildren Family.' In accordance with the interview with the experts in case management, the grandparent and grandchildren family case management was characterized by high dependency and difficulty in expressing the desires. They required the long-term approach as well as the approach to restore the relationship with the original family.