• Title/Summary/Keyword: case management

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Experience of Case Management Practice for the housing vulnerable group living in public low-income housing in Seoul (주거취약계층 매입임대주택의 사례관리자 경험)

  • Min, So-Young;Kim, Soyoung
    • Korean Journal of Social Welfare Studies
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    • v.49 no.1
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    • pp.263-296
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    • 2018
  • The purpose of this study is to examine the experience of case management practice for residents of low - income housing. The importance of the house for the vulnerable residents with homelessness is absolute, and case management that supports them to live as residents in the community is also very important. Nevertheless, the research so far has focused on the supply of affordable housing, the residential environment, the quality of life of the tenants, and the health, but there was a lack of interest in case management practices. In this study, we investigated the experience of case management practice by listening 10 case managers's experiences through FGI interview. As a result of the study, the case manager's experience is divided into four themes: 'Dilemma of support for the independent housing life after the facilities', 'Role competition between rent management and case management', 'Lonely practice for linkage and cooperation with the mainstream community support system', 'Double employment relationship and poor working environment' respectively. Based on their experiences, this study suggests practical and practical suggestions for case management of rental housing.

Functional Requirements about CASE Tools for Component Based Development and a Development Management Tool (컴포넌트 기반 개발을 위한 CASE 도구의 기능적 요구사항 및 개발관리 도구)

  • Kim, Young-Hee;Chong, Ki-Won
    • The Journal of Society for e-Business Studies
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    • v.9 no.3
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    • pp.129-144
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    • 2004
  • CASE tools supporting component based development should include functions for modeling, project management, and supporting other phases activities of the development process. Functional requirements of CASE tools supporting component based development are proposed in this paper. Required functions are identified by analyzing the existing CBD CASE tool, and are categorized into modeling, project management, and supporting other phases activities.

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Effect of Case Management Intervention Program for Registered Clients with Home Health Care of Hypertension (고혈압 대상자의 방문간호 중재프로그램의 효과)

  • Oh, Suk-Hee;Kim, Yong-Soon;Park, Jee-Won;Yoo, Moon-Sook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.17 no.1
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    • pp.28-35
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    • 2010
  • Purpose: The study compared the hypertension care efficacy of a case management intervention program for registered clients. Methods: The nonequivalent control group pretest-posttest design involved 53 registered hypertensive patients of a customized visiting health care service in S-city(n=28 experimental group, n=25 control group). Data collection and case management intervention were carried out from April to July, 2009. The experimental group had six home visits and two phone calls, and the control group had two home visits during the 8-week period. Outcome variables for test hypotheses were changes in physiologic index (blood pressure and total cholesterol) and degree of self-management performance and confidence. Results: Repeated measure ANOVA and t-test of means revealed significant differences before and after program for systolic and diastolic blood pressure and self-management performance and confidence, but no significant difference concerning total cholesterol. Conclusion: A case management program can have positive effects on blood pressure control and self management. However, research is needed to create a more effective case management for vulnerable patient populations.

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Development of Case Management System and Analysis of Economic Feasibility under the Fee-For-Service Reimbursement (행위별 수가 지불제도 하에서의 사례관리시스템 개발 및 경제성 분석)

  • Choi, Mi Young;Chae, Young Moon;Tark, Kwan Chul;Kim, In Suk;Chun, Ja Hae
    • Quality Improvement in Health Care
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    • v.11 no.1
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    • pp.46-60
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    • 2004
  • Background : Recently, we have experienced various changes in the healthcare environment. Healthcare organizations are facing a financial crisis due to more competitive relationships among themselves as well with low health insurance fees. The purposes of the current study were: (1) to develop a data warehouse-based system for evaluating and monitoring the case management activities, and (2) to measure and analyze its effects. Methods : In order to collect the data for the study, the database on discharged patients was utilized at a university hospital located in Seoul from June 1, 2002 through December 31, 2002. Initially, a data warehouse was built for the case management system. The case management activities were analyzed using structured methodology to establish the case management system. Results : The findings of this study were as follows: (1) A case management system was developed to make it possible to monitor of healthcare quality and resource utilization. The Case management System included monitoring functions regarding utilization reviews, critical pathways, and clinical indicators. (2) Utilizing the case management system, unplanned readmissions were documented among total discharged patients during two months from November 1, 2002 through December 31, 2002. The unplanned readmission rate was 2.3%(276 patients) in total of 11,960 discharged patients. Among them 81 patients(0.7% of total discharges, 29.3% of unplanned readmission) were readmitted to the same physician in charge under the same diagnosis. No significant differences were found in the demographic variables such as gender and age among the patients. (3) After implementing the case management system, 2.9% of average length of stay reduced. Applying cost-benefit analysis, the 2.9% reduction of length of stay represents net profit of ${\backslash}$ 279,592,000 in the year of 2004. In addition, applying value acceleration analysis, cumulative net benefit of ${\backslash}$ 1,481,000,000 was expected by the year of 2007. Also we were able to expect ${\backslash}$ 247,800,000 of cumulative benefit for the prospective 5 years in value linkage analysis. It represents average ${\backslash}$ 787,700,000 of pure net benefit a year. Conclusion : The value of present study would be not only implementing the knowledge management system into the existing case management activities, but also evaluating its effects and estimating its financial benefits. This study suggested that the case management system would be a supportive tool for monitoring and improving the quality of healthcare, and a cost-effective tool for increment of healthcare organization's financial benefit.

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The Genealogical Analysis of Case Management in the Modern Society (Foucault의 계보학을 활용한 사례관리에 대한 비판적 고찰)

  • Choi, Myungmin;Jeong, Byeongoh
    • Korean Journal of Social Welfare
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    • v.67 no.4
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    • pp.301-324
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    • 2015
  • The main focus of the study is to find out the origin of the case management in social work and relevant background and context around it, by using the method of genealogy, an historical framework or perspective developed by Foucault, French social philosopher. The reasons of the study are two fold : First, why the case management can be established as a major strategy of social work field in such a very short time. Second, since the case management has been accepted, why it has been reported ceaselessly that a lot of case managers have experienced the severe stress and sufferings in carrying out the case management practice. The results of the study shows that the case management is partly a very social device needed in the late 20th century to manage the social work resources and manpower efficiently, which might be against the genuine social work's mission and idealism. In a conclusion, to retrieve the genuine identities of social work profession, not only the practice case management should be cautious to tendency of management and control inherited in it but also be balanced by the traditional ideals of human emancipation and liberation.

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Local community case management service and regional case management council performance analysis through concept mapping (Concept mapping을 통한 지역사회 사례관리서비스와 지역사례관리협의체 성과 분석)

  • Jang, Yu Mi
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.4
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    • pp.37-44
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    • 2022
  • The purpose of this study is to investigate how the local community case management council perceives the expected outcome of the council and case management service by participating actors in order to establish the identity and direction of the activities of the council through concept mapping. A total of 12 practitioners from participating organizations freely expressed and shared their opinions about the case management service performance with the local community case management council in a brainstorming manner, producing a total of 42 statements. Through concept mapping, participants were empowered in the decision-making process, and their opinions were not alienated, but were accepted and rationally handled. It can be said that it is important to provide an opportunity for the participants to discuss on an equal footing in the decision-making process. Through this, it can be seen that the agreement between the case management council and the case management service was quickly reached, and the direction for subsequent activities was clearly set.

The Application of Case Management to the Self-support Program (자활사업에서의 사례관리 적용에 관한 탐색적 연구)

  • Hong, Seon-Mee
    • Korean Journal of Social Welfare
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    • v.56 no.2
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    • pp.311-326
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    • 2004
  • This article focuses on the use of case management in the Self-support program. Case management is a service modality which provides integrated services for people with multiple needs in the community. The goal to accomplish self-sufficiency of working participants in Self-Support Programs is positively affected by the efforts to reduce high social risks they are exposed. It is recommended that the agencies running Self-support programs apply case management to increase the quality of lives as well as the effectiveness of exiting statuses of conditional welfare recipients. Several service considerations of case management are recommended for the change in the structure and functioning of the Self-Support Program: Integrated view and contextualized thinking, empowerment-oriented approach, and a development of the community support system through networking. Types of case management and practice roles of the case manager applicable to the Self-Support Program are also recommended. Structural aspects of an organization, inter-organizational linkages and contextual factors need to be considered to improve problematic conditions that have not enough resources and appropriate authorities in providing case management functions.

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An Exploratory Case Study on the Implementation of IT Infrastructure Library(ITIL) Service Management System (IT Infrastructure Library(ITIL) 서비스관리 시스템 구축과 효과에 관한 탐색적 사례연구)

  • An, Joon-M.;Hahm, Yu-Kun;Kim, Hyun-Myung
    • Journal of Information Technology Applications and Management
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    • v.15 no.4
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    • pp.1-20
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    • 2008
  • Increasing number of corporations applies IT service management systems to optimize IT service delivery and support processes. For this reason, implementation experiences and effect of IT service management system are growing concerns for IT managers and researchers. This case study analyzes implementation experiences on an ITIL based service management systems in an medium sized corporation. The exploratory case analysis revealed that systems and service quality were improved from the implementation. This study will contribute to the successful implementation of IT service management system and developing a research model of IT service management process.

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A Study on the Effectiveness of Team Approach In Case Management Service for the Elderly in Puchon : A Pretest-Posttest Study (재가 노인을 위한 사례관리 서비스의 효과성 연구 - 팀접근 모델을 중심으로 -)

  • Chung, Soon-Dool;Ko, Me-Young
    • Korean Journal of Social Welfare
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    • v.54
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    • pp.273-294
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    • 2003
  • The outcome of study has shown that team approach in case management in the community welfare center has shown a fair amount of effectiveness in increasing the quality of life for the elderly. 30 elderly people who had complex difficulties in life were selected and given case management for a 6 month period. The student volunteers supervised by a case manager visited the clients once a week and arranged a series of community resources following assessment of the clients' needs. A group of professionals active in the community was invited for supervision. Compared to the clients in the comparison group, those clients who case management showed the increase in the quality of life and life satisfaction scale. The results of the study suggest that face-to-face service for the elderly is one important factor for successful case management intervention. Also, a team approach in case management utilizing professionals and volunteers can be useful for the case manager in the community welfare center who is overwhelmed with too many case loads.

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The Effects of Case Management for Clients with Clonorchiasis in Riverside Areas (강유역의 간흡충 감염양성자를 위한 사례관리 적용효과)

  • Kim, Chunmi;Kim, Hee-Gerl;June, Kyung-Ja;Kim, Souk-Young
    • Research in Community and Public Health Nursing
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    • v.23 no.4
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    • pp.427-437
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    • 2012
  • Purpose: In order to lower the infection rate and the reinfection rate of Clonorchiasis in high-risk areas, we performed and analyzed a case management on people with chlonorchisis. Methods: The data was collected from April 2010 to March 2011. A community health practitioner was selected as a case manager based on our training program. The intervention group had 58 participants with three months of case management and the control group had 144 participants handled with traditional methods. Results: the pre and post-test in the intervention group and the control group showed us improved knowledge of Clonorchiasis, attitudes and behavior toward eating freshwater fish. The results of post-test between the intervention group and the control group showed statistically significant differences in all categories, except a hand-washing category. However, one year after a case management, there was no significant difference in the failure rate of treatment. Conclusion: The case management was effective for people infected with Clornorchiasis near riverside areas; however, in order to lower the rates of reinfection and treatment failure, it is necessary to perform continuous monitoring and regular evaluations.