Asian Nurs Res.  2014 Dec;8(4):274-281. 10.1016/j.anr.2014.10.001.

Case Management for Medical Aid Beneficiaries in Korea: Findings from Case-control Study

• Shin HS
• Oh JJ

• KMID: 2070315
• DOI: http://doi.org/10.1016/j.anr.2014.10.001

Abstract

PURPOSE
This study was to evaluate effects of case management provided for 7 months for medical aid in Korea.
METHODS
This study was a retrospective comparative study using secondary data analysis. Data from two pre-existing survey were reanalyzed. The data were collected through door to-door interviews using the structured questionnaire. For the medical service use, claims data from the Korea National Health Insurance Corporation was used. Subjects were 73 in the intervention group and 118 in the control group.
RESULTS
There was no significant change in the intervention group in self-care ability (p = .296), medication adherence (p = .194) or quality of life (p = .903) compared to those of the control group. For hospital visiting days, it appeared to decrease in the intervention group (p = .038) but with no significant difference from that of the control group (p = .157). Neither were there significant differences in medical expenditures (p = .605).
CONCLUSION
Although the effect of case management in this study appeared extremely limited, the short intervention period and characteristics of the medical aid beneficiaries and the limit of controlling only the demand side were discussed as factors to be considered. Nurses have been carrying out professional roles in case management in Korea. However more efforts are needed to develop case management as an area for nursing specialization.

Keyword

case management; health expenditures; medicaid; quality of life

MeSH Terms

Adolescent
Adult
Aged
*Case Management
Case-Control Studies
Female
*Health Behavior
Humans
Male
Medication Adherence
Middle Aged
National Health Programs/*statistics & numerical data
Quality of Life
Questionnaires
Republic of Korea
Retrospective Studies
Self Care
Young Adult