Korean J Rehabil Nurs.  2015 Dec;18(2):98-106. 10.7587/kjrehn.2015.98.

Comparing the Needs of Case Management between Medical Aid Beneficiaries with Simple and Multiple Chronic Diseases

• Ahn YH
• Suh Y
• Ham OK
• Kim HK

• KMID: 2153031
• DOI: http://doi.org/10.7587/kjrehn.2015.98

Abstract

PURPOSE
The purpose of this study was to compare the needs of case management between Medical aid beneficiaries with simple and multiple chronic diseases (SCD vs MCD).
METHODS
The study employed secondary analysis method using a cross-sectional data from 2009 case management service enrollees. Data on 35,862 beneficiaries who have chronic disease(s) were used in the description of chronic disease characteristics, and data on 20,392 beneficiaries, excluding those who have depression and/or disabilities, were used to compare the group differences.
RESULTS
Mean age was 68.8+/-11.63 years, and 73.3% were females. MCD group showed an older age, had more women than SCD group. Self-care ability and appropriateness of health care utilization were significantly different between the groups, but there was no difference in health-related quality of life. In subscales, there were significant differences in general health status, depression, symptom management, healthy lifestyle, hygiene and vaccination, and appropriateness of health utilization.
CONCLUSION
Different characteristics between patients with simple and multiple chronic diseases indicate that different case management approaches are required for these groups. The study results could be used as a basis for the development of case management model tailored to the characteristics and needs of medical-aid beneficiaries.

Keyword

Medical-aid; Case management; Chronic disease

MeSH Terms

Case Management*
Chronic Disease*
Delivery of Health Care
Depression
Female
Humans
Hygiene
Life Style
Quality of Life
Self Care
Vaccination