J Korean Acad Nurs Adm.  2010 Dec;16(4):381-388.

Comparison of Case Management between Tele Care Regions and General Care Regions in Korean Medicaid

• Lee HJ
• Oh JJ
• Choi JM

Abstract

PURPOSE
The purpose of the study was to compare recipients' health behavior, attitude to using medicaid, medication compliance, and the changes in hospital cost and visit-day of in-patient and out-patient care between tele-care regions (TCR) and general care regions (GCR) in Korean medicaid. METHOD: The design of the study was ex-post facto comparing recipients in TCR and GCR. The sample included 625 persons in TCR and 410 persons in GCR. To collect materials, the case manager interviewed recipients of medicaid and filled out questionnaires which were analyzed through SAS/PC 9.1.
RESULTS
In studying health behavior and medication, compliance was not significant. However, the attitude to using medicaid was significantly more positive in TCR than in GCR. In out-patients, the change of hospital visit-day was not significant between TCR and GCR, but TCR showed a reduction in hospital cost compared to GCR. For in-patient recipients, GCR showed a greater reduction in changes in hospital cost and visit-day compared to TCR.
CONCLUSIONS
The results of the study show that attitudes to using medicaid via telephone are positive and results are more effective than hospital visit consultation, and the cost of out-patient care could be reduced.

Keyword

Medicaid; Case Management; Health Care; Medical Use

MeSH Terms

Case Management
Compliance
Delivery of Health Care
Health Behavior
Hospital Costs
Humans
Medicaid
Medication Adherence
Outpatients
Surveys and Questionnaires
Telephone

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