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Effectiveness of Medical Aid Case Management in Excessive Healthcare User by Interventions based on the Number of Accesss

의료급여 과다이용자의 중재방법별 접근횟수에 따른 사례관리 효과

  • Received : 2017.05.23
  • Accepted : 2017.07.20
  • Published : 2017.07.28

Abstract

This study analyzed medical aid case management effects based on the number of access by visits, phone calls, letters, internal investigation, resource links, and requests, in medical aid case management business that is carried out to improve the quality of life of medical care beneficiaries and reduce financial cost. Secondary analysis study using data of 564 high-risk group in the medical aid case management and their healthcare utilization data. Letters had positive correlations with the scores of all case management domains. The higher visits was, the lower the score of self-health care ability was, and the higher the number of phone calls was, the higher the score for reasonable medical use was. While there was no significant difference in medical cost according to aid management by interventions, the higher visits and resource links were, the lower the subjects' total number of payment days was. There is a difference in the various areas of the quality of health -related life and medical use depending on case management by intervention method and its number. It is necessary to carry out the efficient number of access to case management by intervention method.

Keywords

Case management;Medical aid beneficiaries;Excessive healthcare utilization;Intervention method;Medical aid case manager

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