• Title, Summary, Keyword: Case Management Program

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Nursing Case Management Program Development for the Elderly at Hospital (입원노인환자의 사례관리 프로그램 개발 연구)

  • Shin, Eun-Young
    • Journal of Korean Academy of Community Health Nursing
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    • v.13 no.3
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    • pp.444-455
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    • 2002
  • Purpose: This study was performed to develop the case management program that can provide the qualitative health care service to satisfy the increasing needs for health care elderly and prevent the increase in medical cost cased by prolonged and repetitive hospitalization. Method: The survey was completed as follows. First, 290 elderly patients who would be soon discharged in 4 hospitals are participated in the survey on needs of nursing care and case management programs. Second, 70 professionals working at 5 hospitals including doctors, nurses, social workers and so on are participated in the survey on the case management team operation. Result: Level of needs to Nursing care and case management programs showed so high. Professionals suggested on the case management team operation. Finally, based on the survey and literature review, the case management program was developed. Conclusion: In this study, the specific models for the five case management services were suggested. It is thought that the service provision by the case management team based on the multi-disciplinary case management program model suggested in this study would be suggested as a constituent of the effective health care delivery system for the hospitalized elderly patients.

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A Case Study on the Analysis Method of the Accounting Information with Spreadsheet Program (스프레드시트를 활용한 회계정보 분석 사례연구)

  • Park Yong-Soo
    • Management & Information Systems Review
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    • v.6
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    • pp.63-88
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    • 2001
  • This paper presents a case study regarding a simple accounting information analysis method through the practical design using spreadsheet tool-Excel, which can offer to the management with more useful and practical information for the management decision-making. In this study, spreadsheet program is used to constitute case of the accounting information analysis method. Spreadsheet tool-Excel is easy to analyze the accounting information. And it can constitute a necessary program through function menu. In conclusion, the spreadsheet program should be used for quantitative analysis and evaluation on the accounting information. And it should be used to perform management activities. The results of this study may be summarized as follows: First, it is possible to constitute useful and practical case in the accounting information analysis method with spreadsheet program. Second, this study proposes directions for the accounting information analysis method with spreadsheet program.

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Role of Senior Program for Financial Independence in Culture and Art Facility (문화예술시설의 재정적 독립방안의 관점에서 시니어프로그램의 역할)

  • Ahn, Pilyun
    • Journal of the Korean Society for Quality Management
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    • v.48 no.2
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    • pp.345-359
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    • 2020
  • Purpose: Financial independence of the museum is an urgent issue in Korea. In this paper, methodology to combine arts and culture facilities with senior society is investigated based on case study of various senior programs in other countries. Methods: In this paper, case study of various senior programs from cultural and arts facilities in other countries are investigated in the aspect of public nature and independent management. Based on the analysis of the case study, optimal methodology is derived. Results: Based on case study of various senior program in other countries, it is clear that art and cultural facilities play important roles in participating elderly people to various social activities through developing programs specialized for elderly people. Conclusion: From analysis of the case study, senior program from arts and culture facilities provides more familiar contents rather than professional contents. Also, they consider more on communication and cooperation with local society to develop the senior program, which fulfill both public nature and financial independence.

The Effects of Case Management Program for Diabetic Patients - Focused on Medium-sized Industrial Workers - (당뇨병 대상자에게 실시한 사례관리 프로그램의 효과 - 중규모 사업장 근로자를 중심으로 -)

  • Hwang, Hyun-Jung;Jung, Hye-Sun
    • Korean Journal of Occupational Health Nursing
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    • v.19 no.2
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    • pp.258-267
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    • 2010
  • Purpose: This paper studies the influence of the case-management program on the change of blood sugar, lifestyle, and knowledge level of diabetes mellitus (DM) for medium-sized-enterprise employees suffering from DM. Method: Subjects, divided into experimental and control groups, are 59 workers with FBS higher than 126mg/$d{\ell}$ or under DM medication treatment in the medium-sized enterprises, being managed by two distinct university hospital group occupational health management service teams. The case management program for DM patients consists of 6 different processes in which each subject is treated. Result: FBS decreased in the experimental group after the program, while that of the control group increased significantly. In the experimental group, the amount of smoking, the frequency of drinking and the amount of drinking per week decreased. Also, the knowledge level for DM and the change of nutrition management showed significant increase. In the control group, the amount of smoking increased and the frequency of drinking, the amount of drinking and nutrition level did not change significantly. And the knowledge level for DM decreased. Conclusion: We expect that taking this case management program for DM management may significantly improve diabetic patients' overall health.

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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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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The Effect of Case Management Program for Diabetic Patients in Korean Community (지역사회 중심의 당뇨 사례관리사업 효과)

  • Shin, Eun-Young;Kim, Cheol-Ywan;Yoo, Won-Sob;Kim, Chang-Yub;Kim, Hee-Girl
    • Journal of Korean Academy of Community Health Nursing
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    • v.14 no.4
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    • pp.559-567
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    • 2003
  • Background: We first launched the case management program for diabetic patients who were registered in NHIC (National Health Insurance Corporation) in Korea and conducted this study to assess the effectiveness of the program. Methods: During the period from October in 2002 to March in 2003, 30 case managers performed the program for 71 diabetic patients. We evaluated the effectiveness of the program based on the results of fasting blood sugar level, two hour post-prandial blood sugar level, knowledge for diabetes, difficulty index in diabetes management, and the health risk factor changes of them. We analyzed results related to these factors through $x^2$ test and paired t-test. Results: The ave rage age of the subjects was 58.9. and the numbers of women and men were 43 and 28 respectively. The fasting blood sugar level and two hour post-prandial blood sugar level decreased from 164.3mg/dl to 146.5mg/dl and from 224.0mg/dl to 203.0mg/dl respectively. The knowledge for diabetes and difficulty index in diabetes management changed from 8.13 to 9.10 and from 3.52 to 2.91 respectively, and these changes were the positive. We observed improvement in self-test of sugar level, foot management, oral hygiene and proper medication but not in self-test of nutritional management. Conclusions: This study revealed that the case management program for diabetic patients who were registered in NHIC is significantly effective. However, the program need to study further to understand its long-term effects.

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Effects of Case Management with Exercise Program on Health of Elders (운동요법을 병행한 사례관리 프로그램이 노인의 건강에 미치는 효과)

  • Lee, Hung Sa
    • Journal of Korean Academy of Rural Health Nursing
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    • v.6 no.1
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    • pp.5-14
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    • 2011
  • Purpose: The primary goal of this study was to develop a case management with exercise program for community dwelling elders who live alone, and examine the effects of the program. Method: The design of this research was a one group pre-post test study. The participations were 85 elders diagnosed with hypertension and diabetes mellitus and who lived alone as residents of D city. The case management with exercise program included exercise and counseling as the intervention and was provided for 12 weeks. Data were collected before and after the intervention which lasted from September 3 to November 26, 2009. Collected data were analyzed using descriptive statistics, and paired t-test. Results: There were significant differences in blood pressure (t=-5.24, p<.001, t=-1.94, p= .040), fasting blood sugar (t=-4.41, p<.001), ADL (t=-5.43, p=.022) and cognitive function (t=7.41, p=.008) between pre- and post intervention. Conclusion: These results indicate that the case management program is an important intervention for health promotion for community-dwelling elders, and exercise improves functional status of older persons with diseases. Therefore, now is the time to develop new supportive community-based programs for elders who live alone. However, it is also necessary to do further longitudinal studies to confirm the results of this study.

The Controls of Client-Server System: Case Studies of Banks (클라이언트-서버 시스템에 대한 통제: 은행업체에 대한 사례연구)

  • 이상재
    • Korean Management Science Review
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    • v.17 no.2
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    • pp.97-113
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    • 2000
  • The introduction of client server systems raises some serious IS control concerns. Although client server systems increase system flexibility and compatibility, and facilitates system downsizing and process restructuring, multiple operating systems, database management systems, and platforms of client-server system increase th potential exposures and risks of the system. It is needed to recommend the effective control framework to mitigate risks. This paper suggests risks and control framework for client server system. The results of two case studies indicate that program and database management are important as program and data should be located and maintained in client and servers. It becomes difficult to manage divided programs and data logic that are distributed across clients and servers that have different platforms. The case studies of two banks show that the extent of distribution of program and data logic affects the importance of program and database management controls.

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Effects of Community based case Management Program on Functional Status and Caregiver Burden of Stroke Patients (뇌졸중 환자에 대학 지역사회 중심 사례관리 효과)

  • Kim, E.Y.;Kim, C.Y.;So, A.Y.;Shin, J.Y.;Lee, G.M.;June, K.J.;Choi, J.H.
    • Journal of Korean Academy of Community Health Nursing
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    • v.15 no.1
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    • pp.18-28
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    • 2004
  • Purpose: The purpose of the study was to analyze the changes in functional status and caregiver burden after a community based case management program for stroke patients. Method: This study was designed as a one group pre and post test. A total of 61 stroke patients and their caregivers were sampled in three urban areas and two rural areas. Face to face interviews were conducted as a pre test one week before intervention, and a post test two weeks after intervention. The case management program consisted of four home visits and two telephone counseling sessions for assessment, education and providing information during the eight weeks. The collected data were analyzed with paired t test. Results: First, significant differences in functional status, and specifically mobility and cognition, were found between pre test and post test. Second, caregiver burden, in particular, objective burden was significantly decreased after 8 weeks. Third, the positive response for the services increased after 8 weeks. Conclusion: The community based case management program was effective to improve the functional status of stroke patients and to decrease the caregiver burden.

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