한국보건간호학회지 (Journal of Korean Public Health Nursing)

  • 제24권1호
  • /
  • Pages.61-70
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  • 2010
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  • 1226-0290(pISSN)
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  • 2234-2869(eISSN)
한국보건간호학회 (Korean Society of public Health Nursing)
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의료급여텔레케어사업 효과 - 일 시범지역을 대상으로 -

Outcome of a Pilot Project on Case Management Service for Medical Aid Clients

  • Oh, Jin-Joo (Department of Nursing, Dankook University)
  • 투고 : 2009.11.05
  • 심사 : 2010.02.04
  • 발행 : 2010.03.31
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초록

Purpose: This study analyzed outcomes of a Telecare case management service pilot project for Korean Medicaid Program Clients in Seoul. Outcome data for provided services and medical aid cost data were analyzed. Methods: Case management services were delivered by 10 medical aid managers. The period of the project was from July to December 2007. Results: The total number of the objects was 9714, representing 43.4% of the total medical aid clients in the area. The average number of consults was 2.58. Consults were most frequently via letter and telephone, with in- person visits being least common. Of the total, 213 cases were referred to community services, 87.8% were transacted successfully. The medical expenditure was less than that from January-June, 2007. Conclusion: Telecare service via mail or telephone allows contact with many clients in a short time which can enable the discover and monitoring of high risk clients. This can be accomplished at a cost savings to the Korean Medicaid Program.

키워드

과제정보

연구 과제 주관 기관 : 단국대학교

참고문헌

  1. Jung, S. D. (2005). A study of long-term care system in Kyunggi-do focused on institutional care. Research on Elderly Welfare, 29, 7-40.
  2. Frankel, A. J., & Gelman, S. R. (2004) Case management. Chicago: Lyceum Books.
  3. Kim, U. S., Nam, J. J., Ko, I. S., Kim, M. Y., Lee, D. M., Choi, J. S., Kim, K. S., Shin, S. M., Yang, I., S., & Lee. S. H. (2007). Long-term medical service use status of medical aid beneficiaries and it's improvements. Seoul: Research Center for Social and Welfare of Yonsei University.
  4. Kim, C. Y., Shin, Y. J., Yu, W. S., Jeon, K. J. & H, S. (2003). A study on long-term development plan for medical service assurance for low-income class. School of public health, Seoul National University, Seoul.
  5. Korea Human Resource Development Institute for Health and Welfare (2008). Job training material for medical aid client managers. Seoul: Author.
  6. Lee, I. S., Kim, J. Y., Choi, J. S., & Kang, H. K. (2003). Community-focused measures for strengthening the management for medical aid benefits. Seoul: Research Center for Social and Welfare of Yonsei University.
  7. Ministry of Health, Welfare and Family affairs (2007a). 2007 Plan for allocation medical aid client managers. Seoul: Author.
  8. Ministry of Health, Welfare and Family affairs (2007b). Introduction for medical aid programme in 2007. Seoul: Author.
  9. Ministry of Health, Welfare and Family affairs (2008). Measures for financial stabilization and strengthening security for medical aid programme in 2008. Seoul: Author.
  10. Mullahy, N. (1998). Essential readings in case management. New York: Aspen Publication.
  11. Oh, J. J., Choi, J. M., & Yu, W. S. (2008). Job analysis and methods for enhancing efficiency of medical aid client managers. Seoul: Ministry of Health, Welfare and Family affairs.Dankook University.
  12. Rhee, W. H. (2006). Developing a case management strategies program for Korean medical aid clients, Unpublished doctoral thesis, Hanyang University, Seoul.
  13. Shin, Y. S. (2005). Basic livelihood security and medical aid programme. Health and Welfare Forum, 108, 43-54.
  14. Shin Y. S., Choi, B. H., Shin, H. W., Hwang, D. K., & Yoon, S. J. (2005). Study to improve the benefit structure of medical aid based on the analysis of medical costs. Seoul: Ministry of Health, Welfare and Family affairs.Korea Institute for Health and Social Affairs.