대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
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의료급여수급권자의 사례관리 요구측정도구의 타당도와 신뢰도 검증

Validation of a Needs Assessment Tool for Case Management in Korean Medical Aid Beneficiaries

  • 안양희 (연세대학교 원주의과대학 간호학과) ;
  • 김의숙 (연세대학교 간호대학) ;
  • 함옥경 (인하대학교 간호학과) ;
  • 김수현 (인하대학교 간호학과) ;
  • 김순옥 (의료급여사례관리사업지원단) ;
  • 송명경 (의료급여사례관리사업지원단)
  • 투고 : 2011.07.11
  • 심사 : 2012.07.23
  • 발행 : 2012.08.31
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초록

Purpose: The purpose of this study was to validate the Needs Assessment Tool for Case Management (NATCM) for use with Korean medical aid beneficiaries. Methods: Psychometric testing was performed with a sample of 645 Korean medical aid beneficiaries, which included 41 beneficiaries who were selected using proportional sampling method, to examine intraclass correlation coefficients (ICC). Data were evaluated using item analyses, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), Cronbach's alpha, and ICC. Results: Through psychometric testing the final version of NATCM was found to consist of two subscales: 1) Appropriateness of Health Care Utilization (5 items) and 2) Self Care Ability (6 items). The two subscale model was validated by CFA (RMSEA=.08, GFI=.97, and CFI=.93). Internal consistency measured by Cronbach's alpha was .82, and subscale reliability ranged from .79 to .84. The ICC of the NATCM between case managers was .73 and between case managers and health care professionals. .82. Conclusion: This study suggests that the final version of NATCM is a brief, reliable, and valid instrument to measure needs of Korean medical aid beneficiaries. Therefore, the NATCM can be effectively utilized as an important needs assessment as well as outcome evaluation tool for case management programs in Korea.

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참고문헌

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피인용 문헌

  1. 의료급여 사례관리 관련 국내 연구동향 vol.29, pp.3, 2015, https://doi.org/10.5932/jkphn.2015.29.3.412
  2. 단일만성질환과 복합만성질환 의료급여수급자의 사례관리요구도 비교 vol.18, pp.2, 2015, https://doi.org/10.7587/kjrehn.2015.98