publication . Article . 2017

Nurse Case Managers' Experiences on Case Management for Long-term Hospitalization in Korea

Jinjoo Oh; Seieun Oh;
Open Access
  • Published: 01 Dec 2017 Journal: Asian Nursing Research, volume 11, pages 283-289 (issn: 1976-1317, Copyright policy)
  • Publisher: Elsevier BV
Abstract
Purpose: The implementation of case management for long-term hospitalization use has been approved for controlling medical cost increases in other countries. But, introduction of the case management in Korea has created issues that hinder its effective operation. This qualitative study aimed to obtain further understanding of the issues surrounding the management of Medical Aid beneficiaries' use of long-term hospitalization from the case managers' perspectives and to provide suggestions for successful case management. Methods: Thematic analysis was employed to analyze the data. Medical Aid case managers with 3 or more years of case management experience were re...
Subjects
free text keywords: Focus group, Ambiguity, media_common.quotation_subject, media_common, Adversary, Feeling, Social criticism, Thematic analysis, Nursing, Qualitative research, Beneficiary, Medicine, business.industry, business, RT1-120
Related Organizations
29 references, page 1 of 2

1. Leonard M, Miller E, Llewellyn A. Nursing case management: review and resource manual. Silver Spring: American Nurses Credentialing Center; 2012. p. 67e70.

2. Johri M, Beland F, Bergman H. International experiments in integrated care for the elderly: a synthesis of the evidence. Int J Geriatr Psychiatry. 2003;18(3): 222e35. https://doi.org/10.1002/gps.819

3. Yarmo-Roberts D. Reconceptualizing case management in theory and practice: a frontline perspective. Health Serv Manage Res. 2002;15(3):147e64.

4. Ahn YH. Effects of Medicaid case management program and its Policy directions. Korean Res Case Manag. 2010;5:67e84. Korean.

5. Shin SM, Kim MJ, Kim ES, Lee HW, Park CG, Kim HK. Medical aid service overuse assessed by case managers in Korea. J Adv Nurs. 2010;66(10): 2257e65. https://doi.org/10.1111/j.1365-2648.2010.05364.x

6. Oh JJ, Oh SE. Case management for long-term hospitalization by Medical Aid beneficiaries: suggestions for successful operation and stabilization. Korean Public Health Res. 2015;41(4):1e14. Korean.

7. Shin YS, Shin HW, Hwang DK, Roh IC. Monitoring for medicaid financial efficiency. Seoul: Korea Institute for Health and Social Affairs; 2006. Report No.: 2006-20-1. Korean.

8. Kim JS, Lee KJ. Effectiveness analysis on Medicaid case management and its Implications. Health Welfare Policy Forum. 2012;191:50e9. Korean.

9. Ministry of Health and Welfare. Guard of healthy life “Medical Aid case management” [Internet]. Sejong: Ministry of Health and Welfare; 2015 [cited 2017 Sep 10]. Available from: http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_ MENU_ID¼04&MENU_ID¼0403&BOARD_ID¼140&BOARD_FLAG¼00&CONT_ SEQ¼324580&page¼1.

10. Oh JJ, Choi JM, Ji YG. Health services use and health status of Medicaid beneficiaries according to Medicaid policy change. Seoul: Ministry of Health, Welfare and Family Affairs; 2009. p. 89e96. Korean.

11. Kim JS, Lee KJ. Effectiveness analysis on medicaid case management and its implications. Health Welfare Policy Forum. 2012;191:50e9. Korean.

12. Kolbasovsky A, Zeitlin J, Gillespie W. Impact of point-of-care case management on readmissions and costs. Am J Manag Care. 2012;18(8):e300e6.

13. Lee IS, Kim DK. A study on the effectiveness of medical case management program. J Korean Soc Welfare Administration. 2006;8(1):39e66. Korean.

14. Cesta T. Reducing readmission: case management's critical role. Hosp Case Manag. 2011;19(3):39e42.

15. The Medical Today. Open forum for the necessity of creating the Medical Aid case manager title [Internet]. Seoul: The Medical Today; 2017 [cited Nov 18]. Available from: http://www.mdtoday.co.kr/mdtoday/index.html?no=290511

29 references, page 1 of 2
Powered by OpenAIRE Open Research Graph
Any information missing or wrong?Report an Issue
publication . Article . 2017

Nurse Case Managers' Experiences on Case Management for Long-term Hospitalization in Korea

Jinjoo Oh; Seieun Oh;