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KMID : 0379720100240010061
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Journal of Korean Community Health Nursing Academic Society
2010 Volume.24 No. 1 p.61 ~ p.70
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Outcome of Pilot Project on Case Management Service for Medical Aid Clients
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Oh Jin-Joo
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Abstract
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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.
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KEYWORD
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Korea, Medicaid, Case management, Health expenditure
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