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> 한국지역사회간호학회 > 지역사회간호학회지 > 25권 3호

Effectiveness of Community-based Case Management for Patients with Hypertension

Effectiveness of Community-based Case Management for Patients with Hypertension

( Yun Soon Nyoung ) , ( Lee In Sook ) , ( Kim Jin Hyun ) , ( Ko Young )

- 발행기관 : 한국지역사회간호학회

- 발행년도 : 2014

- 간행물 : 지역사회간호학회지, 25권 3호

- 페이지 : pp.159-169 ( 총 11 페이지 )


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4,600
논문제목
초록(외국어)
Purpose: The purpose of this study was to evaluate the effectiveness of case management for patients with hypertension on their health status and medical service utilization. Methods: This study was a secondary analysis of data collected for a larger study of chronic disease management in 2008 using the National Health Insurance Corporation database. A total of 12,944 patients who received case management for hypertension were included in this analysis. The subjects of case management were classified into subgroups, namely, over-use, under-use, and non-use groups according to the amount of medical service utilization. To compare the medical service utilization, a control group was selected randomly. The data were analyzed through descriptive statistics, McNemar test, and ANOVA. Results: All the subgroups displayed significant differences in blood pressure, self management, social support, and their characteristics of medical service utilization. The total medical expense of the under- use and non-use groups increased after case management. However, there was no decrease in the medical expense of the over-use group. Conclusion: This finding suggests that there is a need to re-examine why patients overuse medical services and to supplement specific strategies for encouraging appropriate medical serviceutilization, and enhancing case management efforts for the over-use group.

논문정보
  • - 주제 : 의약학분야 > 간호학
  • - 발행기관 : 한국지역사회간호학회
  • - 간행물 : 지역사회간호학회지, 25권 3호
  • - 발행년도 : 2014
  • - 페이지 : pp.159-169 ( 총 11 페이지 )
  • - UCI(KEPA) : I410-ECN-0102-2015-500-000128685
저널정보
  • - 주제 : 의약학분야 > 간호학
  • - 성격 : 학술지
  • - 간기 : 계간
  • - 국내 등재 : KCI 등재
  • - 해외 등재 : - / SCOPUS
  • - ISSN : 1225-9594
  • - 수록범위 : 1989–2019
  • - 수록 논문수 : 1541