J Korean Acad Community Health Nurs.  2017 Dec;28(4):421-430. 10.12799/jkachn.2017.28.4.421.

Social Network, Self-Care Agency and Quality of Life of High-risk Beneficiaries in Case Management of Medicaid

Affiliations
  • 1Department of Nursing, Graduate School, Daegu Catholic University, Daegu, Korea. jy4you4891@gmail.com
  • 2College of Nursing · Research Institute of Nursing Science, Daegu Catholic University, Daegu, Korea.

Abstract

PURPOSE
This study investigates the social network, self-care agency, and quality of life of high-risk beneficiaries in case management of Medicaid and the correlations between these variables. It also identifies influencing factors on their quality of life.
METHODS
The subjects included 187 individuals chosen from the high-risk beneficiaries in case management of Medicaid in D Metropolitan City. Data was collected through direct interviews based on a structured questionnaire on home visits.
RESULTS
The perceived health status was the most influential factor in their quality of life, followed by self-care agency, mutual support network, and natural support network in order. These factors explained 40.6% of their quality of life.
CONCLUSION
These findings raise a need to develop a nursing intervention program to increase the self-care agency of the high-risk beneficiaries in case management of Medicaid.

Keyword

Case management; Self care; Quality of life; Medicaid
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