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

MeSH Terms

Case Management*
House Calls
Medicaid*
Nursing
Quality of Life*
Self Care*

Reference

References

1. Guideline for medicaid program in 2016. Sejong: Ministry of Health Welfare;2016.
2. Park EJ, Kim CM. Case management process identified from experience of nurse case managers. Journal of Korean Academy of Nursing. 2008; 38(6):789–801. https://doi.org/10.4040/jkan.2008.38.6.789.
Article
3. Lee IS, Hong YS. Social support, quality of life, and the impact of social support on quality of life among medicaid recipient with chronic illness. Korean Journal of Social Welfare. 2005; 57(2):71–92.
4. Health Insurance review & Assessment service, 2015 medical statue information [Internet]. Seoul: Health Insurance review & Assessment service;2016. [cited 2017 July 20]. Available from:. http://opendata.hira.or.kr/op/opc/olapMdclCaAsisStatsInfo.do.
5. Hwang DK, Shin HW, Yeo JY, Kim JH, Lee SG, Sung MH. A study of health care utilization of high-risk medicaid beneficiaries. Policy Report. Seoul: Ministry of Health Welfare;2014. October. Report No.: kihasa 2014-10.
6. Ministry of Health and Welfare. healthy life guard ‘case management of Medicaid’ [Internet]. Sejong: Ministry of Health and Welfare;2015. [cited 2017 July 20]. Available from:. http://www.korea.kr/policy/pressReleaseView.do?newsId=156067214.
7. Park YR, Park KS. Social support network and welfare of the elderly in Korea: Research trends and future tasks. Journal of Welfare for the Aged. 2013; 60:323–352.
8. Kang JH, Kim JA, Oh KS, Oh KO, Lee SO, Lee SJ, et al. Health status, depression and social support of elderly beneficiaries of the national basic livelihood security system. Korean Journal of Adult Nursing. 2008; 20(6):866–882.
9. Kim HM, Sim KB, Kim H, Kim SB. Influence of social support and social network on quality of life among the elderly in a local community. The Journal of the Korea Society of Community Based Occupational Therapy. 2013; 3(1):11–20.
10. Kim HR, Oh K, Oh KO, Lee SO, Lee SJ, Kim JA, et al. Quality of life in low income Korean aged. Journal of Korean Academy of Nursing. 2008; 38(5):694–703. https://doi.org/10.4040/jkan.2008.38.5.694.
Article
11. Yoo WS. Limitations and challenges of reorganization plan of the Medicaid. Monthly Welfare Trend. 2013; 178:14–17.
12. Yi HS. Factors affecting the self-care agency of elderly people with chronic disease [dissertation]. [Gwangju]: Honam University;2014. p. 56.
13. Kim BH. Nursing Theory. Seoul: Pacific Books;2010. p. 374.
14. Nam SK, Shim OS. A study on the influence factors on quality of life of elderly with chronic disease. Journal of Welfare for the Aged Institute. 2011; 53(0):196–216.
15. Lee HO, Kim KS. Health-care utilization and health-related quality of life between the insured in national health insurance and the recipients in Medical aid program. Korean Journal of Social Welfare Research. 2015; 44(0):187–210.
Article
16. Jeong YM. Study on the quality of life and social network of solitude elderly residents living in permanent rental houses [dissertation]. [Gyeongsan]: Daegu University;2007. p. 77.
17. Geden E, Taylor S. Self-as carer: A preliminary evaluation. University of Missouri-Columbia School of Nursing. Proceedings of seventh annual nursing research conference. Columbia, MO: University of Missouri-Columbia School of Nursing;1988. p. 1–7.
18. So HS. Testing construct validity of self-as-carer inventory and its predictors. Journal of Korean Academy of Adult Nursing. 1992; 4(2):147–161.
19. Min SK, Lee CI, Kim KI, Suh SY, Kim DK. Development of Korean version of WHO quality of life scale abbreviated version (WHOQOL-BREF). Journal of Korean Neuropsychiatric Association. 2000; 39(3):571–579.
20. Choi JS, Lee EH, So AY, Lee KS. Quality of life in the urban adults by age. Journal of Muscle Joint Health. 2012; 19(3):362–372. https://doi.org/10.5953/JMJH.2012.19.3.362.
Article
21. Kim HR, Oh K, Oh KO, Lee SO, Lee SJ, Kim JA, et al. Quality of life in low income Korean aged. Journal of Korean Academy of Nursing. 2008; 38(5):694–703. https://doi.org/10.4040/jkan.2008.38.5.694.
Article
22. Park SY, Nam YW, Baek MW. The relationships among self-care agency, family support, quality of life in patients with rheumatoid arthritis. Journal of Muscle and Joint Health. 2000; 7(2):281–293.
23. Jang YH. The influence of social networks and socio-psycholo-cial factors of the elderly in urban area on quality of life [mas- ter's thesis]. [Gwangju]: Chosun University;2012. p. 45.
24. Seo NS, Chung YH, Kim JS. Factors related to quality of life among rural elderly. Journal of Korean Academy of Adult Nursing. 2005; 17(3):379–388.
25. Kang JH, Kim JA, Oh KS, Oh KO, Lee SO, Lee SJ, et al. Health status, depression and social support of elderly beneficiaries of the national basic livelihood security system. Korean Journal of Adult Nursing. 2008; 20(6):866–882.
26. Ahn YJ, Choi YK. The effect of case management services for high-risk medicaid beneficiaries. Journal of the Korea Academia-industrial Cooperation Society. 2015; 16(8):5430–5441. https://doi.org/10.5762/KAIS.2015.16.8.5430.
Article
27. Chang KO. The Effects of hypertension health school program on hypertension-related knowledge, self-efficacy, self-care be- havior and physiological parameters in hypertensive patients. Journal of Muscle and Joint Health. 2016; 23(1):49–60. https://doi.org/10.5953/JMJH.2016.23.1.49.
28. Ahn YH, Hur JB, Choi EH. Short-term effects of an self-management support intervention on patient activation, joint flexibility and health-related quality of life among Korean Medical aid beneficiaries with osteoarthritis. Journal of the Korean Gerontological Society. 2016; 36(3):595–609.
29. Kim KH, Lee SK, Yoon HJ, Kwon GH. The effects of social capital of old-old elderly of more than 70-year-old on their health-related quality of life. Journal of the Korea AcademiaIndustrial cooperation Society. 2015; 16(6):3889–3901. https://doi.org/10.5762/KAIS.2015.16.6.3889.
Article
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