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Effect of diabetic case management intervention on health service utilization in Korea.
- Source :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.); Dec2015, Vol. 21 Issue 6, p780-789, 10p, 3 Diagrams, 4 Charts
- Publication Year :
- 2015
-
Abstract
- This study is to estimate the effectiveness of a diabetic case management programme on health-care service utilization. The study population included 6007 as the intervention group and 956 766 as the control group. As the indicators of health-care service utilization, numbers of medical ambulatory consultations, days of medication prescribed and medical expenses for one year were used, and we analysed the claim data of the health insurance from 2005 to 2007. The study population was classified into three subgroups based on the number of medical ambulatory consultations per year before this intervention. In the under-serviced subgroup, the intervention group showed a significant increase in the number of consultations (3.2), days of prescribed medication (66.4) and medical expenses (287 900 KRW) compared with the control group. Conversely, in the over-serviced subgroup, the intervention group showed a less decrease days of prescribed medication (1.6) compared with the control group. This showed that the case management programme led the intervention group to optimize their utilization of health-care services by subgroups. It is necessary to evaluate the appropriateness of health-care usage and clinical outcome to show the direct effectiveness of the case management programme by subgroups. [ABSTRACT FROM AUTHOR]
- Subjects :
- NATIONAL health services
HOME care services
DATABASES
REPEATED measures design
HEALTH insurance reimbursement
T-test (Statistics)
MEDICAL case management
MEDICAL care
OUTPATIENT medical care
SEX distribution
RETROSPECTIVE studies
EVALUATION of medical care
AGE distribution
TELEPHONES
MEDICAL records
ACQUISITION of data
DRUGS
DIABETES
MEDICAL care costs
EVALUATION
Subjects
Details
- Language :
- English
- ISSN :
- 13227114
- Volume :
- 21
- Issue :
- 6
- Database :
- Complementary Index
- Journal :
- International Journal of Nursing Practice (John Wiley & Sons, Inc.)
- Publication Type :
- Academic Journal
- Accession number :
- 111549417
- Full Text :
- https://doi.org/10.1111/ijn.12348