Medical Aid service overuse assessed by case managers in Korea

Journal of Advanced Nursing
Sun Mi ShinHyun Kyung Kim

Abstract

This paper is a report of a study conducted to describe characteristics of overusers of the Medical Aid service, assess appropriateness of overusers' medical service use, and determine contributing factors to medical aid overuse in Korea. Medical Aid use in Korea has increased in recent years, but no systematic studies reported the characteristics of overusers and appropriateness of their medical service use. In a cross-sectional study, case managers conducted interviews, evaluated participants' insurance claim data, and determined overusers by the case managers' determination of the appropriateness of their medical service use and their expenditures during the year of 2006. Descriptive statistics, chi-square analysis, analysis of variance, and multiple logistic regression were used for data analysis. Most heavy users were elderly, female, less educated, and had stress, lower perceived health status and multiple clinic visits. Twenty-five per cent of inpatients and 63.9% of outpatients were classified as overusers. The average total cost per capita of an overuser was 43.3% higher than that of an optimal user. Age, education, stress, arthritis, multiple clinic visits and frequent clinic visit recommendations by providers were st...Continue Reading

References

Jan 1, 1987·Health Affairs·B Spitz
Dec 1, 1973·Journal of Health and Social Behavior·J G Anderson, D E Bartkus
Mar 1, 1983·Medical Care·A S Andersen, P Laake
Feb 1, 1993·Journal of Epidemiology and Community Health·H Markowe
Dec 5, 1997·JAMA : the Journal of the American Medical Association·G EllrodtS Weingarten
Apr 15, 1999·The New England Journal of Medicine·T Bodenheimer
Sep 24, 1999·JAMA : the Journal of the American Medical Association·J E BaileyD R Schaberg
May 30, 2001·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·W E LaffertyA Lind
Jan 15, 2003·The Journal of School Health·UNKNOWN Office on Smoking and Health, Division of Adolescent and School Health National Center for Chronic Disease Prevention and He
Sep 26, 2003·American Journal of Preventive Medicine·Ronald T AckermannJames P LoGerfo
Apr 2, 2004·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Jack Hadley, John Holahan
Jul 16, 2005·Diabetes Research and Clinical Practice·Robert A GabbayRosemary C Polomano
Sep 13, 2005·Health Policy·Pia Maria JonssonGöran Tomson
Oct 12, 2005·Archives of Internal Medicine·Virginia W Chang, Diane S Lauderdale
Nov 5, 2005·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Mary Ann McColl
Feb 27, 2007·Health Affairs·Richard Kronick, David Rousseau
Oct 27, 2007·Disease Management : DM·Ariel LindenSandeep Wadhwa

❮ Previous
Next ❯

Citations

Aug 28, 2014·International Journal for Equity in Health·Ju Moon Park
Mar 20, 2013·Health & Social Care in the Community·Jin Joo Oh
Sep 16, 2015·International Journal for Equity in Health·Ju Moon Park
Dec 23, 2014·Asian Nursing Research·Hee-Sun Shin, Jin-Joo Oh
Feb 5, 2013·Journal of Korean Academy of Nursing·Yang Heui AhnChang Gi Park
Apr 10, 2020·International Journal of Environmental Research and Public Health·Myung Ja Kim, Eunhee Lee
Jul 25, 2021·International Journal of Environmental Research and Public Health·Chien-Ying LeeKuang-Hua Huang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Journal of Preventive Medicine and Public Health = Yebang Ŭihakhoe Chi
Sun Mi ShinHee Woo Lee
Journal of the American Medical Directors Association
Emily R Smith, Alan B Stevens
© 2021 Meta ULC. All rights reserved