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Perceived barriers to implementing case management for medical‐aid beneficiaries in South Korea

Bibliographic Data

ID12288030
AuthorsJeonghyun Cho (0000-0003-4492-1197, College of Nursing Institute for Health Science ResearchInje University Busan South Korea, corresponding author), Chongwon Park (0000-0003-4640-0926, Division of English Language and Literature Pukyong National University Busan South Korea), Jinah Lee (0000-0003-0199-1638, Department of Social Welfare and Counseling Catholic University of Pusan Busan South Korea), Jiyoung Park (0000-0002-0249-5129, College of Nursing Institute for Health Science ResearchInje University Busan South Korea)
Year2021
Volume30
Issue1
Pages372-379
Publication date2021-06-02
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hsc.13410
PMID34080251
OpenAlexW3165176609
LanguageEN
References cited20

Medical aid (MA) in South Korea, a national public assistance scheme, provides minimum medical security for low-income families. The Korean government has adopted a case management (CM) programme to control MA beneficiaries' inappropriate medical use and enhance beneficiaries' quality of life. This study aimed to explore case managers' experiences of implementing CM for MA beneficiaries' potential barriers. This study employed a qualitative phenomenological tradition using focus-group interviews. Three focus groups with 19 MA case managers were conducted (July to August 2018) using semistructured interview questions. Data were analysed through qualitative content analysis using the NVivo software programme, followed by consensus meetings between researchers. Participants perceived the structural barriers to CM implementation as a contradictory MA system, lack of communication among government departments and CM guidelines not reflecting reality. To improve case managers' experiences concerning MA beneficiaries, policy solutions and a collaborative environment with beneficiaries, public nurses and social service providers are needed to ensure the workforce's sustainability. Also, it is required to develop practical guidelines that reflect the reality of implementing CM

Acknowledgement · Business · Focus group · Government (linguistics · Political science · Public relations · Qualitative research · Sociology · Workforce · Emergency and Acute Care Studies · Geriatric Care and Nursing Homes · Interprofessional Education and Collaboration · Medicine · Nursing · Marketing

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