Purpose: The purpose of this study was to compare the effectiveness of case management in elderly medicaid beneficiaries according to geographic location. Methods: Data were collected from 23,633 elderly medicaid beneficiaries assigned from over users of medicaid.We used the need assessment tool developed by the government, which consists of 19 items with four subscales. Results: Among elderly medicaid beneficiaries, statistically significant differences in effectiveness of case management were observed for quality of life, self-care competency, medical care utility, and support system. Differences in case management effectiveness were higher in urban areas than in metropolitan or rural areas. Conclusion:The differentiated and tailored intervention model based on characteristics of participants, resource distribution, and geographic location may be needed for effective case management for elderly medicaid beneficiaries.
A partially investigational study, this paper is aimed at determining the effects of a gratitude course on nursing undergraduates' gratitude temperament and subjective satisfaction. It was conducted among 54 freshmen and sophomores majoring in nursing, with a six-session gratitude program applied to the experimental group. At this juncture, gratitude temperament and subjective happiness improved significantly after the program was run, and gratitude disposition carried on throughout the six months after the program. Concisely, a gratitude program contributes to an improvement in gratitude disposition and subjective happiness in nursing students.
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