Abstract
The purpose of this research is to examine a care management practice model under the long-term care Insurance System. This paper specifically focuses on and examines the care managers' benefit management tasks that specialize in coordinating and mediating functions. The survey included the participant observation method and interview method. Data were analyzed by the qualitative coding method. The results clarify the structures and processes of benefit management tasks specializing in coordinating and mediating functions from two perspectives, namely the perspective of Care (Case) Management Theory: (1) Give preferences to the use of existing services; (2) Restriction of comprehensive assessments; (3) Promotion of profitability; (4) Evaluation of emphasized outcomes; and (5) Specialization of functions; and the perspective of the long-term care insurance system: (1) Comply with the application of the system; (2) Perform the tasks of calculating costs and managing budget; (3) Require proof of tasks; (4) Move towards a more fluid system; and (5) Delay establishing the criteria for judgment. The results also show that the care management practice model under the Long-term care insurance system requires the following: (1) Integrating the two way process, (2) Making the results more visible, and (3) Promotion of efficiency in benefit management tasks.
