Case Management, Client Risk Factors, and Service Use

Six “pure” types of case-manager activity are identified using chart data from 922 cases in the Medicare Alzheimer's Disease Demonstration. The association between case-manager actions and client characteristics, and between case-manager activities and service use outcomes is used to test predi...

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Detalles Bibliográficos
Autores principales: Newcomer, Robert, Arnsberger, Pamela, Zhang, Xiulan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1997
Materias:
Innovations in Fee-for-Service Financing and Delivery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194486/
https://www.ncbi.nlm.nih.gov/pubmed/10179994
Descripción
Sumario:Six “pure” types of case-manager activity are identified using chart data from 922 cases in the Medicare Alzheimer's Disease Demonstration. The association between case-manager actions and client characteristics, and between case-manager activities and service use outcomes is used to test predictive validity. Case-manager activity is generally more associated with caregiver than client characteristics. Monitoring and service management was protective against nursing home placement. A clinical nursing emphasis was protective against hospitalization. Understanding how case management is differentiated may improve staffing, treatment protocol, and client service outcomes.

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