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Does the organisational model of dementia case management make a difference in satisfaction with case management and caregiver burden? An evaluation study
BACKGROUND: In the Netherlands, various organisational models of dementia case management exist. In this study the following four models are distinguished, based on differences in the availability of the service and in the case management function: Model 1: the case management service is available f...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784401/ https://www.ncbi.nlm.nih.gov/pubmed/26956725 http://dx.doi.org/10.1186/s12877-016-0237-y |
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author | Peeters, José M. Pot, Anne Margriet de Lange, Jacomine Spreeuwenberg, Peter M. Francke, Anneke L. |
author_facet | Peeters, José M. Pot, Anne Margriet de Lange, Jacomine Spreeuwenberg, Peter M. Francke, Anneke L. |
author_sort | Peeters, José M. |
collection | PubMed |
description | BACKGROUND: In the Netherlands, various organisational models of dementia case management exist. In this study the following four models are distinguished, based on differences in the availability of the service and in the case management function: Model 1: the case management service is available from first dementia symptoms + is always a separate specialist function; Model 2: the case management service is only available after a formal dementia diagnosis + is always a separate specialist function; Model 3: the case management service is available from first dementia symptoms + is often a combined function; Model 4: the case management service is only available after a formal dementia diagnosis + is often a combined function. The objectives of this study are to give insight into whether satisfaction with dementia case management and the development of caregiver burden depend on the organisational model. METHODS: A survey was carried out in regional dementia care networks in the Netherlands among 554 informal carers for people with dementia at the start of case management (response of 85 %), and one year later. Descriptive statistics and multilevel models were used to analyse the data. RESULTS: The satisfaction with the case manager was high in general (an average of 8.0 within a possible range of 1 to 10), although the caregiver burden did not decrease in the first year after starting with case management. No differences were found between the four organisational models regarding the development of caregiver burden. However, statistically significant differences (p < 0.05) were found regarding satisfaction: informal carers in the organisational model where case management is only available after formal diagnosis of dementia and is often a combined function had on average the lowest satisfaction scores. Nevertheless, the satisfaction of informal carers within all organisational models was high (ranging from 7.51 to 8.40 within a range of 1 to 10). CONCLUSIONS: Organisational features of case management seem to make little or no difference to the development in caregiver burden and the satisfaction of informal carers. Future research is needed to explore whether the individual characteristics of the case managers themselves are associated with case management outcomes. |
format | Online Article Text |
id | pubmed-4784401 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-47844012016-03-10 Does the organisational model of dementia case management make a difference in satisfaction with case management and caregiver burden? An evaluation study Peeters, José M. Pot, Anne Margriet de Lange, Jacomine Spreeuwenberg, Peter M. Francke, Anneke L. BMC Geriatr Research Article BACKGROUND: In the Netherlands, various organisational models of dementia case management exist. In this study the following four models are distinguished, based on differences in the availability of the service and in the case management function: Model 1: the case management service is available from first dementia symptoms + is always a separate specialist function; Model 2: the case management service is only available after a formal dementia diagnosis + is always a separate specialist function; Model 3: the case management service is available from first dementia symptoms + is often a combined function; Model 4: the case management service is only available after a formal dementia diagnosis + is often a combined function. The objectives of this study are to give insight into whether satisfaction with dementia case management and the development of caregiver burden depend on the organisational model. METHODS: A survey was carried out in regional dementia care networks in the Netherlands among 554 informal carers for people with dementia at the start of case management (response of 85 %), and one year later. Descriptive statistics and multilevel models were used to analyse the data. RESULTS: The satisfaction with the case manager was high in general (an average of 8.0 within a possible range of 1 to 10), although the caregiver burden did not decrease in the first year after starting with case management. No differences were found between the four organisational models regarding the development of caregiver burden. However, statistically significant differences (p < 0.05) were found regarding satisfaction: informal carers in the organisational model where case management is only available after formal diagnosis of dementia and is often a combined function had on average the lowest satisfaction scores. Nevertheless, the satisfaction of informal carers within all organisational models was high (ranging from 7.51 to 8.40 within a range of 1 to 10). CONCLUSIONS: Organisational features of case management seem to make little or no difference to the development in caregiver burden and the satisfaction of informal carers. Future research is needed to explore whether the individual characteristics of the case managers themselves are associated with case management outcomes. BioMed Central 2016-03-09 /pmc/articles/PMC4784401/ /pubmed/26956725 http://dx.doi.org/10.1186/s12877-016-0237-y Text en © Peeters et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Peeters, José M. Pot, Anne Margriet de Lange, Jacomine Spreeuwenberg, Peter M. Francke, Anneke L. Does the organisational model of dementia case management make a difference in satisfaction with case management and caregiver burden? An evaluation study |
title | Does the organisational model of dementia case management make a difference in satisfaction with case management and caregiver burden? An evaluation study |
title_full | Does the organisational model of dementia case management make a difference in satisfaction with case management and caregiver burden? An evaluation study |
title_fullStr | Does the organisational model of dementia case management make a difference in satisfaction with case management and caregiver burden? An evaluation study |
title_full_unstemmed | Does the organisational model of dementia case management make a difference in satisfaction with case management and caregiver burden? An evaluation study |
title_short | Does the organisational model of dementia case management make a difference in satisfaction with case management and caregiver burden? An evaluation study |
title_sort | does the organisational model of dementia case management make a difference in satisfaction with case management and caregiver burden? an evaluation study |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4784401/ https://www.ncbi.nlm.nih.gov/pubmed/26956725 http://dx.doi.org/10.1186/s12877-016-0237-y |
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