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Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review

OBJECTIVE: The aim of this paper was to identify the key factors of case management (CM) interventions among frequent users of healthcare services found in empirical studies of effectiveness. DESIGN: Thematic analysis review of CM studies. METHODS: We built on a previously published review that aime...

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Autores principales: Hudon, Catherine, Chouinard, Maud-Christine, Lambert, Mireille, Diadiou, Fatoumata, Bouliane, Danielle, Beaudin, Jérémie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5665285/
https://www.ncbi.nlm.nih.gov/pubmed/29061623
http://dx.doi.org/10.1136/bmjopen-2017-017762
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author Hudon, Catherine
Chouinard, Maud-Christine
Lambert, Mireille
Diadiou, Fatoumata
Bouliane, Danielle
Beaudin, Jérémie
author_facet Hudon, Catherine
Chouinard, Maud-Christine
Lambert, Mireille
Diadiou, Fatoumata
Bouliane, Danielle
Beaudin, Jérémie
author_sort Hudon, Catherine
collection PubMed
description OBJECTIVE: The aim of this paper was to identify the key factors of case management (CM) interventions among frequent users of healthcare services found in empirical studies of effectiveness. DESIGN: Thematic analysis review of CM studies. METHODS: We built on a previously published review that aimed to report the effectiveness of CM interventions for frequent users of healthcare services, using the Medline, Scopus and CINAHL databases covering the January 2004–December 2015 period, then updated to July 2017, with the keywords ‘CM’ and ‘frequent use’. We extracted factors of successful (n=7) and unsuccessful (n=6) CM interventions and conducted a mixed thematic analysis to synthesise findings. Chaudoir’s implementation of health innovations framework was used to organise results into four broad levels of factors: (1) environmental/organisational level, (2) practitioner level, (3) patient level and (4) programme level. RESULTS: Access to, and close partnerships with, healthcare providers and community services resources were key factors of successful CM interventions that should target patients with the greatest needs and promote frequent contacts with the healthcare team. The selection and training of the case manager was also an important factor to foster patient engagement in CM. Coordination of care, self-management support and assistance with care navigation were key CM activities. The main issues reported by unsuccessful CM interventions were problems with case finding or lack of care integration. CONCLUSIONS: CM interventions for frequent users of healthcare services should ensure adequate case finding processes, rigorous selection and training of the case manager, sufficient intensity of the intervention, as well as good care integration among all partners. Other studies could further evaluate the influence of contextual factors on intervention impacts.
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spelling pubmed-56652852017-11-15 Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review Hudon, Catherine Chouinard, Maud-Christine Lambert, Mireille Diadiou, Fatoumata Bouliane, Danielle Beaudin, Jérémie BMJ Open Health Services Research OBJECTIVE: The aim of this paper was to identify the key factors of case management (CM) interventions among frequent users of healthcare services found in empirical studies of effectiveness. DESIGN: Thematic analysis review of CM studies. METHODS: We built on a previously published review that aimed to report the effectiveness of CM interventions for frequent users of healthcare services, using the Medline, Scopus and CINAHL databases covering the January 2004–December 2015 period, then updated to July 2017, with the keywords ‘CM’ and ‘frequent use’. We extracted factors of successful (n=7) and unsuccessful (n=6) CM interventions and conducted a mixed thematic analysis to synthesise findings. Chaudoir’s implementation of health innovations framework was used to organise results into four broad levels of factors: (1) environmental/organisational level, (2) practitioner level, (3) patient level and (4) programme level. RESULTS: Access to, and close partnerships with, healthcare providers and community services resources were key factors of successful CM interventions that should target patients with the greatest needs and promote frequent contacts with the healthcare team. The selection and training of the case manager was also an important factor to foster patient engagement in CM. Coordination of care, self-management support and assistance with care navigation were key CM activities. The main issues reported by unsuccessful CM interventions were problems with case finding or lack of care integration. CONCLUSIONS: CM interventions for frequent users of healthcare services should ensure adequate case finding processes, rigorous selection and training of the case manager, sufficient intensity of the intervention, as well as good care integration among all partners. Other studies could further evaluate the influence of contextual factors on intervention impacts. BMJ Publishing Group 2017-10-22 /pmc/articles/PMC5665285/ /pubmed/29061623 http://dx.doi.org/10.1136/bmjopen-2017-017762 Text en © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Health Services Research
Hudon, Catherine
Chouinard, Maud-Christine
Lambert, Mireille
Diadiou, Fatoumata
Bouliane, Danielle
Beaudin, Jérémie
Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review
title Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review
title_full Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review
title_fullStr Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review
title_full_unstemmed Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review
title_short Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review
title_sort key factors of case management interventions for frequent users of healthcare services: a thematic analysis review
topic Health Services Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5665285/
https://www.ncbi.nlm.nih.gov/pubmed/29061623
http://dx.doi.org/10.1136/bmjopen-2017-017762
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