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    Rights statement: http://journals.cambridge.org/action/displayJournal?jid=PHC The final, definitive version of this article has been published in the Journal, Primary Health Care Research and Development, 12 (3), pp 223-236 2011, © 2011 Cambridge University Press.

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Case management for people with long-term conditions: impact upon emergency admissions and associated length of stay

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Case management for people with long-term conditions: impact upon emergency admissions and associated length of stay. / Reilly, Siobhan; Abell, Jessica; Brand, Christian et al.
In: Primary Health Care Research and Development, Vol. 12, No. 3, 07.2011, p. 223-236.

Research output: Contribution to Journal/MagazineJournal articlepeer-review

Harvard

Reilly, S, Abell, J, Brand, C, Hughes, J, Berzins, K & Challis, D 2011, 'Case management for people with long-term conditions: impact upon emergency admissions and associated length of stay', Primary Health Care Research and Development, vol. 12, no. 3, pp. 223-236. https://doi.org/10.1017/S1463423611000028

APA

Reilly, S., Abell, J., Brand, C., Hughes, J., Berzins, K., & Challis, D. (2011). Case management for people with long-term conditions: impact upon emergency admissions and associated length of stay. Primary Health Care Research and Development, 12(3), 223-236. https://doi.org/10.1017/S1463423611000028

Vancouver

Reilly S, Abell J, Brand C, Hughes J, Berzins K, Challis D. Case management for people with long-term conditions: impact upon emergency admissions and associated length of stay. Primary Health Care Research and Development. 2011 Jul;12(3):223-236. Epub 2011 Mar 11. doi: 10.1017/S1463423611000028

Author

Reilly, Siobhan ; Abell, Jessica ; Brand, Christian et al. / Case management for people with long-term conditions : impact upon emergency admissions and associated length of stay. In: Primary Health Care Research and Development. 2011 ; Vol. 12, No. 3. pp. 223-236.

Bibtex

@article{b9387bd2404b4e2b874f99cacd6d3a77,
title = "Case management for people with long-term conditions: impact upon emergency admissions and associated length of stay",
abstract = "Aim This paper describes findings from a study that evaluated the implementation and impact of case management for long-term conditions (CMLTC) in 10 primary care trusts (PCTs).Background Patients who have long-term conditions and complex health and social needs may require case management to deliver and coordinate their care from a range of agencies.Methods A cross-sectional postal survey of managers with lead responsibility for CMLTC in each PCT is adopted to describe the implementation of services. A retrospective cohort analysis of longitudinal routinely collected admission data for patients enrolled within the CMLTC service (nine months before and nine months after the entry; n = 867) is used to measure their impact.Findings The organisation of case management varied between PCTs in some aspects despite a high level of coordination across the geographical area. Mean emergency admissions and associated length of stay (LOS) for patients reduced significantly in the nine months after the service entry. There were a number of fairly robust positive and negative influences on these outcome measures in the regression analysis. Most patients with a history of emergency admissions experienced a marked improvement over time. However, most of those without any or with few admissions experienced an increase in admissions and corresponding LOS. Furthermore, a proportion of frequent service users with particular diagnoses also experienced an increase or remained at a high level. A very modest effect was shown with regard to the features of case management arrangements. For each day spent in hospital before service entry, patients are predicted to experience a reduction of nearly one day after. The main contributor explaining increases in LOS for emergency admissions was the number of primary and secondary diagnoses. Each added diagnosis is associated with a 2.4-day increase in LOS, everything else being equal.",
keywords = "Adolescent, Adult, Aged, Analysis of Variance, Case Management, Cross-Sectional Studies, Emergency Service, Hospital, Female, Great Britain, Health Care Surveys, Humans, Length of Stay, Long-Term Care, Male, Middle Aged, Primary Health Care, Regression Analysis, Retrospective Studies, Time Factors, Young Adult",
author = "Siobhan Reilly and Jessica Abell and Christian Brand and Jane Hughes and Kathryn Berzins and David Challis",
note = "http://journals.cambridge.org/action/displayJournal?jid=PHC The final, definitive version of this article has been published in the Journal, Primary Health Care Research and Development, 12 (3), pp 223-236 2011, {\textcopyright} 2011 Cambridge University Press.",
year = "2011",
month = jul,
doi = "10.1017/S1463423611000028",
language = "English",
volume = "12",
pages = "223--236",
journal = "Primary Health Care Research and Development",
issn = "1463-4236",
publisher = "Cambridge University Press",
number = "3",

}

RIS

TY - JOUR

T1 - Case management for people with long-term conditions

T2 - impact upon emergency admissions and associated length of stay

AU - Reilly, Siobhan

AU - Abell, Jessica

AU - Brand, Christian

AU - Hughes, Jane

AU - Berzins, Kathryn

AU - Challis, David

N1 - http://journals.cambridge.org/action/displayJournal?jid=PHC The final, definitive version of this article has been published in the Journal, Primary Health Care Research and Development, 12 (3), pp 223-236 2011, © 2011 Cambridge University Press.

PY - 2011/7

Y1 - 2011/7

N2 - Aim This paper describes findings from a study that evaluated the implementation and impact of case management for long-term conditions (CMLTC) in 10 primary care trusts (PCTs).Background Patients who have long-term conditions and complex health and social needs may require case management to deliver and coordinate their care from a range of agencies.Methods A cross-sectional postal survey of managers with lead responsibility for CMLTC in each PCT is adopted to describe the implementation of services. A retrospective cohort analysis of longitudinal routinely collected admission data for patients enrolled within the CMLTC service (nine months before and nine months after the entry; n = 867) is used to measure their impact.Findings The organisation of case management varied between PCTs in some aspects despite a high level of coordination across the geographical area. Mean emergency admissions and associated length of stay (LOS) for patients reduced significantly in the nine months after the service entry. There were a number of fairly robust positive and negative influences on these outcome measures in the regression analysis. Most patients with a history of emergency admissions experienced a marked improvement over time. However, most of those without any or with few admissions experienced an increase in admissions and corresponding LOS. Furthermore, a proportion of frequent service users with particular diagnoses also experienced an increase or remained at a high level. A very modest effect was shown with regard to the features of case management arrangements. For each day spent in hospital before service entry, patients are predicted to experience a reduction of nearly one day after. The main contributor explaining increases in LOS for emergency admissions was the number of primary and secondary diagnoses. Each added diagnosis is associated with a 2.4-day increase in LOS, everything else being equal.

AB - Aim This paper describes findings from a study that evaluated the implementation and impact of case management for long-term conditions (CMLTC) in 10 primary care trusts (PCTs).Background Patients who have long-term conditions and complex health and social needs may require case management to deliver and coordinate their care from a range of agencies.Methods A cross-sectional postal survey of managers with lead responsibility for CMLTC in each PCT is adopted to describe the implementation of services. A retrospective cohort analysis of longitudinal routinely collected admission data for patients enrolled within the CMLTC service (nine months before and nine months after the entry; n = 867) is used to measure their impact.Findings The organisation of case management varied between PCTs in some aspects despite a high level of coordination across the geographical area. Mean emergency admissions and associated length of stay (LOS) for patients reduced significantly in the nine months after the service entry. There were a number of fairly robust positive and negative influences on these outcome measures in the regression analysis. Most patients with a history of emergency admissions experienced a marked improvement over time. However, most of those without any or with few admissions experienced an increase in admissions and corresponding LOS. Furthermore, a proportion of frequent service users with particular diagnoses also experienced an increase or remained at a high level. A very modest effect was shown with regard to the features of case management arrangements. For each day spent in hospital before service entry, patients are predicted to experience a reduction of nearly one day after. The main contributor explaining increases in LOS for emergency admissions was the number of primary and secondary diagnoses. Each added diagnosis is associated with a 2.4-day increase in LOS, everything else being equal.

KW - Adolescent

KW - Adult

KW - Aged

KW - Analysis of Variance

KW - Case Management

KW - Cross-Sectional Studies

KW - Emergency Service, Hospital

KW - Female

KW - Great Britain

KW - Health Care Surveys

KW - Humans

KW - Length of Stay

KW - Long-Term Care

KW - Male

KW - Middle Aged

KW - Primary Health Care

KW - Regression Analysis

KW - Retrospective Studies

KW - Time Factors

KW - Young Adult

UR - http://www.scopus.com/inward/record.url?scp=84555202606&partnerID=8YFLogxK

U2 - 10.1017/S1463423611000028

DO - 10.1017/S1463423611000028

M3 - Journal article

C2 - 21798120

AN - SCOPUS:84555202606

VL - 12

SP - 223

EP - 236

JO - Primary Health Care Research and Development

JF - Primary Health Care Research and Development

SN - 1463-4236

IS - 3

ER -