Home > Research > Publications & Outputs > Case management for long-term conditions

Electronic data

  • -ASO-ASO30_01-S0144686X09990183a

    Rights statement: http://journals.cambridge.org/action/displayJournal?jid=ASO The final, definitive version of this article has been published in the Journal, Ageing and Society, 30 (1), pp 125-155 2010, © 2010 Cambridge University Press.

    Final published version, 595 KB, PDF document

Links

Text available via DOI:

View graph of relations

Case management for long-term conditions: implementation and processes

Research output: Contribution to journalJournal articlepeer-review

Published
Close
<mark>Journal publication date</mark>2010
<mark>Journal</mark>Ageing and Society
Issue number1
Volume30
Number of pages31
Pages (from-to)125-155
Publication StatusPublished
<mark>Original language</mark>English

Abstract

This paper presents a structured literature review that focused on comprehensive case management by nurses for adults with long-term conditions living in the community. The emphases of the review are the implementation of case-management approaches, including its roles, core tasks and components, and the coverage and quality of the reported implementation data. Twenty-nine studies were included: the majority were concerned with case management for frail older people, and others focused on people with multiple chronic diseases, high-cost patients, or those at high risk of hospital admissions. All the studies reported that case managers undertook the core tasks of assessment, care planning and the implementation of the care plan, but there was more variation in who carried out case finding, monitoring, review and case closure. Few studies provided adequate implementation information. On the basis of the reviewed evidence, three issues were identified as key to the coherent and sustainable implementation of case management for people with long-term conditions: fidelity to the core elements of case management; size of caseload; and case-management practice, incorporating matters relating to the continuity of care, the intensity and breadth of involvement, and control over resources. It is recommended that future evaluations of case-management interventions include a comprehensive process component or, at the very least, that interventions should be more fully described.

Bibliographic note

http://journals.cambridge.org/action/displayJournal?jid=ASO The final, definitive version of this article has been published in the Journal, Ageing and Society, 30 (1), pp 125-155 2010, © 2010 Cambridge University Press.