Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Implementation of case management in long-term conditions in England
T2 - survey and case studies
AU - Challis, David
AU - Hughes, Jane
AU - Berzins, Kathryn
AU - Reilly, Siobhan
AU - Abell, Jessica
AU - Stewart, Karen
AU - Bowns, Ian
PY - 2011/4
Y1 - 2011/4
N2 - Objectives Our aim was to describe the current provision of case management arrangements in primary care for people with long-term conditions in England and identify the extent and nature of self-care support services within it.Methods Cross-sectional survey of primary care trusts (PCTs) in England and four case studies using semi-structured interviews and focus groups.Results Services were predominantly nurse-led, typically by community matrons, and delivered on a geographical basis. Often multiple arrangements existed within a PCT but integration of services with local authority adult social care was not widespread. A range of self-care support services were utilized and often tuition was provided by case managers to patients in their own homes. Assessment, care coordination and direct support to patients were the principal tasks. Often care plans were limited to primary care services and did not include service costings. Links with nurse-led services within PCTs were evident but operational links with adult social care were poorly developed. This is consistent with previous research relating to the introduction of care management in social services in England which also resulted in a plethora of organizational arrangements.Conclusions Case management for patients with long-term conditions is at an early stage of development. Effective links with a range of local services are required if care plans are going to be comprehensive.
AB - Objectives Our aim was to describe the current provision of case management arrangements in primary care for people with long-term conditions in England and identify the extent and nature of self-care support services within it.Methods Cross-sectional survey of primary care trusts (PCTs) in England and four case studies using semi-structured interviews and focus groups.Results Services were predominantly nurse-led, typically by community matrons, and delivered on a geographical basis. Often multiple arrangements existed within a PCT but integration of services with local authority adult social care was not widespread. A range of self-care support services were utilized and often tuition was provided by case managers to patients in their own homes. Assessment, care coordination and direct support to patients were the principal tasks. Often care plans were limited to primary care services and did not include service costings. Links with nurse-led services within PCTs were evident but operational links with adult social care were poorly developed. This is consistent with previous research relating to the introduction of care management in social services in England which also resulted in a plethora of organizational arrangements.Conclusions Case management for patients with long-term conditions is at an early stage of development. Effective links with a range of local services are required if care plans are going to be comprehensive.
KW - Case Management
KW - Cross-Sectional Studies
KW - England
KW - Focus Groups
KW - Humans
KW - Long-Term Care
KW - Nurse-Patient Relations
KW - Organizational Case Studies
KW - Primary Health Care
KW - Qualitative Research
KW - Questionnaires
KW - Self Care
U2 - 10.1258/jhsrp.2010.010078
DO - 10.1258/jhsrp.2010.010078
M3 - Journal article
C2 - 21460344
VL - 16
SP - 8
EP - 13
JO - Journal of Health Services Research and Policy
JF - Journal of Health Services Research and Policy
SN - 1758-1060
IS - Suppl. 1
ER -