Case management cuts hospital admissions to ‘virtually zero’

Parish, Colin

doi:10.7748/ns.20.3.10.s14

Cited by 3 publications

(3 citation statements)

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“…As life expectancy in many areas of the world increase, the incidence of people living with long term conditions (LTC) place significant pressures on health care systems (Chamberlain 2004). Nurses play a key role in the care of patients with long term illness and are often central to improving and maintaining health in this area of health care (Parish 2005). This paper presents a structured review of the evidence for the effectiveness of nurse case management approaches for three of the most significant LTC seen amongst chronically ill patients in the UK; Diabetes, Chronic Obstructive Pulmonary Disease (COPD) and Coronary Heart Disease (CHD).…”

Section: Introductionmentioning

confidence: 99%

“…Whilst much of the literature discusses the potential benefits of case management (Parish 2005, Agnew 2005), some authors are less enthusiastic than about the role arguing that it threatens patient autonomy, reduces individualised care, is an unproven approach to patient care and is based on cost effectiveness rather than quality care (Donagrandi 2000, Chamberlain 2004, Hutt et al 2004, Hudson 2005, Metcalf 2005). This study therefore seeks to appraise the evidence for the benefits of case management in improving outcomes for patients and health care providers.…”

Section: Introductionmentioning

confidence: 99%

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Structured review: evaluating the effectiveness of nurse case managers in improving health outcomes in three major chronic diseases

Sutherland

Hayter

2009

Journal of Clinical Nursing

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Structured review: evaluating the effectiveness of nurse case managers in improving health outcomes in three major chronic diseases

Sutherland

Hayter

2009

Journal of Clinical Nursing

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“…[9] Nurses play an important role in the care to improve and maintain the health of FAs. [10] Case management is a nurse-led model where community matrons care for patients, such as FAs, who have complex needs and long-term conditions. These nurses act as facilitators between the client, the health team, the families and the community.…”

Section: Introductionmentioning

confidence: 99%

The effects of intervention on the quality of life, sense of coherence and daily activities of frequent attenders

Hirsikangas

Kanste²,

Korpelainen³

et al. 2017

JNEP

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Background and objective: When FAs with chronic disease and various needs are able to keep up their psychological and physical wellbeing, perform daily activities and maintain control of their life, they are able to live an active life and take care of themselves longer, and this has an impact on their quality of life. The role of community matron is to assess an individual's problems and needs for health services and improve the self-care of FAs by providing a needs-based education. The goal of this study is to evaluate the effectiveness of nurse-led intervention on the quality of life, sense of coherence and daily activities of frequent attenders (FAs).Methods: This study is an intervention trial, with a two-year follow-up, including intervention and control groups. The intervention group received nurse-led intervention that included the assessment of FAs care needs, an individualized care plan, support for self-management and service coordination. The FAs in the control group received traditional care, including patient education and support. Self-reported instruments were used to collect data from adult frequent attenders, including the Frenchay Activities Index (FAI), Sense of Coherence (SOC) and 15D, to assess the health-related quality of life (HRQoL). Follow-ups measurements were taken after one year and after two years between 2008 and 2011.Results: The study shows a significant correlation between sense of coherence and quality of life (p < .0005) and quality of life and amount of daily activities performed (p < .0005) in both groups. The intervention group had statistically significantly better sense of coherence at every stage of the study. The activities of daily living statistically significantly weakened in the intervention group (p = .001) from baseline to two years despite intervention, whereas in the control group it remained unchanged. In the control group, a statistically significant correlation was found between sense of coherence and FAs feeling satisfaction with their current life (p = .019). The HRQoL did not differ between the groups during the study. Conclusions:These results indicate a correlation between sense of coherence and quality of life and also between quality of life and amount of daily activities among FAs. Intervention did not improve the quality of life of FAs or their daily functioning. More research is needed to demonstrate the effects of community matron model on FAs care, the role of ehealth needs to be strongly involved.

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Community matrons and case managers: who are they?

Lillyman

Saxon

Treml³

2009

Br J Community Nurs

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In 2005 John Reid, the then Secretary of Health, announced the need for 3?000 community matrons to be appointed to coordinate the care of the growing numbers of people living with long term conditions. Although by the date agreed there were only 1?348 in post, according to Snow (2007), some PCTs have decided not to recruit further community matrons. Following the first evaluations of the role there also appears to be some confusion as to the title used by professionals who case manage this client group. The title of community matron has been used interchangeably with case manager, and therefore requires some clarification. This paper attempts to review the role of community matron and case manager, identify the professionals who take up these posts, and the professional qualifications and preparation required for the roles.

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Case management cuts hospital admissions to ‘virtually zero’

Cited by 3 publications

References 0 publications

Structured review: evaluating the effectiveness of nurse case managers in improving health outcomes in three major chronic diseases

Structured review: evaluating the effectiveness of nurse case managers in improving health outcomes in three major chronic diseases

The effects of intervention on the quality of life, sense of coherence and daily activities of frequent attenders

Community matrons and case managers: who are they?

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