Case management of individuals with long-term conditions by community matrons: report of qualitative findings of a mixed method evaluation

Randall, Sue; Daly, Guy; Thunhurst, Colin; Mills, Natalie; Guest, David; Barker, Annette

doi:10.1017/s1463423612000667

Cited by 14 publications

(28 citation statements)

References 31 publications

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“…The literature has explicitly reported that advisors, advocates, carers, communicators, co‐ordinators, educators, facilitators, liaison officers, navigators, negotiators, problem solvers and supporters are roles of case managers working in different care settings (Applebaum & Austin , Saulo , Frankel & Heft‐LaPorte , Abdallah , Mallick , NCMN , Randall et al . , Parker & Fuller ). Our study confirmed that these are also roles of case managers working in the community aged care sector.…”

Section: Discussionmentioning

confidence: 98%

What is the role of a case manager in community aged care? A qualitative study in Australia

You

Dunt

Doyle

2015

Health Soc Care Community

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This study aimed to explore the perceptions of case managers about their roles in providing community aged care in Australia. Purposeful sampling was used and 33 qualitative semi-structured interviews with 47 participants were conducted. Participants were drawn from a list of all case managers working in aged care organisations that provided publicly funded case-managed community aged care programmes in the State of Victoria, Australia. Participant selection criteria included age, gender, job titles, professional backgrounds, practice locations, organisational attributes and organisational size. Data collection was implemented between September 2012 and March 2013. Thematic analysis was performed. Participants believed that case managers performed diverse roles based on clients' needs. They also articulated 16 important roles of case managers, including advisors, advocates, carers, communicators, co-ordinators, educators, empowering clients, engaging clients and families, liaising with people, managing budgets, navigators, negotiators, networking with people, facilitators, problem solvers and supporters. However, they were concerned about brokers, mediators and counsellors in terms of the terminology or case managers' willingness to perform these roles. Moreover, they perceived that neither gatekeepers nor direct service provision was case managers' role. The findings of this study suggest that case managers working in community aged care sectors may be more effective if they practised the 16 roles aforementioned. With the value of helping rather than obstructing clients to access services, they may not act as gatekeepers. In addition, they may not provide services directly as opposed to their peers working in medical care settings. The findings will also assist organisations to design job descriptions specifying case managers' roles and associated job responsibilities. Clear job descriptions will further benefit the organisations in staff recruitment, orientation and ongoing development, as well as facilitate case managers to set professional boundaries in the delivery of case management interventions to their clients.

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Section: Discussionmentioning

confidence: 98%

What is the role of a case manager in community aged care? A qualitative study in Australia

You

Dunt

Doyle

2015

Health Soc Care Community

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“…Service models to facilitate access to healthcare for frail older people include care coordination, case management, care navigation, and integrated care, with variable effects on outcomes such as satisfaction, health status, healthcare utilisation or place of death. [13][14][15][16][17][18][19] What these interventions share is their mediation by health or social care professionals working within formal care networks, often with a relatively narrow focus. It may be that service models that sit outside these formal care networks could offer a flexible, innovative, community focused solutions to improving access to care for those who may not usually access palliative or hospice care services, meet needs and enable improved quality of life.…”

Section: Implications For the Publicmentioning

confidence: 99%

Exploring a New Model of End-of-Life Care for Older People That Operates in the Space Between the Life World and the Healthcare System: A Qualitative Case Study

Dodd

Preston

Payne

et al. 2020

Int J Health Policy Manag

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Background: Innovative service models to facilitate end-of-life care for older people may be required to enable and bolster networks of care. The aim of this study was to understand how and why a new charitably funded service model of end-of-life care impacts upon the lives of older people. Methods: A multiple exploratory qualitative case study research strategy. Cases were 3 sites providing a new end-oflife service model for older people. The services were provided in community settings, primarily providing support in peoples own homes. Study participants included the older people receiving the end-of-life care service, their informal carers, staff providing care within the service and other stakeholders. Data collection included individual interviews with older people and informal carers at 2 time points, focus group interviews with staff and local stakeholders, nonparticipant observation of meetings, and a final cross-case deliberative panel discussion workshop. Framework analysis facilitated analysis within and across cases. Results: Twenty-three service users and 5 informal carers participated in individual interviews across the cases. Two focus groups were held with an additional 12 participants, and 19 people attended the deliberative panel workshop. Important elements contributing to the experience and impacts of the service included organisation, where services felt they were ‘outsiders,’ the focus of the services and their flexible approach; and the impacts particularly in enriching relationships and improving mental health. Conclusion: These end-of-life care service models operated in a space between the healthcare system and the person’s life world. This meant there could be ambiguity around their services, where they occupied a liminal, but important, space. These services are potentially important to older people, but should not be overly constrained or they may lose the very flexibility that enables them to have impact.

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“…1 A number of strategies to reduce the burden of long-term illnesses have been driving forward innovations across the UK. Examples of these include the Expert Patients Programmes, 2 the use of community matrons, 3 and the use of Telehealth and Telecare to assess, diagnose, and monitor conditions at home or at a distance from a health and social care provider. [4][5][6] ebb and flow of care for patients, carers, and clinicians.…”

Section: Introductionmentioning

confidence: 99%

Self-management: keeping it simple with “Flo”

Cund¹,

Birch-Jones²,

Kampel³

et al. 2015

NRR

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Background: Living with and managing a long-term condition are complex processes that are further compounded by a range of medical and psychosocial factors. The size and scale of long-term conditions in the UK is vast, with strategic drivers seeking to find innovative ways to managing this problem. Methods: This project introduced Simple Telehealth "Florence," a software-based short message service texting system to monitor a variety of conditions, such as diabetes, hypertension, and wounds, initially in one region of the East Midlands, England, UK. This article discusses the findings from our patient and staff evaluations of using the system. In total, 37 patients across four conditions, diabetes, chronic obstructive pulmonary disease, hypertension, and Asperger's syndrome, evaluated the study and this exercise involved 33 nurses in teams across three locations over a 6-month period. Evaluation was made using a simple, self-completed questionnaire and analysis of qualitative comments. Results: The majority of patients find the service easy to use, reassuring, and reducing the number of contacts they had with their doctor. The results also show that staff did notice a reduction in consultation time, highlighting the potential of the system to save time; the majority viewed it as a support to existing approaches aimed at the management of long-term conditions. Discussion: This study adds to the growing body of evidence that supports community nurses through the use of innovative ways to assess, support, and monitor long-term conditions. It also offers insight into the experience of patients and staff working together in one region of England, UK. Recommendations: Embedding Simple Telehealth "Florence" as an option within primary care services in the UK is hereby proposed. This would add to the range of options and therapeutic approaches available through modern Telehealth.

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Case management of individuals with long-term conditions by community matrons: report of qualitative findings of a mixed method evaluation

Cited by 14 publications

References 31 publications

What is the role of a case manager in community aged care? A qualitative study in Australia

What is the role of a case manager in community aged care? A qualitative study in Australia

Exploring a New Model of End-of-Life Care for Older People That Operates in the Space Between the Life World and the Healthcare System: A Qualitative Case Study

Self-management: keeping it simple with “Flo”

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Case management of individuals with long-term conditions by community matrons: report of qualitative findings of a mixed method evaluation

Cited by 14 publications

References 31 publications

What is the role of a case manager in community aged care? A qualitative study in Australia

What is the role of a case manager in community aged care? A qualitative study in Australia

Exploring a New Model of End-of-Life Care for Older People That Operates in the Space Between the Life World and the Healthcare System: A Qualitative Case Study

Self-management: keeping it simple with &ldquo;Flo&rdquo;

Contact Info

Product

Resources

About

Self-management: keeping it simple with “Flo”