Case Management Quality-of-Life Outcomes for Adults with a Disability

Abstract

The increasing number of working-age adults with a long-term disability has created a need for case management focused on quality-of-life issues as well as functionality. An adaptation of the Quality Health Outcomes Model was used to explore relationships between case manager types and services and characteristics of adults with a disability. Outcome measures included social participation, health maintenance behaviors, and economic productivity. Secondary data analysis of the 1994 National Health Interview Survey Disability Supplement provided a purposive sample of 371 working-age adults with a disability (AWDs). Problems with instrumental activities of daily living and activities of daily living were reported by 74.7% of participants, with activity limitations a main predictor of outcome achievement. Although family members or friends were chosen by 78% of the sample to coordinate their medical care, case manager type demonstrated no influence on the outcome measures. Rehabilitation nurses should use their knowing of person to develop, implement, and evaluate interventions and systems focused on the ability of AWDs to achieve quality-of-life outcomes.

Effects of Problem-Solving Therapy and Clinical Case Management on Disability in Low-Income Older Adults

“…Accordingly, it creates an environment in which a person with disability can maximize his/her function and reduce the experience of stress. Case management has a beneficial effect on disability in adults (34). PST can provide patients with the skills to utilize the resources made available by CM by setting goals and developing strategies to meet these goals on their own.…”

Impact of Nurse Work Environment and Staffing on Hospital Nurse and Quality of Care in Thailand

“…One of the innovations of this study is an empirical measure of the quality of nurses’ work environments that permits a direct test of the QHOM. A literature review shows that the QHOM is useful to theoretically guide studies that evaluate system interventions such as nurse staffing, improved patient care, and outcomes (Borglund, 2008; Gerolamo, 2006; Mayberry & Gennaro, 2001; Newhouse, Johantgen, Pronovost, & Johnson, 2005; Vahey et al, 2004). Nursing can be thought of as a healthcare organization's surveillance system for the early detection of adverse events (Clarke & Aiken, 2003).…”

Relationship between nursing care quality, nurse staffing, nurse job satisfaction, nurse practice environment, and burnout: literature review

“…A literature review shows that the QHOM is useful to theoretically guide studies that evaluate system interventions such as nurse staffing, improved patient care, and outcomes. [12][13][14][15][16][17]…”