The Assessment of a Hospital-Based Care Management Model for Long-Term Care Services

Abstract

The purpose of this research was to assess the effectiveness of a hospital-based care management model on disabled elderly people. A before-and-after quasi-experimental design was adopted. A total of 331 disabled elderly people, residing in the Da-An District of Taipei City, participated in the study. Among them, 166 received care management, while the other 165 did not. The latter served as controls. Baseline and follow-up data collection were carried out before and after care management intervention. Logistic regression analysis was used to test the effects of care management on medical care expenditure, self-rated health, and satisfaction with long-term care arrangement. The results showed that those under care management, compared to the controls, were more likely to experience a decrease in medical care expenditure, and less likely to have a decrease in satisfaction with long-term care. The effects were statistically significant. However, there was no effect on self-rated health. The findings show that hospital-based care management is a viable option and has the potential to become an important segment in the delivery of long-term care services. More effort should be expended in its development and in the evaluation of its effectiveness.

Older people in long-term care settings as research informants

“…Rondorf-Klym and Langemo, 67 Oleson et al, 33 Routasalo and Isola, 63 Ballantyne et al, 40 Routasalo and Isola, 64 McGilton et al, 49 Wang, 19,20 McGilton et al, 50 Heliker and Scholler-Jaquish, 36 Mossop and Wilkinson, 44 Teeri et al, 23 Coughlan and Ward, 72 Van Beek et al 53 and Van der Cingel 21 Discussion of voluntariness Pincombe et al, 38 Ballantyne et al, 40 Chi et al, 43 Olsson et al, 72 Oh, 45 Teeri et al, 23 Coughlan and Ward 46 Coughlan and Ward, 46 Shin, 31 Austin et al, 68 Wu et al 26 and Van der Cingel 21…”

“…McCann and Kenna, 60 Sidenvall and Ek, 17 Godkin and Toth, 22 Oleson et al, 33 Sidenvall et al, 18 Grant et al, 37 Pincombe et al, 38 Routasalo and Isola, 63 Heliker, 39 Krothe, 27 Ballantyne et al, 40 Fiveash, 35 Resnick, 70 Robinson, 80 Shoenfelder, 71 Roe et al, 42 Feldt and Finch, 78 Bergman-Evans, 24 Chi et al, 43 Wang, 20 Olsson et al, 72 Pilkington, 25 Taunton et al, 81 Voyer et al, 69 Wilson et al, 55 Heliker and Scholler-Jaquish, 36 Jonas-Simpson et al, 30 Mossop and Wilkinson, 44 Oh, 45 Teeri et al, 23 Coughlan and Ward, 46 MacDonald and Butler, 82 Tsai, 77 Chen et al, 75 Demiris et al, 47 Edvarsson, 57 Shin, 31 Austin et al, 68 Brown Wilson, 52 Kawamura et al, 48 Saarnio and Isola, 66 Mello et al, 28 Simmons et al 54 and Van der Cingel 21 Questionnaires (n ¼ 20)…”

“…McFarland, 29 Jonas-Simpson et al 30 Quality of life and living in a care facility Oleson et al, 33 Byrne and MacLean, 34 Fiveash 35 and Heliker and Scholler-Jaquish 36 Quality of care, caring activities, care facilities, competence and care giving Grant et al, 37 Pincombe et al, 38 Heliker, 39 Ballantyne et al, 40 Marini, 41 Roe et al, 42 Chi et al, 43 Mossop and Wilkinson, 44 Oh, 45 Coughlan and Ward, 46 Demiris et al 47 and Kawamura et al 48…”

Case management hospitalario (manejo de casos): una forma alternativade manejar pacientes de alto riesgode estadías hospitalarias prolongadas,de reingreso, o con múltiplesrequerimientos al momento del alta

“…La satisfacción del paciente con el CM hospitalario es dispar, encontrándose estudios que muestran una mayor satisfacción en pacientes con fractura de cadera, exacerbación de EPOC, insuficiencia cardiaca, infarto agudo del miocardio, cáncer, y en adultos mayores discapacitados [19][20][21][22] , mientras que otros estudios han fallado en encontrar una mayor satisfacción en pacientes médico quirúrgicos y en pacientes con artritis reumatoídea [2][3][4][5][6][7][8][9][10][11][12][13][14]23 .…”

Mastering care management strategies to improve retailing: Mechanisms, capabilities, impacts and emerging opportunities

“…Care management is considered crucial in other sectors to reduce the high level of concern in workers caused by stressors, while evaluating the need to introduce additional resources as new staff, along with news practices to reward and train workers for their engagement in appropriate behaviors and provide care towards consumers ( Northington et al, 2021 ). For instance, literature largely focused on the (i) impact of (health) information technology to improve customer satisfaction ( Devaraj and Kohli, 2000 ; Davidson and Heslinga, 2007 ; Gardner et al, 2019 ; Sreejesh et al, 2021 ; Binci et al, 2022 ) and operational efficiency (by also adopting Lean methodologies established in management) ( Radnor et al, 2012 ), (ii) evaluation of the effectiveness of care management services ( Laato et al, 2020 ; Chi et al, 2004 ; Kirkpatrick et al, 2019 ), and (iii) importance of leadership strategies that might embrace leader inclusiveness ( Mitchell et al, 2015 ) and implement strategic change ( Caldwell et al, 2008 ). Thus, there are different approaches, norms and technologies that can enhance satisfaction in retail workers and consumers, while improving overall retail management.…”