Evaluation of a primary care nurse case management intervention for chronically ill community dwelling older people

Journal of Clinical Nursing
C SchraederWilliam K Lanker

Abstract

The purpose of this study was to test the effectiveness of a collaborative primary care nurse case management intervention emphasising collaboration between physicians, nurses and patients, risk identification, comprehensive assessment, collaborative planning, health monitoring, patient education and transitional care on healthcare utilisation and cost for community dwelling chronically ill older persons. Primary care teams comprised of nurses and primary care physicians have been suggested as a model for providing quality care to the chronically ill, but this type of intervention has not been systematically evaluated. A non-randomised, 36 month comparison of two geographically distinct primary care populations was conducted. Six hundred and seventy-seven persons aged 65 and older were determined to be at high-risk for mortality, functional decline, or increased health service use. The treatment group (n = 400) received the intervention and the comparison group (n = 277) received usual care. Health plan claims files provided data on number of hospitalisations and bed days, emergency department (ED) visits, physician visits and total cost of care. After adjustment for baseline variables, there were no significant differences bet...Continue Reading

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Citations

Oct 18, 2019·Journal of General Internal Medicine·Sonali SalujaJames Maxwell
Mar 20, 2013·Health & Social Care in the Community·Jin Joo Oh
Sep 20, 2017·Australian Journal of Primary Health·Anna Askerud, Jenny Conder
Jul 1, 2017·Clinical Nursing Research·Jee Young Joo, Diane L Huber
Apr 19, 2018·Health & Social Care in the Community·Wilhelmina Mijntje LoomanIsabelle Natalina Fabbricotti
Oct 28, 2015·BMC Geriatrics·Heather DrouinPaul Stolee
Mar 22, 2021·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Ani BilazarianLusine Poghosyan
Mar 30, 2021·International Journal of Integrated Care·Marlène KaramCatherine Hudon

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