The potential of case management for people with dementia: a commentary.

International Journal of Geriatric Psychiatry
Tamar KochCARE-DEM

Abstract

A recent review of studies of case management in dementia argues that lack of evidence of cost-effectiveness should discourage the use of this approach to care. We argue that that this is too conservative a stance, given the urgent need throughout the world to improve the quality of care for people with dementia and their caregivers. We propose a research agenda on case management for people with dementia. A critical comparison was made of the studies identified in two systematic reviews of trials of case management for dementia, with selective inclusion of non-trial studies and economic evaluations. Our interpretation of the literature leads us to four provisional conclusions. First, studies with long follow-up periods tend to show delayed relocation of people with dementia to care homes. Second, the quality of life of people with dementia and their caregivers may also influence the likelihood of relocation. Third, different understandings of what constitutes case management make interpretation of studies difficult. Fourth, we agree that the population most likely to benefit from case management needs to be characterised. Earlier intervention may be more beneficial than intervening when the condition has progressed and the ind...Continue Reading

References

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Citations

Jul 20, 2013·BMC Family Practice·Amy WaughSteve Iliffe
Apr 5, 2013·Primary Health Care Research & Development·Julie KosteniukAndrew Kirk
Nov 6, 2012·Journal of the American Medical Directors Association·Christian BakkerRaymond T C M Koopmans
May 20, 2014·International Journal of Geriatric Psychiatry·Heather GageBartley Sheehan
Jul 22, 2014·International Journal of Geriatric Psychiatry·Josie DixonMartin Knapp
Feb 11, 2015·Journal of General Internal Medicine·Robert O MorganMark E Kunik
Feb 10, 2017·International Journal of Geriatric Psychiatry·Aline CorvolDominique Somme
Oct 29, 2014·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Steve IliffeUNKNOWN CAREDEM research team
Feb 13, 2015·International Psychogeriatrics·Lee-Fay Low, Jennifer Fletcher
Nov 3, 2017·Nursing Standard·Jean Karyn Gamble, Karen Harrison Dening
Nov 17, 2021·Health & Social Care in the Community·Christine SchillerAnja Bieber

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