Características de la provisión del servicio de gestión de casos en el entorno comunitario en Andalucía a partir del registro RANGECOM

Morales‐Asencio, José Miguel; Cuevas-Fernández-Gallego, Magdalena; Morilla‐Herrera, Juan Carlos; Martín-Santos, Francisco Javier; Arranz, Agustina Silvano; Sicilia, Juan Pedro Batres; Delgado-Romero, Asunción; Palacios-Gómez, Leopoldo; López, Ángela Cejudo; Kaknani‐Uttumchandani, Shakira

doi:10.1016/j.enfcli.2018.12.009

Cited by 7 publications

(13 citation statements)

References 24 publications

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“…Our study service focuses on people included in the Home Care Programme of the Canarian Health Service and their caregivers, mostly elderly, dependent, polypathological, polymedicated and with female caregivers who also are their relatives and, most of them, polypathological and polymedicated as well. This profile of target population is similar to the one studied by Morales-Asencio et al, the results of which revealed that case management interventions, due to the complexity of the patients assisted, led to implementing behavioural interventions, navigation through the health system, and clinical safety [41].…”

Section: Discussionsupporting

confidence: 68%

Impact of the Case Management Model through Community Liaison Nurses

Clíments

Gómez

et al. 2019

IJERPH

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The objective of the present study is to assess the model’s impact on patients and their families in terms of outcomes and the efficiency results for the health system in Tenerife, Canary Islands, selecting a period of eight years from the time interval 2002–2018. The employed indicators were collected on a monthly basis. They referred to home care and its impact on clinical outcomes and on the use of resources. The comparison between the indicators’ tendencies with and without the liaison nurse model was done with the F-test by Snedecor. All these tests are bilateral, with a level of significance of p < 0.05. In those areas with community liaison nurse (CLN), improvements have been found in indicators that describe: (1) the management of the clinical status of patients, (2) the efficiency of the use of resources, and (3) the quality and compliance with the process that also includes home visits and social risk detection and management. It can be said that in the basic areas of primary health care where the work of the CLN develops there are improvements in the management of the patients’ clinical condition as well as in the quality and efficiency of care.

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Section: Discussionsupporting

confidence: 68%

Impact of the Case Management Model through Community Liaison Nurses

Clíments

Gómez

et al. 2019

IJERPH

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“…Of these studies, one was carried out in the United States [ 22 ], two in the United Kingdom [ 20 , 23 ] and one in South Korea [ 21 ] ( Figure 2 ). With regard to the longitudinal observational studies, two were obtained from follow-up cohorts served by case management services [ 24 , 25 ]). In addition, we found two experimental studies; a clinical trial [ 26 ] and a randomized clinical trial with a control group [ 27 ].…”

Section: Resultsmentioning

confidence: 99%

“…Furthermore, there was greater activation of social resources when patients with chronic diseases are treated by the NCM [ 24 , 25 , 29 , 30 ]. Furthermore, it was described that patients with low income and lower educational levels achieved the same benefits as those observed in patients with higher income and higher levels of schooling (in terms of diabetes treatment), thus generating an efficient and effective cost to improve the complications of diabetes [ 26 ], reducing social inequalities.…”

Section: Resultsmentioning

confidence: 99%

“…With our study, we aimed to know the most effective interventions of the NCM to improve the health of the population, and the resulting benefits for the health system. Most of the studies consulted previously agreed that the interventions related to a case management program, generally developed by nurses, had a positive impact on people’s health and generated savings in health institutions [ 10 , 17 , 18 , 19 , 21 , 22 , 24 , 25 , 26 , 27 , 29 , 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

“…The fact of being able to analyze articles from different countries allows us to understand that health data of people with chronic pathologies and comorbidities are quite common all over the world, predominantly elderly chronic patients who generate a high cost in health care [ 10 , 17 , 19 , 20 , 23 , 24 , 28 ]. For this reason, strategies have been implemented to generate savings by optimizing the skills of professionals, mainly nurses.…”

Section: Discussionmentioning

confidence: 99%

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Results of Nurse Case Management in Primary Heath Care: Bibliographic Review

Doménech-Briz

Gómez-Romero

Miguel-Montoya

et al. 2020

IJERPH

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Background: The new characteristics of today’s population, together with the presence of chronic diseases in the elderly, require a new approach to care, promoting coordination between different levels of care. In this sense, we find the figure of the nurse case manager (NCM) in primary health care mainly responsible for ensuring continuity of care in complex patients with chronic diseases. Objective: to describe the role of the NCM in care management, determining its effectiveness in addressing chronic disease (health outcomes and quality of life) and its efficiency in the health system. Methods: Bibliographic review of scientific evidence on case management applied to nursing. Between March and April 2020 a bibliographic search was carried out in the Dialnet, Scielo, Scopus and Pubmed databases. Inclusion criteria: articles written in the last 5 years, which analyze how this nursing rol influences the care and health of patients. Results: A total of 16 articles were selected. The NCM reduced the use of the emergency department, hospital admissions, readmissions, and the duration of these in the patients studied. Conclusion: The NCM is effective and efficient for both patients and health institutions, and a common practice model is needed that includes standardized protocols and evidence-based practices.

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