Caregivers' Utilization of Health Services: Results from the Medicare Alzheimer's Disease Demonstration, Illinois Site

Shelton, Paul; Schraeder, Cheryl; Dworak, Donna; Fraser, C; Sager, Mark A.

doi:10.1111/j.1532-5415.2001.49267.x

Cited by 27 publications

(9 citation statements)

References 8 publications

(8 reference statements)

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“…In the studies concerned, the case management programmes for people with dementia take the form of integrated care models [21] showing different combinations of any of the following components: information [7,8,13-18], support and counselling [12-18], organisation and coordination of the care provided by other caregivers [7,8,11,14-18], behaviour management [9,11], training and coaching of the informal carers [9,12,14-18], and crisis interventions and a 24-hour availability of services [12]. Case management can be offered on a multi-disciplinary [9,12] or mono-disciplinary basis [14-18].…”

Section: Introductionmentioning

confidence: 99%

“…Case management can be offered on a multi-disciplinary [9,12] or mono-disciplinary basis [14-18]. The models applied also vary in terms of their organisational structure, with case management sometimes being set up by primary healthcare providers, such as general practitioners or home care services [9], and sometimes by general/university hospitals or mental healthcare institutions [7,8,10].…”

Section: Introductionmentioning

confidence: 99%

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Delphi-research exploring essential components and preconditions for case management in people with dementia

et al. 2010

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BackgroundCase management programmes for home-dwelling people with dementia and their informal carers exist in multiple forms and shapes. The aim of this research was to identify the essential components of case management for people with dementia as well as the preconditions for an effective delivery of case management services.MethodThe method used to carry out the research was a modified four-phase Delphi design. First, a list of potentially essential components and preconditions for the provision of case management was drawn up on the basis of a literature review and a subsequent focus group interview. The list was then validated by experts in a first Delphi survey round, following which the researchers translated the list items into 75 statements. In the second Delphi survey, the experts rated the statements; in the third Delphi round, they rated 18 statements on which no consensus had been reached in the second round.ResultsThe experts were able to build consensus on 61 of the 75 statements. Essential components of case management for people with dementia are: information, support and counselling, coordination of the care provided and, to a lesser extent, practical help. A patient-centred approach was found to be one of the key aspects of providing case management services. Essential preconditions are: vision, care relationship, structured methodology, integration of case management into the health care chain, and the case manager's level of training and expertise.ConclusionsWe recommend that, based on the essential components and preconditions referred to above, quality criteria be developed for the provision of case management for people with dementia. Furthermore, we suggest the conduct of additional research to assess the effectiveness of case management in people with dementia.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Delphi-research exploring essential components and preconditions for case management in people with dementia

et al. 2010

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“…The Carle Foundation manages a 300-bed hospital plus a number of allied businesses. The Carle organizations have more than 20 years' experience in providing team and nursingbased case management services to at-risk, elderly patients (Schraeder et al, 1997;Schraeder, Shelton, Britt, Turngren, & Nagele, 1999;Shelton, Schraeder, Dworak, Fraser, & Sager, 2001). The study protocol was approved by the Carle institutional review board.…”

Section: Study Settingmentioning

confidence: 99%

The Effect of Primary Care Management on Lipids Testing and LDL-C Control of Elderly Patients With Comorbidities

Schraeder

Fraser

Clark

et al. 2009

Professional Case Management

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This study suggests that physician-nurse case management team care has the potential to augment the effectiveness of primary care by increasing adherence to testing protocols among elderly patients with multiple chronic illnesses, but this effect diminishes over time as guidelines are adopted into general practice. It suggests that LDL-C therapeutic control can be improved through increased lipids testing and the use of lipid-lowering medications. The results also indicate that care management strategies targeting more intensive patients versus less intensive patients are cost-effective strategies that can be expanded beyond lipids testing and control to other clinical health status measures.

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“…Toutefois, l'intervention n'a pas eu d'effet significatif sur l'incidence des hospitalisations ou de l'entrée en institution des patients. Une autre étude randomisée comparant le case management au soin usuel avait montré que le taux d'hospitalisation des aidants familiaux était significativement diminué par ce type de prise en charge [38].…”

Section: Case Managementunclassified

Prise en charge de la maladie d'Alzheimer

et al. 2007

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Caregivers' Utilization of Health Services: Results from the Medicare Alzheimer's Disease Demonstration, Illinois Site

Abstract: These results suggest that enhanced chronic illness case management directed at persons with dementia and their caregivers can reduce the need for acute hospital care.

Cited by 27 publications

References 8 publications

Delphi-research exploring essential components and preconditions for case management in people with dementia

Delphi-research exploring essential components and preconditions for case management in people with dementia

The Effect of Primary Care Management on Lipids Testing and LDL-C Control of Elderly Patients With Comorbidities

Prise en charge de la maladie d'Alzheimer

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