2020
DOI: 10.1370/afm.2499
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Case Management in Primary Care for Frequent Users of Health Care Services: A Realist Synthesis

Abstract: PURPOSE Case management (CM) is a promising intervention for frequent users of health care services. Our research question was how and under what circumstances does CM in primary care work to improve outcomes among frequent users with chronic conditions? METHODS We conducted a realist synthesis, searching MEDLINE, CINAHL, Embase, and PsycINFO (1996 to September 2017) for articles meeting the following criteria: (1) population: adult frequent users with chronic disease, (2) intervention: CM in a primary care se… Show more

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Cited by 15 publications
(15 citation statements)
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“…according to the patient´s needs have been found to reduce the frequency of healthcare visits (Hudon et al, 2020). Therefore, a more patient-centered approach to frequent attenders´treatment and service planning may be beneficial.…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…according to the patient´s needs have been found to reduce the frequency of healthcare visits (Hudon et al, 2020). Therefore, a more patient-centered approach to frequent attenders´treatment and service planning may be beneficial.…”
Section: Discussionmentioning
confidence: 99%
“…Previous interventions targeted at frequent attenders have yielded inconsistent results, and there is no clear evidence that they directly reduced frequent attenders' attendance rates (Haroun et al, 2016). However, case management interventions in which services are “customized” according to the patient´s needs have been found to reduce the frequency of healthcare visits (Hudon et al, 2020). Therefore, a more patient‐centered approach to frequent attenders´ treatment and service planning may be beneficial.…”
Section: Discussionmentioning
confidence: 99%
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“…In PriCARE, 2 literature reviews on case management were conducted: a systematic review by the academic research team 22 and a realist synthesis by the research team engaging stakeholders in the steering committee, including decision makers, clinicians, and patient partners. 23 Both reviews were summarized and shared with stakeholders. (6) Choose or Construct a Theoretical Framework A theoretical framework emerging from the literature review helps elaborate research questions and points of emphasis.…”
Section: (4) Conduct a Literature Reviewmentioning
confidence: 99%
“…In a context where we must contemplate solutions to meet the challenges encountered in following up with these patients [ 4 , 15 , 16 , 17 ], a summit gathering a critical mass of key stakeholders was organized as part of the Quebec Strategy for Patient-Oriented Research (SPOR) Support Unit for Public and Patient-Oriented Research and Trials (SUPPORT) demonstration project [ 18 ]. The aim of this study is to report on the issues relating to patients with complex care needs and on the recommendations advanced during the summit in an effort to better integrate health, social, and community-based services for patients with chronic conditions and complex care needs.…”
Section: Introductionmentioning
confidence: 99%