Case Management Models and Continuing Care: A Literature Review across nations, settings, approaches, and assessments

Abstract

Older adults accessing continuing care often have multiple chronic conditions. Research suggests that case management is a promising approach to reduce health care expenditure and improve patient outcomes. To optimize healthcare delivery, an examination of existing case management models and their effectiveness is essential. This literature review was conducted using Joanna Briggs Institute (JBI) methods to explore case management models for older adults accessing continuing care services. Searches were conducted in PubMed and CINAHL from 2010 to 2018. A total of 37 articles were included in this review. Approaches to case management are diverse with respect to composition of care providers, method of care provision, and location of care. Findings from 27 quantitative studies demonstrated that nurse-led and interdisciplinary team case management models that include home visits can effectively reduce hospital admission/readmission while lowering costs. Mixed results were found on the impact of case management on patient satisfaction, ED visits, quality of life, length of stay, self-efficacy, social integration and caregiver burden. Among 10 qualitative studies, 3 facilitators for quality case management were identified that include receiving care at home, building trusting relationships, and improving self-efficacy. Based on these findings, we conclude that nurse-led and interdisciplinary team case management can effectively reduce hospital admission of frail older adults while lowering costs, particularly within home care settings.

Transition of care from post-acute services for the older adults in Quebec: a pilot impact evaluation

“…light housework), assistance with medication management, or use of assistive devices [ 16 ]. To better meet these needs, health care professionals and caregivers highlighted the importance of effective coordination of services and supports (e.g., a case coordinator) and clear care pathways [ 17 ].…”

Case management and care expertise as a prevention approach for adults with intellectual disabilities (FaPP-MgB): study protocol for a randomized-controlled trial

“…Regarding the effectiveness of case management, up to this date, there still remains only limited evidence [ 31 , 32 , 33 , 34 , 35 , 36 ]. The effects of case management are not that easily measured with quantitative studies alone, because it is a complex intervention often working between the different sectors of care.…”

A Model for Examining Family Health History Awareness: Rethinking How to Increase Its Interfamilial and Clinical Utility and Transmission

“…The recommendation to reimagine FHH awareness by stratifying it into two categories, FHH and FMH, may simplify hereditary health histories' intent, terminology, utility, communication, and transmission for families and health care providers. Leveraging the primary informants of FHH awareness to have a distinct interfamilial role in their health efficacy would develop personalized health care to evolve into a more informed practice in the fields of case management, nursing, and public health (Chowkwanyun et al, 2019; Robertson et al, 2005; Tahan et al, 2020; Yu et al, 2021). In addition, the joint intersection of interfamilial and clinical FHH awareness may promote more accurate retrievals of FHH and FMH.…”