Case Management: The Beginning of a New Era in a Peripheral Portuguese Hospital

A mixed‐methods systematic review of nurse‐led interventions for people with multimorbidity

“…Ten studies required two or more chronic conditions to be eligible (Chow & Wong, 2014 ; García‐Fernández et al, 2014 ; Gustafsson et al, 2013 ; Hjelm et al, 2015 ; Karlsson & Karlsson, 2019 ; Markle‐Reid et al, 2016 , 2018 ; Miklavcic et al, 2020 ; Moran et al, 2008 ; Randall et al, 2014 , 2015 ; Sadarangani et al, 2019 ; Taveira et al, 2019 ). Two of these studies—a pilot study and subsequent RCT (Markle‐Reid et al, 2016 , 2018 ; Miklavcic et al, 2020 )—also required a diagnosis of diabetes, but the intervention was multimorbidity‐focussed.…”

“…Case‐management interventions were characterized by comprehensive patient assessment, tailored care planning, (Boult et al, 2011 ; Boyd et al, 2008 ; Chow & Wong, 2014 ; Sadarangani et al, 2019 ; Steinman et al, 2018 ) and often focussed on improving continuity of care (Boult et al, 2011 ; Boyd et al, 2008 ; Lupari, 2011 ; Steinman et al, 2018 ; Taveira et al, 2019 ). Some case‐managers had advanced clinical skills (Lupari, 2011 ; Randall et al, 2014 ), and were the primary healthcare provider, while others worked in partnership with the patient's primary care team (Boult et al, 2011 ; Boyd et al, 2008 ; Steinman et al, 2018 ).…”

“…Several interventions required that case‐managers undertake bespoke training (Boult et al, 2011 ; Boyd et al, 2008 ; Lupari, 2011 ; Moran et al, 2008 ; Steinman et al, 2018 ). Nurse case‐managers were present across primary care (Boult et al, 2011 ; Boyd et al, 2008 ; Dorr et al, 2008 ; Steinman et al, 2018 ; Taveira et al, 2019 ), secondary care (García‐Fernández et al, 2014 ; Valdivieso et al, 2018 ) and community settings (Hjelm et al, 2015 ; Lupari, 2011 ; Moran et al, 2008 ; Randall et al, 2015 ; Sadarangani et al, 2019 ).…”