Experiences of case management with chronic illnesses: a qualitative systematic review

Joo, Jee Young; Liu, M.F.

doi:10.1111/inr.12429

Cited by 21 publications

(20 citation statements)

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“…In relation to the former, they have amply shown their effectiveness previously in cancer patients in a review of systematic reviews [56], but it is still to be confirmed their efficacy on other type of chronic patients. Case management has demonstrated to reduce the use of hospital services and improve the health of chronic patients [57], although a recent review shows that patients still perceive barriers such as lack of information and time constraints for accessing this type of health service [58]. Hudon et al [59] recommended that case management interventions for frequent users of health services, such as chronic disease patients, ensure appropriate case finding processes and sufficient intervention intensity, among others.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of nursing interventions that improve the quality of life of people with chronic diseases. A systematic review with meta-analysis

et al. 2019

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Purpose The objective of this systematic review was to determine the characteristics of the interventions conducted by nurses that attempt to improve the health related quality of life (HRQoL) of people over 18 years of age with chronic diseases. Methods This systematic review with meta-analysis summarizes 24 studies, conducted in 10 countries, that evaluated HRQoL through the Short-Form Health Survey (SF). Five databases were accessed to find the available studies from December 31 st , 2000 to May 22 sd , 2017. Selected studies were coded according to the characteristics of the sample and the intervention. A model of random effects was adopted for the overall estimation and to explain the heterogeneity. Results Twenty-four studies were included in the systematic review and meta-analysis providing a sample of 4324 chronic patients aged 63.4 years. Among the 8 subscales and two summary measures that comprise the SF-36, only an overall significant effect size (ES) index was found in the Mental Health Component summary score (ES = 0.14; 95% CI:0.03 − 0.26; I 2 = 44.6, p = 0.042) and the Mental Health subscale. This improvement on HRQoL was associated to interventions on “Case Management” and “Treatments and Procedures”, which were based on a theory, were of shorter duration, and had a follow-up period. Conclusions Interventions targeting people with chronic diseases resulted in a slight increase in the HRQoL that was not always significant, which suggests that there is a need for their continuous improvement.

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Section: Discussionmentioning

confidence: 99%

Characteristics of nursing interventions that improve the quality of life of people with chronic diseases. A systematic review with meta-analysis

et al. 2019

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“…Case management focusses on the collaborative process, planning and coordination, and advocacy for options and services to meet an individual's health needs [27]. In patients with chronic conditions, case managers facilitated access to the health care system and the contact with multiple health care providers [28]. Case managers can also be involved in patient education [29].…”

Section: Discussionmentioning

confidence: 99%

Optimal care for systemic sclerosis patients: recommendations from a patient-centered and multidisciplinary mixed-method study and working conference

et al. 2018

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Introduction Systemic sclerosis (SSc) is a chronic autoimmune disease with multiorgan involvement. Objective Identify preferences and priorities among patients and health care professionals regarding care for SSc patients in The Netherlands. Develop ideas to improve quality of care. Methods A structured approach was followed to collect information from different perspectives to prepare a working conference. Qualitative and quantitative data from patients (n = 650), rheumatologists (n = 167), nurses (n = 51), and health professionals (n = 85) from regional centers and university hospitals were collected. In February 2018, a working conference was organized. Seventy-seven persons (including 10 SSc patients) from different backgrounds discussed the identified themes and survey results. Ideas to improve health care were formulated and prioritized using nominal group technique. Results Five key themes were identified: (1) shared care and multidisciplinary collaboration, (2) medical data exchange, (3) information for both patients and health care professionals, (4) patient empowerment, and (5) non-pharmacological care. Shared care was the preferred model of care in 49% of patients and 82% of physicians. However, current collaboration structures, especially between hospitals, should be improved. Suggestions for improvements were explicitly formulated agreements about referral, clear task division, treatment coordination, and exploration of novel ways to exchange medical records. The creation of a national web-based information hub was highly prioritized. Conclusion In this mixed-method study, broad-based consensus was achieved and recommendations were developed to improve health care for SSc patients. The approach, recommendations, and challenges summarized in this paper can be of use for health care professionals and other actors involved in patients with rare, chronic, and multisystem conditions.

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“…We used the scoring system developed by Butler and colleagues (2016) to rate studies as high-, moderate-, or low-quality and report individual study assessments in the S6 File [41]. As done in other recent systematic reviews of qualitative studies [42–44] and in line with guidance available from the Cochrane Handbook[45], we excluded low-quality studies from the synthesis of our systematic review based on the outcome of our critical appraisal.…”

Section: Methodsmentioning

confidence: 99%

Common trust and personal safety issues: A systematic review on the acceptability of health and social interventions for persons with lived experience of homelessness

Magwood¹,

Leki²,

Kpadé³

et al. 2019

PLoS ONE

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BackgroundPersons experiencing homelessness and vulnerable housing or those with lived experience of homelessness have worse health outcomes than individuals who are stably housed. Structural violence can dramatically affect their acceptance of interventions. We carried out a systematic review to understand the factors that influence the acceptability of social and health interventions among persons with lived experience of homelessness.MethodsWe searched through eight bibliographic databases and selected grey literature sources for articles that were published between 1994 and 2019. We selected primary studies that reported on the experiences of homeless populations interacting with practitioners and service providers working in permanent supportive housing, case management, interventions for substance use, income assistance, and women- and youth-specific interventions. Each study was independently assessed for its methodological quality. We used a framework analysis to identify key findings and used the GRADE-CERQual approach to assess confidence in the key findings.FindingsOur search identified 11,017 citations of which 35 primary studies met our inclusion criteria. Our synthesis highlighted that individuals were marginalized, dehumanized and excluded by their lived homelessness experience. As a result, trust and personal safety were highly valued within human interactions. Lived experience of homelessness influenced attitudes toward health and social service professionals and sometimes led to reluctance to accept interventions. Physical and structural violence intersected with low self-esteem, depression and homeless-related stigma. Positive self-identity facilitated links to long-term and integrated services, peer support, and patient-centred engagement.ConclusionsIndividuals with lived experience of homelessness face considerable marginalization, dehumanization and structural violence. Practitioners and social service providers should consider anti-oppressive approaches and provide, refer to, or advocate for health and structural interventions using the principles of trauma-informed care. Accepting and respecting others as they are, without judgment, may help practitioners navigate barriers to inclusiveness, equitability, and effectiveness for primary care that targets this marginalized population.

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Experiences of case management with chronic illnesses: a qualitative systematic review

Abstract: The findings about barriers to case management can be used to reform case management for populations with chronic illnesses. These factors should be considered by nursing researchers and healthcare policymakers when implementing case management.

Cited by 21 publications

References 30 publications

Characteristics of nursing interventions that improve the quality of life of people with chronic diseases. A systematic review with meta-analysis

Characteristics of nursing interventions that improve the quality of life of people with chronic diseases. A systematic review with meta-analysis

Optimal care for systemic sclerosis patients: recommendations from a patient-centered and multidisciplinary mixed-method study and working conference

Common trust and personal safety issues: A systematic review on the acceptability of health and social interventions for persons with lived experience of homelessness

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