OBJECTIVE: The aim of this study was to summarize the available literature on the effectiveness of ambulatory nurse-led case management for complex patients in general health care. METHOD: We searched MEDLINE, EMBASE, the Cochrane Controlled Trials Register, and Cinahl. We included randomized controlled trials, controlled clinical trials, controlled before/after study, and time series studies; identified references were screened by two reviewers. Two reviewers rated the quality of each article. Data extracted from the selected publications included design, characteristics of the participants, the intervention, type of outcome measures, and results. RESULTS: We identified 10 relevant publications. Nine studies used readmission rate as primary outcome. Fewer studies investigated duration of hospital readmissions, emergency department (ED) visits, functional status, quality of life, or patient satisfaction. In general, results with regard to the effectiveness of case management were conflicting. CONCLUSION: There is moderate evidence that case management has a positive effect on patient satisfaction and no effect on ED visits. It was not possible to draw firm conclusions on the other outcomes.
OBJECTIVE: The aim of this study was to summarize the available literature on the effectiveness of ambulatory nurse-led case management for complex patients in general health care. METHOD: We searched MEDLINE, EMBASE, the Cochrane Controlled Trials Register, and Cinahl. We included randomized controlled trials, controlled clinical trials, controlled before/after study, and time series studies; identified references were screened by two reviewers. Two reviewers rated the quality of each article. Data extracted from the selected publications included design, characteristics of the participants, the intervention, type of outcome measures, and results. RESULTS: We identified 10 relevant publications. Nine studies used readmission rate as primary outcome. Fewer studies investigated duration of hospital readmissions, emergency department (ED) visits, functional status, quality of life, or patient satisfaction. In general, results with regard to the effectiveness of case management were conflicting. CONCLUSION: There is moderate evidence that case management has a positive effect on patient satisfaction and no effect on ED visits. It was not possible to draw firm conclusions on the other outcomes.
Authors: Catherine J Evans; Lucy Ison; Clare Ellis-Smith; Caroline Nicholson; Alessia Costa; Adejoke O Oluyase; Eve Namisango; Anna E Bone; Lisa Jane Brighton; Deokhee Yi; Sarah Combes; Sabrina Bajwah; Wei Gao; Richard Harding; Paul Ong; Irene J Higginson; Matthew Maddocks Journal: Milbank Q Date: 2019-03 Impact factor: 4.911
Authors: Gonzalo Duarte-Climents; María Begoña Sánchez-Gómez; José Ángel Rodríguez-Gómez; Cristobalina Rodríguez-Álvarez; Antonio Sierra-López; Armando Aguirre-Jaime; Juan Gómez-Salgado Journal: Int J Environ Res Public Health Date: 2019-05-29 Impact factor: 3.390
Authors: J M Morales-Asencio; E Gonzalo-Jiménez; F J Martin-Santos; J C Morilla-Herrera; M Celdráan-Mañas; A Millán Carrasco; J J García-Arrabal; I Toral-López Journal: BMC Health Serv Res Date: 2008-09-23 Impact factor: 2.655