title: Determinants of client termination in hospital-based case management programs.
abstract: Increasing attention is being focused on hospital-based programs that address the needs of the frail elderly. This article reports results from a demonstration of hospital-based case management (HBCC). Baseline, 3-, 6-, and 12-month assessment data are analyzed to determine why clients terminated from HBCC programs. Subsamples of community- and hospital-originated clients are examined to determine what factors predict case management termination. About half of both hospital- and community-originated clients left case management within 12 months because of death, nursing home placement, referral to another case management agency, relocation out of the service area, or discharge as self-sufficient. Hospital-originated clients were more likely to die within the first 6 months after entering case management than were community-originated clients. Cognitive and functional abilities were important predictors of termination status.
authors.forename: F E
authors.initials: FE
authors.lastname: Netting
authors.forename: L H
authors.initials: LH
authors.lastname: Warrick
authors.forename: J B
authors.initials: JB
authors.lastname: Christianson
authors.forename: F G
authors.initials: FG
authors.lastname: Williams
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D005260:Female; D016330:Frail Elderly; D006302:Health Services Research; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000706:statistics & numerical data*; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data*; D010352:Patient Dropouts