Case management, client risk factors and service use.
Six "pure" types of case-manager activity are identified using chart data from 922 cases in the Medicare Alzheimer's Disease Demonstration. The association between case-manager actions and client characteristics, and between case-manager activities and service use outcomes is used to test predictive validity. Case-manager activity is generally more associated with caregiver than client characteristics. Monitoring and service management was protective against nursing home placement. A clinical nursing emphasis was protective against hospitalization. Understanding how case management is differentiated may improve staffing, treatment protocol, and client service outcomes.
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Department of Social and Behavioral Sciences, University of California, San Francisco 94143-0642, USA.
Arnsberger
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Zhang
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D000368:Aged; D000544:Alzheimer Disease / Q000191:economics*; D019090:Case Management / Q000458:organization & administration*; D003266:Continuity of Patient Care; D005260:Female; D006295:Health Resources / Q000706:statistics & numerical data; D006302:Health Services Research; D006699:Home Care Services / Q000458:organization & administration* / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D006278:Medicare / Q000191:economics / Q000458:organization & administration*; D017146:Models, Organizational; D010865:Pilot Projects; D014481:United States