title: Community case management for frail, elderly clients: the nurse case manager's role.
abstract: Capitated payment systems have forced healthcare providers to explore new methods of care delivery for frail, older clients who consume a disproportionate amount of time and resources. The authors describe the experiences of frail elders in a community case management program within a managed care setting. The experiences of living with frailty in a changing healthcare system, and perceptions of the case manager's ability to help navigate that system, are described. This article presents the benefits of community case management toward client goals of safety, support, and control.
authors.affiliation: University of Colorado Health Sciences Center, School of Nursing, 4200 East 9th Ave, C288, Denver, CO 80262, USA. Joan.nelson@uchsc.edu
authors.forename: J M
authors.initials: JM
authors.lastname: Nelson
authors.forename: P
authors.initials: P
authors.lastname: Arnold-Powers
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health; D019090:Case Management; D003153:Community Health Services / Q000458:organization & administration*; D005260:Female; D016330:Frail Elderly; D006297:Health Services Accessibility; D006299:Health Services for the Aged / Q000458:organization & administration*; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008329:Managed Care Programs; D009936:Organizational Innovation; D011369:Professional-Patient Relations; D011787:Quality of Health Care; D014481:United States