title: Case management model or case manager type? That is the question.
abstract: Case management models have been categorized many different ways, but classification into two generic models is proposed here: an interrogative model that relies on intense oversight with expected cost reduction and a patient advocacy model that relies on a brokering arrangement for services in the best interest of the patient. A randomized trial in an elderly, functionally impaired population resulted in the implementation of a patient advocacy model and suggests that this model results in increased service use and costs, but that increased survival rates may justify the additional cost.
authors.affiliation: Department of Public Health Sciences, Wichita State University, Kansas, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Long
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019090:Case Management / Q000458:organization & administration*; D005260:Female; D017048:Health Care Costs; D006801:Humans; D008297:Male; D017146:Models, Organizational; D010344:Patient Advocacy; D011787:Quality of Health Care; D014481:United States