Case management: who needs it? Does it work?
Even after 30 years of experience, two questions persist about case management practice. Who needs it and does it work? Answers to these questions are neither direct nor simple. This article examines the significance of various contexts (policy, system, community, and organization) to efforts attempting to provide responses to these basic questions. Beyond the question of who needs case management, two additional questions are addressed. Who needs it and who gets it? Clients' qualitative perspectives on case management effectiveness, beyond attempts to measure satisfaction and quality of life, are usually absent. The article concludes with a discussion of whether these are the right questions.
Austin
Carol D
CD
University of Calgary, 2500 University Drive N.W., Calgary, Alberta T2N 1N4. austin@vcalgary.ca
D019090:Case Management / Q000458:organization & administration / Q000592:standards*; D006301:Health Services Needs and Demand; D006801:Humans; D017060:Patient Satisfaction; D015397:Program Evaluation; D014481:United States