The assessment of a hospital-based care management model for long-term care services.
The purpose of this research was to assess the effectiveness of a hospital-based care management model on disabled elderly people. A before-and-after quasi- experimental design was adopted. A total of 331 disabled elderly people, residing in the Da-An District of Taipei City, participated in the study. Among them, 166 received care management, while the other 165 did not. The latter served as controls. Baseline and follow-up data collection were carried out before and after care management intervention. Logistic regression analysis was used to test the effects of care management on medical care expenditure, self-rated health, and satisfaction with long-term care arrangement. The results showed that those under care management, compared to the controls, were more likely to experience a decrease in medical care expenditure, and less likely to have a decrease in satisfaction with long-term care. The effects were statistically significant. However, there was no effect on self-rated health. The findings show that hospital-based care management is a viable option and has the potential to become an important segment in the delivery of long-term care services. More effort should be expended in its development and in the evaluation of its effectiveness.
Chi
Ying-Chen
YC
Jen-Ai Municipal Hospital, Taipei City, Taiwan, ROC.
Chuang
Kun-Yang
KY
Wu
Shwu-Chong
SC
Huang
Kuo-Cherh
KC
Wu
Chen-Long
CL
D000203:Activities of Daily Living; D000368:Aged / Q000523:psychology / Q000706:statistics & numerical data; D000369:Aged, 80 and over; D019090:Case Management / Q000458:organization & administration*; D006233:Persons with Disabilities / Q000523:psychology / Q000534:rehabilitation* / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D015577:Geriatric Assessment; D005851:Geriatric Nursing / Q000458:organization & administration*; D005102:Health Expenditures / Q000706:statistics & numerical data; D006304:Health Status; D006760:Hospitalization; D006801:Humans; D016015:Logistic Models; D008134:Long-Term Care / Q000458:organization & administration*; D008297:Male; D016294:Models, Nursing; D015403:Nursing Evaluation Research; D010347:Patient Care Planning / Q000458:organization & administration; D010351:Patient Discharge; D017060:Patient Satisfaction; D015397:Program Evaluation; D011795:Surveys and Questionnaires; D014504:Urban Health