Global case management: Hong Kong. Care for the hospital-discharged frail elders by nurse case managers: a process evaluation of a longitudinal case management service project.
Using quantitative and qualitative methodology, a study was conducted on the process of case management performed by nurse case managers on a group of 45 post-discharged frail elderly patients in 2001-2002. The quantitative data provided the common reasons for client-initiated telephone calls to nurse case managers and the nurse case managers' interventions to these calls. Qualitative data yielded 9 major themes on which a sequential and dynamic process model of case management was conceptualized. Another 7 thematic descriptions on essential factors for the successful implementation of case management were configured in a dual-dimensional framework of staff and structural factors.
Yau
Daniel C N
DC
Medical & Geriatrics Rehabilitation Centre, Haven of Hope Hospital, Kowloon, Hong Kong. yaucnd@ha.org.hk
Leung
Antony C T
AC
Yeoh
Chak-Sum
CS
Chow
Nelson W S
NW
D000359:Aftercare / Q000458:organization & administration*; D000368:Aged; D001291:Attitude of Health Personnel; D019090:Case Management / Q000458:organization & administration*; D003152:Community Health Nursing / Q000458:organization & administration; D017144:Focus Groups; D016330:Frail Elderly; D005851:Geriatric Nursing / Q000458:organization & administration; D006723:Hong Kong; D006801:Humans; D008137:Longitudinal Studies; D016294:Models, Nursing; D015403:Nursing Evaluation Research; D015404:Nursing Methodology Research; D009740:Nursing Staff / Q000458:organization & administration / Q000523:psychology*; D010043:Outcome and Process Assessment, Health Care / Q000458:organization & administration*; D010351:Patient Discharge / Q000592:standards; D015397:Program Evaluation; D036301:Qualitative Research; D016032:Randomized Controlled Trials as Topic; D012047:Rehabilitation Centers; D011795:Surveys and Questionnaires; D013689:Telephone; D016526:Workload