Effectiveness of post-discharge case management in general-medical outpatients: a randomized, controlled trial.
This study was initiated to determine the impact of post-discharge, nurse-led, home-based case management intervention on the number of emergency readmissions, level of care utilization, quality of life, and psychological functioning. Patients discharged home from a general hospital (N=147) were randomly assigned to usual care or nurse-led, home-based, case management intervention. During the 24 weeks of follow-up, no difference between the two groups was found for readmission, care utilization, quality of life, or psychological functioning. Patients in the control group tended to move sooner to non-independent living accommodation than patients in the nurse-led, home-based, case management intervention group.
Latour
Corine H M
CH
Psychiatric Consultation and Liaison Service / Rm. 2 D 22, VU University Medical Center, P.O. Box 7057 1007, MB Amsterdam, the Netherlands. chm.latour@vumc.nl
de Vos
Rien
R
Huyse
Frits J
FJ
de Jonge
Peter
P
van Gemert
Liesbeth A M
LA
Stalman
Wim A B
WA
D000359:Aftercare / Q000458:organization & administration*; D000368:Aged; D019090:Case Management / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006699:Home Care Services / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009722:Nurse Practitioners; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D010351:Patient Discharge; D010359:Patient Readmission / Q000706:statistics & numerical data; D011788:Quality of Life