Impact of a collaborative community case management program on a low-income uninsured population in Sedgwick County, KS.
This cross-sectional study assessed the impact of a collaborative nursing/social worker case management (CM) intervention on emergency department (ED) use, health status, and health locus of control (HLOC) in a low-income uninsured population. Using a pre-post intervention design, key outcomes were assessed using paired t test. A statistically significant (48%) reduction in total ED visits resulted in an estimated charge avoidance of US$1,446,280. Physical health status improved significantly; however, mental health status and HLOC scores showed minimal change. This CM model may assist vulnerable groups in gaining access to care and improved health.
Wetta-Hall
Ruth
R
Department of Preventive Medicine and Public Health, University of Kansas School of Medicine-Wichita, Wichita, KS 67214-3199, USA. rwettaha@kumc.edu
D019090:Case Management; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007615:Kansas; D008297:Male; D017057:Medically Uninsured; D011203:Poverty