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Rural case management: a pilot study.

J E Beaulieu1, M Hickman

  • 1University of Kentucky.

Home Health Care Services Quarterly
|December 9, 1993
PubMed
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This study explores case management for rural long term care clients in Kentucky. Findings will inform a model for effective, efficient home health services for older Americans.

Area of Science:

  • Gerontology
  • Health Services Research
  • Rural Health

Background:

  • Home and community-based services are crucial for rural long term care clients.
  • Existing case management models, successful in urban settings, may not directly apply to rural contexts.
  • There is a need to understand the unique challenges and opportunities in rural long term care delivery.

Purpose of the Study:

  • To describe current case management practices in rural Kentucky's long term home health care.
  • To identify factors influencing the effectiveness and efficiency of rural long term home health care case management.
  • To propose an adapted case management model for older rural Americans receiving home health care.

Main Methods:

  • Pilot study design.

Related Experiment Videos

  • Descriptive analysis of case management practices.
  • Qualitative and quantitative analysis of facilitating and impeding factors.

    • Main Results:

    • Detailed description of rural case management in Kentucky.
    • Identification of key facilitators (e.g., community integration) and barriers (e.g., resource scarcity) to effective service delivery.
    • Preliminary insights into model applicability and adaptation needs.

    Conclusions:

    • Rural long term care case management requires tailored approaches.
    • Understanding local context is vital for effective service provision.
    • The proposed model aims to enhance quality, effectiveness, and efficiency of care for older rural populations.