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HIV/AIDS case management: views from the frontline.

R H Chernesky1, B Grube

  • 1Fordham University Graduate School of Social Service, New York, NY 10023, USA.

Care Management Journals : Journal of Case Management ; the Journal of Long Term Home Health Care
|June 3, 2000
PubMed
Summary

Case management for people with HIV/AIDS prioritizes client support for quality of life, not just linkage to services. This study highlights case managers' crucial perspectives in HIV/AIDS care.

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Area of Science:

  • Public Health
  • Social Work
  • Healthcare Management

Background:

  • Case management is vital for vulnerable populations, with evolving knowledge over 20 years.
  • Existing literature often overlooks case managers' direct experiences and perceptions.
  • Understanding diverse perspectives enhances case management practice for improved patient outcomes.

Purpose of the Study:

  • To incorporate case managers' perceptions into the study of case management practice.
  • To examine the case management system of care for people with HIV/AIDS.
  • To compare case manager insights with existing literature and chart review findings.

Main Methods:

  • Conducted a chart review of HIV/AIDS case management services.
  • Utilized focus groups to gather direct perceptions from case managers.

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  • Analyzed data within the context of the strengths perspective and organizational factors.

    • Main Results:

    • Chart reviews and literature emphasize linkage activities as primary.
    • Case managers highlighted the importance of supportive care for maintaining client quality of life.
    • Discrepancies noted between administrative priorities and frontline provider experiences.

    Conclusions:

    • Case manager perspectives offer a crucial, often neglected, dimension to understanding effective care.
    • Integrating client support is essential for holistic HIV/AIDS case management.
    • The strengths perspective provides a valuable framework for analyzing and improving case management.