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Related Experiment Videos

Looking beyond caseload numbers for long-term home-care case managers.

E Diem1, D Alcock, E Gallagher

  • 1School of Nursing, University of Ottawa, 451 Smyth Rd., Ottawa, ON, K1H 8M5.

Care Management Journals : Journal of Case Management ; the Journal of Long Term Home Health Care
|April 27, 2002
PubMed
Summary

Experienced case managers value direct client care for complex cases and advocate for program-level solutions. This study explores efficient resource allocation for home care case management.

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Area of Science:

  • Healthcare Management
  • Nursing
  • Public Health Policy

Background:

  • Optimizing case manager time is challenging due to variability and limited outcome data.
  • Case management is crucial in home care, yet resource allocation remains inefficient.
  • Understanding case manager priorities is key to improving service delivery.

Purpose of the Study:

  • To assess the perceived value of different case management functions.
  • To identify factors influencing case manager time allocation.
  • To explore potential improvements in resource utilization for home care.

Main Methods:

  • Focus group interviews with 89 experienced Canadian case managers.
  • Qualitative analysis of responses regarding direct care, indirect care management, and program management.

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  • Exploration of perceived value in different client and situation types.

    • Main Results:

    • Case managers assigned higher value to direct care for new or complex home care clients.
    • Significant frustration exists regarding policy and resource limitations hindering effective client support.
    • A preference for addressing issues at a program or community level over individual cases was identified.

    Conclusions:

    • Case manager time allocation is influenced by client complexity and resource availability.
    • Program-level interventions may offer a more effective use of case management resources.
    • This approach provides preliminary insights into efficient and effective case manager time utilization.