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Related Experiment Videos

Patients' perceptions of intensive case management.

Chiara Samele1, Catherine Gilvarry, Elizabeth Walsh

  • 1Division of Psychological Medicine, Institute of Psychiatry, De Crespigny Park, London, England. sphachs@iop.kcl.ac.uk

Psychiatric Services (Washington, D.C.)
|October 31, 2002
PubMed
Summary

Patients with severe psychosis perceived intensive case management more favorably than standard case management. However, perceived quality of care did not differ significantly between intensive and standard case management approaches.

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Area of Science:

  • Psychiatry
  • Mental Health Services Research

Background:

  • Case management is crucial for individuals with severe psychosis.
  • Understanding patient perceptions is key to improving care delivery.
  • Intensive versus standard case management models exist with varying outcomes.

Purpose of the Study:

  • To examine patient perceptions of case management care.
  • To identify factors influencing these perceptions in severe psychosis patients.

Main Methods:

  • A nine-item patient perceptions questionnaire was used.
  • 225 patients with severe psychosis participated in a randomized controlled trial.
  • The study compared intensive versus standard case management efficacy.

Main Results:

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  • Factor analysis identified two main components: quality of care and overall perception.
  • Patients viewed intensive case management more favorably overall than standard case management.
  • No significant differences in perceived quality of care were found between the two models. Female case managers received more positive quality of care perceptions.

Conclusions:

  • Patient perceptions of intensive case management were generally more favorable than standard case management.
  • Perceptions of the quality of care did not differ significantly between intensive and standard case management.