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Hospital-based case management: results from a demonstration.

L H Warrick1, F E Netting, J B Christianson

  • 1Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson 85724.

The Gerontologist
|December 1, 1992
PubMed
Summary
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Hospital case management linked patients to community services. Unexpectedly, many clients were community-referred, highlighting the need to understand referral sources for effective care coordination.

Area of Science:

  • Healthcare Management
  • Public Health
  • Social Work

Background:

  • Hospital discharge planning often aims to connect patients with community resources.
  • Coordinated care models are crucial for post-hospitalization transitions.
  • The Flinn Foundation's demonstration explored hospital-based case management.

Purpose of the Study:

  • To analyze the characteristics of clients in a hospital-based case management program.
  • To identify predictors of client continuation in case management.
  • To compare health status over one year between hospital- and community-referred clients.

Main Methods:

  • Retrospective analysis of client data from a six-hospital demonstration project.
  • Examination of client demographics, referral sources, and case management engagement.

Related Experiment Videos

  • One-year health status assessment, differentiating between referral groups.

    • Main Results:

    • Approximately 50% of clients were referred from the community, not directly from hospital discharge.
    • Client characteristics and continuation predictors varied between hospital- and community-referred groups.
    • Differences in health status trajectories were observed over the one-year follow-up period.

    Conclusions:

    • Hospital-based case management serves a broader population than initially anticipated, including community referrals.
    • Understanding referral pathways is essential for optimizing case management program design and resource allocation.
    • Tailored approaches may be needed for hospital- versus community-referred clients to ensure successful care transitions and health outcomes.