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[Care managers' perceived problems regarding case management of difficult cases and their correlates]
Satoru Yoshie1, Tami Saito, Miyako Takahashi
1Department of Social Gerontology, School of Health Sciences and Nursing, Graduate School of Medicine, the University of Tokyo.
Summary
Care managers (CMs) in Japan face significant challenges with difficult cases, particularly those involving medical or psychological needs. Registered nurses show an aptitude for these cases, while experienced CMs require additional support and training.
Area of Science:
- Gerontology
- Social Work
- Healthcare Management
Context:
- Japan's National Long-Term Care Insurance system, established in 2000, created the role of care manager (CM).
- CMs coordinate care plans for older and infirm individuals.
- This new profession has encountered inherent difficulties in practice.
Purpose:
- To identify and analyze the challenges faced by care managers in handling complex case management scenarios.
- To understand the specific types of difficult cases that pose the most significant problems for CMs.
Summary:
- A nationwide survey of 556 care managers in Japan revealed that over 40% experienced difficulties across all 12 identified types of challenging cases.
- Registered nurses reported fewer difficulties with medical and psychological cases.
- Surprisingly, CMs with more extensive experience perceived greater difficulty, potentially due to managing more complex cases.
Impact:
- Findings suggest that registered nurses possess skills beneficial for managing medical and psychological cases.
- CMs without nursing backgrounds may require targeted training.
- Increased support and specialized training are recommended for experienced CMs handling complex caseloads.
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