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Effectiveness of post-discharge case management in general-medical outpatients: a randomized, controlled trial
Corine H M Latour1, Rien de Vos, Frits J Huyse
1Psychiatric Consultation and Liaison Service / Rm. 2 D 22, VU University Medical Center, P.O. Box 7057 1007, MB Amsterdam, the Netherlands. chm.latour@vumc.nl
Abstract:
This study was initiated to determine the impact of post-discharge, nurse-led, home-based case management intervention on the number of emergency readmissions, level of care utilization, quality of life, and psychological functioning. Patients discharged home from a general hospital (N=147) were randomly assigned to usual care or nurse-led, home-based, case management intervention. During the 24 weeks of follow-up, no difference between the two groups was found for readmission, care utilization, quality of life, or psychological functioning. Patients in the control group tended to move sooner to non-independent living accommodation than patients in the nurse-led, home-based, case management intervention group.