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Related Experiment Videos

AIDS case management: the client's perspective.

J A Fleishman1, V Mor, J Piette

  • 1Center for Gerontology and Health Care Research, Brown University, Providence, RI 02912.

Health Services Research
|October 1, 1991
PubMed
Summary
This summary is machine-generated.

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Case management for people with AIDS (PWAs) shows mixed results. While having a case manager improves service access, coordination challenges exist between community-based organizations and clinics, requiring clearer policies.

Area of Science:

  • Public Health
  • Health Services Research
  • Social Work

Background:

  • The Robert Wood Johnson Foundation's AIDS Health Services Program utilizes case management for community-based care for people with AIDS (PWAs).
  • Implementation data was gathered through interviews with program clients across nine communities.

Purpose of the Study:

  • To report on the implementation of case management services for people with AIDS.
  • To identify challenges and successes in case management delivery.

Main Methods:

  • Client interviews were conducted in nine communities.
  • Data collected on case manager assignment, client needs, service utilization, and client satisfaction.

Main Results:

  • Clinic-based case managers served more disadvantaged clients.

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  • Over 25% of clients lacked a case manager, while 10% had two.
  • Clients with social service needs were more likely to have a case manager.
  • Case manager contact varied, with over 50% having multiple contacts.
  • Having a case manager was linked to better service needs being met.
  • Client evaluations of case managers were favorable, but access posed challenges.

    • Conclusions:

    • Case management coordination requires addressing distinct roles of clinics and community-based organizations (CBOs).
    • Explicit policies for case management eligibility and monitoring frequency are necessary.
    • Effective case management can improve access to services for people with AIDS.