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[The case manager--from words to deeds?].

Birthe Rosenkrantz Lindegaard¹, Peter Qvist

¹Region Syddanmark, Center for Kvalitet, P.V. Tuxensvej 3-5, DK-5500 Middelfart, Denmark. birthe.lindegaard@regionsyddanmark.dk

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Summary

This summary is machine-generated.

Danish hospitals mandate case managers for inpatients, but role fulfillment is sparse. Patients received good service but not always from their assigned case manager, indicating a need for improved support.

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Area of Science:

Healthcare management
Patient care coordination
Hospital administration

Background:

Case manager allocation is mandatory for inpatients and outpatients in Denmark.
Current data on case manager role fulfillment is limited.
This study investigates case manager role fulfillment among inpatients.

Purpose of the Study:

To assess the extent to which the case manager role is fulfilled for inpatients.
To identify gaps in case manager role execution.
To inform improvements in the Danish healthcare system's case management initiative.

Main Methods:

A mixed-methods approach involving patient interviews and case manager surveys.
Data collection from two medical and two surgical wards.
Assessment of patient-reported experiences and case manager self-perceptions regarding planning, coordination, information, and discharge planning.

Main Results:

Only 25% of interviewed patients were aware of their assigned case manager.
Patients reported generally good service but infrequently from their designated case manager.
Less than half of case managers felt well-informed, with significant challenges noted in discharge planning.

Conclusions:

A notable gap exists between the intended and actual fulfillment of the case manager role.
Targeted interventions are necessary to enhance case manager effectiveness in Danish hospitals.
Improving case manager support is crucial for the success of the national healthcare initiative.