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What is case management in palliative care? An expert panel study.
Annicka G M van der Plas1, Bregje D Onwuteaka-Philipsen, Marlies van de Watering
1Department of Public and Occupational Health, EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands. eol@vumc.nl
BMC Health Services Research
|June 20, 2012
Summary
Case management in palliative care has agreed-upon aims but varied implementation. Ensuring continuity of care is crucial for personalized, coherent, and consistent patient experiences.
Area of Science:
- Palliative Care
- Healthcare Management
- Health Services Research
Background:
- Case management is a complex process involving assessment, planning, implementation, coordination, monitoring, and evaluation of client health needs.
- This study investigates the aims and characteristics of case management specifically within palliative care in the Netherlands.
Purpose of the Study:
- To gain insight into the aims and characteristics of case management in palliative care.
- To identify areas of consensus and disagreement among experts regarding case management in this setting.
Main Methods:
- A modified RAND/UCLA appropriateness method was employed.
- An expert panel of 76 healthcare professionals, researchers, and policymakers was convened, with 61% participation.
Main Results:
- Nine out of ten proposed aims for case management achieved consensus.
- Key disagreements centered on hands-on nursing care by the case manager, target population, scope of duties, and accessibility.
Conclusions:
- Despite agreement on aims, significant variability exists in the practical implementation of case management in palliative care.
- Maintaining continuity of care is essential for delivering personalized, coherent, and consistent palliative care services.
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