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Related Experiment Videos

What Is Case Management? A Scoping and Mapping Review.

Sue Lukersmith1,2, Michael Millington1, Luis Salvador-Carulla1,2

  • 1Faculty of Health Sciences, Centre for Disability Research and Policy, University of Sydney, Sydney, Australia.

International Journal of Integrated Care
|April 18, 2017
PubMed
Summary

Case management definitions and practices vary widely across complex health conditions, hindering analysis and policy. An agreed taxonomy is needed for consistent care coordination and management.

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Area of Science:

  • Health Services Research
  • Healthcare Management
  • Public Health Policy

Background:

  • Case management is crucial for integrating health, social, and other services for individuals with complex health conditions.
  • Variability in case management descriptions across research and practice impedes quality analysis, policy development, and strategic planning.
  • The diverse nature of case management components and variations necessitates a clearer understanding based on context and client populations.

Purpose of the Study:

  • To scope and map the literature on case management for complex health conditions.
  • To identify and analyze how case management is described across various conditions, including brain injury, diabetes, mental health, and spinal cord injury.
  • To address the significant terminological variance in case management.
Keywords:
care coordinationcase managementcomplexityintegrated carescopingtaxonomy

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Main Methods:

  • Comprehensive literature searches were conducted across multiple databases and grey literature sources.
  • Papers were screened for relevance to complex health conditions, community-based settings, and adequate descriptions, resulting in 661 potential papers for data extraction.
  • Data from 79 selected papers (1988-2013) were analyzed to saturation, mapping case manager activities and components.

Main Results:

  • The analysis yielded 22 distinct definitions of case management.
  • Five different models of case management were identified.
  • A total of 69 case manager activities/tasks were mapped to 17 key intervention components.

Conclusions:

  • Significant terminological variance in case management leads to role confusion, ambiguity, and hinders cross-condition comparability.
  • The findings highlight an urgent need for an internationally agreed-upon taxonomy for care coordination, navigation, and management.
  • Standardizing case management terminology is essential for improving quality analysis, policy, and planning in healthcare and social services.