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Case managers and physicians: communication and perceived problems

M Feltes1, T Wetle, E Clemens

  • 1Uncas on Thames Hospital, Norwich, CT.

Journal of the American Geriatrics Society
|January 1, 1994
PubMed
Summary
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Physician-case manager communication gaps hinder care for the elderly. Case managers report physicians misunderstand their role and the social needs of home-bound patients, leading to differing care agendas.

Area of Science:

  • Healthcare Management
  • Interprofessional Communication
  • Geriatric Care

Background:

  • Effective collaboration between physicians and case managers is crucial for optimal patient care, particularly for frail elderly individuals.
  • Understanding the dynamics of the physician-case manager relationship is essential for improving healthcare delivery.

Purpose of the Study:

  • To explore and describe case managers' perceptions of their relationship with physicians.
  • To identify challenges and barriers in physician-case manager collaboration.

Main Methods:

  • Qualitative field study utilizing in-depth, open-ended interviews with case managers.
  • Grounded theory approach adapted for transcript analysis by a multidisciplinary team.
  • Maximum variation sampling strategy employed to select diverse case managers.

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Main Results:

  • Physicians often have a poor understanding of the case manager role.
  • Physicians demonstrate limited insight into the social and environmental factors affecting home-bound elderly patients.
  • Difficulties in accessing physician services and occasional power struggles in care planning were reported.
  • Discrepancies in decision-making agendas between physicians and case managers were observed.

Conclusions:

  • Gaps in interprofessional communication between physicians and case managers impede the optimal care of frail elderly individuals.
  • Addressing these communication barriers is vital for enhancing patient outcomes in geriatric care.