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Nursing case management activities. How they differ between employment settings

D R Goodwin

    The Journal of Nursing Administration
    |February 1, 1994
    PubMed
    Summary

    This study explores how case management activities differ across various employment settings. It examines the extent of service duplication and the core functions of case managers in different environments.

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    Area of Science:

    • Healthcare Management
    • Social Work Practice

    Background:

    • Diverse case management approaches exist, prompting questions about service duplication and core functions.
    • Understanding the variations in case manager activities is crucial for effective client care and resource allocation.

    Purpose of the Study:

    • To delineate the distinct activities of case managers in various employment settings.
    • To investigate the degree of service duplication among multiple case managers.
    • To clarify the fundamental processes involved in "case managing" a client.

    Main Methods:

    • Comparative analysis of case management activities.
    • Examination of roles in direct care versus case management companies and insurance settings.

    Main Results:

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    • Significant differences observed in case management activities based on employment setting.
    • Variations in the extent of service duplication identified across different models.
    • Distinctive "case management" processes are employed depending on the organizational context.

    Conclusions:

    • Case manager activities are highly context-dependent, varying by employment setting.
    • The structure of case management influences service delivery and potential for duplication.
    • Further research is needed to optimize case management models for diverse client needs.