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Related Experiment Videos

Modeling case management decision-making in a consolidated long-term care program

C H Hennessy1

  • 1Aging Studies Branch, Centers for Disease Control, Atlanta, Georgia 30333.

The Gerontologist
|June 1, 1993
PubMed
Summary

This study reveals how case managers assess nursing home placement risk using client condition and resource data. They select care plans based solely on client information.

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Area of Science:

  • Gerontology
  • Health Services Research
  • Social Work

Background:

  • Effective case management is crucial for optimizing long-term care.
  • Understanding decision-making processes informs resource allocation and patient-centered care.

Purpose of the Study:

  • To identify informational factors influencing case management decisions.
  • To analyze judgment processes in risk assessment and care plan selection.

Main Methods:

  • A multidisciplinary team evaluated hypothetical clients using vignettes (N=1,507).
  • Decisions analyzed included risk of nursing home placement and care plan choice.

Main Results:

  • Risk assessment incorporated client condition and program resources.
  • Care plan selection relied exclusively on client-specific information.

Conclusions:

  • Case managers utilize distinct informational sets for different decision types.
  • This highlights the interplay between client needs and system constraints in long-term care.

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