Case management, client risk factors and service use.
Date of Pub
Arnsberger, Pamela; Zhang, Xiulan
Six "pure" types of case-manager activity are identified using chart data from 922 cases in the Medicare Alzheimer's Disease
Demonstration. The association between case-manager actions and client characteristics, and between case-manager activities
and service use outcomes is used to test predictive validity. Case-manager activity is generally more associated with caregiver
than client characteristics. Monitoring and service management was protective against nursing home placement. A clinical nursing
emphasis was protective against hospitalization. Understanding how case management is differentiated may improve staffing,
treatment protocol, and client service outcomes.
Aged : Alzheimer Disease/economics : Case Management/organization & administration : Continuity of Patient Care : Female :
Health Resources/utilization : Health Services Research : Home Care Services/organization & administration/utilization : Human
: Male : Medicare/economics/organization & administration : Models, Organizational : Pilot Projects : Support, U.S. Gov't,
P.H.S. : United States