Centre for Policy on Ageing



Allocation of case management resources in long-term care: predicting high use of case management time
Author(s)	Sadhna Diwan
Journal title	The Gerontologist, vol 39, no 5, October 1999
Pages	pp 580-590
Keywords	Case work ; Management [care] ; Domiciliary services ; Costs [care] ; United States of America.
Annotation	The expansion of publicly funded home care services and case management (CM) programmes in the United States has fuelled concerns about containing the costs of these programmes. For CM practice, the issue is one of tailoring CM to those who really need it and are most likely to benefit from it. This concern calls for a better understanding of factors that increase the need for CM resources, defined as the use of CM time. This study of 242 older clients in a Medicaid-waiver-funded home care programme found clients' problem behaviours, higher functional ability, informal support problems, and problems with service provider agencies to be predictive of greater use of CM time. The findings suggest the need to develop appropriate assessment of problem areas, implement effective protocols to manage specific problems, and address such issues as appropriate levels of staffing and provider accountability. (AKM).
Accession Number	CPA-000118243 A
Classmark	IGA: QA: N: QDC: 7T
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...from the Ageinfo database published by Centre for Policy on Ageing.