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Description and outcomes of a medicare case management program by nurses
Author(s)Sheila A Allen
Journal titleHome Health Care Services Quarterly, vol 18, no 2, 1999
Pagespp 43-68
Sourcehttp://www.tandfonline.com
KeywordsNurses ; Home nursing ; Management [care] ; United States of America.
AnnotationIn the US, case management is viewed as a means of providing comprehensive, co-ordinated care while reducing costs. However, studies of community-based case management have been disappointing. This study evaluates a Medicare service, Management and Evaluation of the Care Plan (MAE) as a model of nurses providing case management in the home. Three groups were compared: 176 MAE, 187 non-MAE, and 93 newly discharged. Utilisation data was collected over one year. On average, subjects were generally unmarried older women with three functional limitations, four medical diagnoses, and averaged 43 home care visits and one hospitalisation. MAE patients were older, had more functional and environmental limitations, less ADL independence, and a worse prognosis, yet used significantly less health care than did non-MAE recipients. (RH).
Accession NumberCPA-001016213 A
ClassmarkQTE: N4: QA: 7T

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