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Case management for high-intensity service users
 — towards a relational approach to care co-ordination
Author(s)Phil McEvoy, Diane Escott, Penny Bee
Journal titleHealth and Social Care in the Community, vol 19, no 1, January 2011
Pagespp 60-69
Sourcehttp://www.ingentaconnect.com/content/bsc/hscc
KeywordsChronic illness ; Case work ; Management [care] ; Medical care ; Community care ; Interaction [welfare services] ; Coordination ; Quality ; Evaluation.
AnnotationThis paper evaluated a case management service for high-intensity service users in Northern England. The evaluation assessed the quality of the organisational infrastructure, obtained a better understanding of the key influences that played a role in shaping the development of the service, and identified potential changes in practice that may help to improve the quality of service provision. Interviews with staff were conducted to explore key influences that shaped the development of the service. Findings revealed a high level of strategic commitment and political support for integrated working. However, the quality of care co-ordination was variable. The co-ordination of patient care was more effective in integrated co-ordination networks. Key features included clearly defined, task focused, relational workspaces with interactive forums where case managers could engage with workers in discussions about the management of interdependent care activities. In dispersed co-ordination networks with fewer relational workspaces, the case managers struggled to work as effectively. In conclusion, the creation of flexible and efficient task focused relational workspaces that are adequately managed and resourced help to improve the quality of care co-ordination. (JL).
Accession NumberCPA-110627004 A
ClassmarkCI: IGA: QA: LK: PA: QK6: QAJ: 59: 4C

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