Centre for Policy on Ageing



Client outcomes in case managed care: who benefits most?
Author(s)	Y Wells, H Swerissen, H Kendig
Journal title	Australasian Journal on Ageing, vol 18, no 2, May 1999
Pages	pp 79-85
Keywords	Case work ; Management [care] ; Domiciliary services ; Family care ; Admission [nursing homes] ; Hostels ; Longitudinal surveys ; Australia.
Annotation	Case managed community care is now widely advocated in Australia as a mechanism for improving the quality of life for dependent older people who wish to remain in their own homes, and as a strategy for reducing costs by preventing inappropriate entry to residential care. In this study, longitudinal data from the Victoria Linkages projects were examined to determine how well outcomes could be predicted by initial circumstances and subsequent deterioration in clients and carers. Findings revealed that institutionalisation was likely in cases where carers experienced reduced motivation to care. Placement in nursing homes rather than in hostels was best predicted by incontinence. Death was associated with changes in health status. Those clients most successful in avoiding long-term institutional care were in stable situations with a spouse carer. (AKM).
Accession Number	CPA-990716216 A
Classmark	IGA: QA: N: P6:SJ: LHB:QKH: KVA: 3J: 7YA
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...from the Ageinfo database published by Centre for Policy on Ageing.