Abstract
This research determines if the case management for health primary care means changes in: (a) frequency of use of social and health care resources, (b) number of patients visiting a doctor or social worker in the primary care centre, and visits that these professionals receive, (c) number of drugs consumed, (d) urgent hospital admittances which did not need significant intervention and (e) patients’ and caregivers’ satisfaction towards the social and health care resources received. The data were gathered with a questionnaire elaborated by the Administration and supervised by researchers. One hundred and fifty-two older dependent patients receiving home care in 2004, in a health department of the Valencia Region (Spain) collaborated. Results show: (a) Increase in the use of combined health and social resources in the intervention group; (b) number of patients visiting a practitioner or a social worker is lower in the intervention group, with a significant difference in both cases; (c) 33.3% of the patients in the intervention group versus 60.0% in the control group were admitted by the emergency room service for treatment that did not require surgery, but the difference is not significant; (d) 55.5% of these patients were very much satisfied with the care received and the benefits of the health care resources they had used versus 29.4% in the control group, showing a significant difference, 56.5% of the informal caregivers of patients in the intervention group were satisfied with the health care resources received by their family members, against 31.9% in control group.
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Applebaum R, Straker J, Mehdizadeh S, Warshaw G, Gothelf E (2002) Using high-intensity care management to integrate acute and long-term care services: substitute for large scale system reform? Case Manage J 3(3):113–119
Argimón JM, Jiménez J (2004) Métodos de Investigación aplicados a la Atención Primaria de Salud. Doyma, Barcelona
Carpenter I, Challis D, Hirdes JP (1999) Care of older people a comparison of systems in North America, Europe and Japan. Farrand Press, London
Carpenter J, Schneider J, Brandon T, Wooff D (2003) Working in multi-disciplinary community mental health teams: the impact on social workers and health professionals of integrated mental health care. Br J Soc Work 33:1081–1103
Carpenter I, Gambassi G, Topinkova E et al (2004) Community care in Europe. The aged in home care project (AdHOC). Aging Clin Exp Res 16(4):259–69
Carretero S, Garcés J, Ródenas (2007) Evaluation of the home help service and its impact on the informal caregiver’s burden of dependent elders. Int J Geriatr Psychiatry 22(8):738–749
Challis D, Darton R, Hughes J, Stewart K, Weiner K (2001) Intensive care-management at home: an alternative to institutional care? Age Ageing 30:409–413
Challis D, Chesterman J, Luckett R, Stewart K, Chessum R (2002) Care management in social and primary health care: the Gateshead community care scheme. Ashgate, Aldershot
Comas A, Wittenberg R, Costa-Font J, Gori C, Di Maio A, Patxot C, Pickard L, Pozzi A, Rothgang H (2006) Future long-term care expenditure in Germany, Spain, Italy and the United Kingdom. Ageing Soc 26(2):285–302
Davies B (1994) Improving the case management process. In: OCDE (ed) Caring for frail elderly people. New directions in care, social policy studies no. 14. OECD, Paris
Engel H, Engels D (2000) Case management in various national elderly assistance systems. Kohlhammer, Koln
Field J, Peck E (2003) Mergers and acquisitions in the private sector: what are the lessons for health and social services? Soc Policy Adm 37:742–755
Fine M, Glendinning C (2005) Dependence, independence or inter-dependence? Revisiting the concepts of ‘care’ and ‘dependency’. Ageing Soc 25:601–621
Garcés J (2000) La nueva sostenibilidad social. Ariel Sociología, Madrid
Garcés J, Ródenas F, Sanjosé V (2003) Towards a new welfare state: the social sustainability principle and health care strategies. Health Policy 65:201–215
Garcés J, Ródenas F, Sanjosé V (2004) Care needs among the dependent population in Spain: an empirical approach. Health Soc Care Community 12(6):466–474
Garcés J, Ródenas F, Sanjosé V (2006) Suitability of the health and social care resources for persons requiring long-term care in Spain: an empirical approach. Health Policy 76:121–130
Generalitat de Catalunya (1996) Solicitud de programas y servicios sociales de atención a personas mayores, basada en la orientación multidimensional gerontológico (OMG). Generalitat de Catalunya, Barcelona
Generalitat Valenciana (2002) Encuesta de Salud de la Comunidad Valenciana 2000–2001. Consellería de Sanidad, Valencia
Generalitat Valenciana (2004) Plan para la mejora de la atención domiciliaria en la Comunidad Valenciana (IMAD), 2004–2007. Conselleria de Sanitat, Valencia
Glasby J, Littlechild R, Pryce K (2004) Show me the way to go home: a narrative review of the literature on delayed hospital discharges and older people. Br J Soc Work 34:1189–1197
Gravelle H, Dusheiko M, Sheaff R, Sargent P, Boaden R, Pickard S, Parker S, Roland M (2007) Impact of case management (Evercare) on frail elderly patients: controlled before and after analysis of quantitative outcome data. BMJ 224:31–34
Grundy E (2006) Ageing and vulnerable elderly people: European perspectives. Ageing Soc 26:105–134
Hudson B (2000) Social services and primary care groups: a window of collaborative opportunity? Health Soc Care Community 8(4):242–250
Knapp MRJ, Hardy B, Forder J (2001) Commissioning for quality: ten years of social care markets in England. J Soc Policy 30(2):283–306
Lawton MP, Brody EM (1969) Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 9:179–186
Leichsenring K (2003) Providing integrated health and social care for older persons—a European overview. European Centre for Social Welfare Policy and Research, Vienna
Mahoney FI, Barthel D (1965) Functional evaluation: the Barthel Index. Md Med J 14:56–61
Martín M, Salvadó I, Nadal S, Miji LC, Rico JM, Lanz P, Taussig MI (1996) Adaptación para nuestro medio de la Escala de Sobrecarga del Cuidador (caregiver burden interview) de Zarit. Rev Esp Geriatr Gerontol 6:338–346
Ministerio de Trabajo y Asuntos Sociales (MTAS) (2005) Libro Blanco de la Dependencia. IMSERSO, Madrid
Rubenstein LZ, Alessi CA, Josephson KR, Hoyl MT, Harper JO, Pietrusza FM (2007) A randomized trial of a screening, case finding, and referral system for older veterans in primary care. J Am Geriatr Soc 55:166–174
Scharlach AE, Giunta NY, Mills-Dick K (2001) Case management in long-term care integration: an overview of current programs and evaluations. Center for the Advanced Study of Aging Services, University of California, Berkeley
Smith VK, Des Jardins T, Peterson KA (2000) Exemplary practices in primary care case management. Center for Health Care Strategies, Inc., The Robert Wood Johnson Foundation’s, Princeton
Walsh EG, Clark WD (2002) Managed care and dually eligible beneficiaries: challenges in coordination. Health Care Financ Rev 24(1):63–82
WHO (2002) Lessons for long-term care policy. WHO, Geneva
Zarit SH, Zarit JM (1983) The memory and behavior problem checklist and the burden interview. Technical report, Pennsylvannia State University, University Park
Zarit SH, Reever KE, Bach-Peterson J (1980) Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist 20:649–654
Zarit SH, Orr NK, Zarit JM (1985) The hidden victims of Alzheimer’s disease. Families under stress. New York University Press, New York
Acknowledgments
The study presented in this paper received finance from the Health and Social Welfare departments of the Generalitat Valenciana (2002–2004). This project was possible due to the effort and collaboration of the professionals of the case management team in Burjassot, the patients who took part in the study voluntarily and anonymously, and the experts at the Health and Social Welfare departments of the Valencian Region Administration.
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Ródenas, F., Garcés, J., Carretero, S. et al. Case management method applied to older adults in the primary care centres in Burjassot (Valencian Region, Spain). Eur J Ageing 5, 57–66 (2008). https://doi.org/10.1007/s10433-008-0073-9
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DOI: https://doi.org/10.1007/s10433-008-0073-9