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Case management, client risk factors and service use

Newcomer, R.; Arnsberger, P.; Zhang, X.

Health Care Financing Review 19(1): 105-120

1997

ISSN/ISBN: 0195-8631
PMID: 10179994
Document Number: 482231
Six "pure" types of case-manager activity are identified using chart data from 922 cases in the Medicare Alzheimer's Disease Demonstration. The association between case-manager actions and client characteristics, and between case-manager activities and service use outcomes is used to test predictive validity. Case-manager activity is generally more associated with caregiver than client characteristics. Monitoring and service management was protective against nursing home placement. A clinical nursing emphasis was protective against hospitalization. Understanding how case management is differentiated may improve staffing, treatment protocol, and client service outcomes.

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