Case Management

1991 ◽  
Vol 159 (1) ◽  
pp. 142-148 ◽  
Author(s):  
Frank Holloway ◽  
Elizabeth K. McLean ◽  
J. A. Robertson

“This paper discusses the advantages and disadvantages of case management systems for the co-ordination of care of people with long-term mental illness living in the community. Many of the principles are equally applicable to other client groups with long-term needs, e.g. elderly people or people with learning difficulties. Some of the historical background to the emergence of case management concepts is discussed, culminating in the recent White Paper on Community Care. The underlying concept of case management is examined, together with a number of fundamental questions concerning who should act as case managers, what kinds of training they will require, problems of inter- and intra-agency co-operation, and the empirical evidence regarding its effectiveness. It is concluded that case management could be an important element in a comprehensive range of mental health services, but it is not a substitute for basic community provisions.”

Politik ◽  
2012 ◽  
Vol 15 (3) ◽  
Author(s):  
Matilde Høybye-Mortensen

The Danish digitisation strategy states that case management systems are one of the means to digital welfare. is article examines Fælles Sprog (common language) which is used by case managers within the area of care for the elderly. Based on interviews the article illustrates how cross pressures from concerns of the in- dividual needs of the clients on the one hand and the system requirements for standardisation on the other hand are handled by the street level bureaucrats. In this way, the article presents e-government in practice within social welfare provision. 


2020 ◽  
Vol 157 ◽  
pp. 04007 ◽  
Author(s):  
Oksana Pirogova ◽  
Vladimir Plotnikov

Currently, the process of forming new management concepts is ongoing in Russia. At the same time, on the way to the development, creation and implementation of modern concepts, approaches and management systems at domestic enterprises there are several problems, one of which is the problem of intellectual capital management based on the VBM concept. Issues related to the definition of the concept of “intellectual capital”, its assessment and management are relevant. The article discusses the features of the VBM concept at the enterprise level, its advantages and disadvantages, implementation problems. The analysis performed in the study made it possible to clarify the economic content of the concept of intellectual capital and identify its key features that allow characterizing it and using specific assessment methods. The article describes the main methods and indicators for assessing intellectual capital, based on which an approach to the assessment and management of intellectual capital of an enterprise is proposed. The approach is based on a combination of two methods for calculating intellectual capital CIV and MVAIC. The first technique allows to assess the amount of intellectual capital of the enterprise. The second technique allows to reveal the structure of intellectual capital. The joint use of techniques allows to get a valuation of the intellectual capital of the enterprise and evaluate the effectiveness of investments in the development of its components. Criteria for assessing the effectiveness of investments in elements of intellectual capital are proposed.


2002 ◽  
Vol 15 (3) ◽  
pp. 147-164 ◽  
Author(s):  
Deborah Yarmo Roberts

'Case management' in the health and social service sector is controversial, highly political and saturated with conflicting agendas among stakeholders. Research was conducted recently to explore the role of case managers in three evolving, Australian-based, long-term care, case management models. The findings have relevance to countries worldwide that contend with delivering quality care that is cost effective. The research captures the perspectives of 51 open-ended interviews with front-line case managers who have first-hand knowledge of the models' effect on their clients and on their own roles. Contrary to the rhetoric that case management is client-centred, case management is concluded to be 'system centred' based on a unilateral approach taken by each of the three models. Case managers had a limited ability to attain necessary services for clients. Success was dependent on the range of case managers' skills and experience, relationship with the client, degree of job satisfaction, level of influence in the health and social system and ability to collaborate with relevant professionals. The relationship between the three primary influences (system, model, client) affecting case managers' pursuit of achieving appropriate client services was also reviewed. A reconceptualized multidimensional approach, or 'neo-process-centred' case management, is proposed. The revised approach can be applied to existing and new models and has direct implications for policy makers, management and practitioners aspiring to improve client care within existing constraints.


Author(s):  
Carol D. Austin

Case management is used within a broad range of human services programs. The author examines case-management practice from a systems perspective, exploring interorganizational issues and case managers' fiscal authority. Case managers' potential to produce systems change has been underdeveloped because most case managers cannot influence the distribution, type, and supply of resources within their local delivery systems. Strategies designed to enhance case managers' system-level effectiveness are discussed. Program examples in mental health, community-based long-term care, and health care are analyzed.


2005 ◽  
Vol 18 (2) ◽  
pp. 22-26 ◽  
Author(s):  
Heather Hadjistavropoulos ◽  
Cecily Bierlein ◽  
Sue Neville ◽  
Tandy Tuttosi-White ◽  
Allisson Quine ◽  
...  

The Regina Risk Indicator Tool (RRIT) is used to identify how at risk clients are for requiring admission to long-term care. This study examined the potential use of this tool by case managers of older community dwelling clients receiving home care. The RRIT exhibited moderate to good inter-rater reliability, and good predictive validity as clients of varying degrees of risk differed in amount of case management and services used. Healthcare managers may wish to consider using the tool to support decision-making related to case management and home care service.


2009 ◽  
Vol 30 (1) ◽  
pp. 125-155 ◽  
Author(s):  
SIOBHAN REILLY ◽  
JANE HUGHES ◽  
DAVID CHALLIS

ABSTRACTThis paper presents a structured literature review that focused on comprehensive case management by nurses for adults with long-term conditions living in the community. The emphases of the review are the implementation of case-management approaches, including its roles, core tasks and components, and the coverage and quality of the reported implementation data. Twenty-nine studies were included: the majority were concerned with case management for frail older people, and others focused on people with multiple chronic diseases, high-cost patients, or those at high risk of hospital admissions. All the studies reported that case managers undertook the core tasks of assessment, care planning and the implementation of the care plan, but there was more variation in who carried out case finding, monitoring, review and case closure. Few studies provided adequate implementation information. On the basis of the reviewed evidence, three issues were identified as key to the coherent and sustainable implementation of case management for people with long-term conditions: fidelity to the core elements of case management; size of caseload; and case-management practice, incorporating matters relating to the continuity of care, the intensity and breadth of involvement, and control over resources. It is recommended that future evaluations of case-management interventions include a comprehensive process component or, at the very least, that interventions should be more fully described.


1994 ◽  
Vol 14 (2) ◽  
pp. 237-253 ◽  
Author(s):  
Richard Hugman

ABSTRACTDiscrimination against old age and work with elderly people are evident in the practices and organisation of caring professions, of which social work may be taken as an example because of its central role in community care provision. This article examines the implications for the status of professional social work with elderly people of recent proposals to develop the role of care manager in place of the case management model developed in Kent and elsewhere. It is argued that such a move derives from managerial concerns, which ignore the likely consequences for retrenching ageism and other forms of discrimination in services for older people. It is concluded that more careful consideration will be required concerning the context in which new professional models are being developed, if these discriminations are not to be reproduced and reinforced, as well as the benefits from case management systems being lost.


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