The assessment of a hospital-based care management model for long-term care services

Ying Chen Chi, Kun Yang Chuang, Shwu Chong Wu, Kuo Cherh Huang, Chen Long Wu

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

The purpose of this research was to assess the effectiveness of a hospital-based care management model on disabled elderly people. A before-and-after quasi-experimental design was adopted. A total of 331 disabled elderly people, residing in the Da-An District of Taipei City, participated in the study. Among them, 166 received care management, while the other 165 did not. The latter served as controls. Baseline and follow-up data collection were carried out before and after care management intervention. Logistic regression analysis was used to test the effects of care management on medical care expenditure, self-rated health, and satisfaction with long-term care arrangement. The results showed that those under care management, compared to the controls, were more likely to experience a decrease in medical care expenditure, and less likely to have a decrease in satisfaction with long-term care. The effects were statistically significant. However, there was no effect on self-rated health. The findings show that hospital-based care management is a viable option and has the potential to become an important segment in the delivery of long-term care services. More effort should be expended in its development and in the evaluation of its effectiveness.

Original languageEnglish
Pages (from-to)317-326
Number of pages10
JournalJournal of Nursing Research
Volume12
Issue number4
DOIs
Publication statusPublished - Dec 2004

Keywords

  • Care management model
  • Effectiveness evaluation
  • Long-term care

ASJC Scopus subject areas

  • Nursing(all)

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