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Case management: a controlled evaluation of persons with diabetes

Sibylle H. Lob (Medical Epidemiologist, California Department of Health Services, Sacramento, USA)
Neal D. Kohatsu (Acting Associate Director for Medical Quality, at California Department of Health Services, Sacramento, USA)

British Journal of Clinical Governance

ISSN: 1466-4100

Article publication date: 1 June 2000

Abstract

Case management has been widely used with the intent of improving clinical outcomes while reducing medical costs. Studies of case management, however, have shown variable effectiveness. This study assessed the impact of a state health department case management program on hospitalizations, emergency department (ED) visits, and preventive services among persons with diabetes receiving Medicaid fee‐for‐service health care. The patients enrolled in the non‐disease‐specific case management program were low‐income, chronically ill and medically complex. Nurse case managers authorized and coordinated services in the home for these patients and established links to health‐care professionals and community resources. A retrospective, non‐randomized, controlled time series design using paid claims files was employed. Case management reduced admissions and hospital days but did not significantly impact ED visits or use of preventive services.

Keywords

Citation

Lob, S.H. and Kohatsu, N.D. (2000), "Case management: a controlled evaluation of persons with diabetes", British Journal of Clinical Governance, Vol. 5 No. 2, pp. 105-111. https://doi.org/10.1108/14664100010344006

Publisher

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MCB UP Ltd

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