Case Management in Primary Care for Frequent Users of Health Care Services: A Mixed Methods Study.

ABSTRACT:

Purpose

This study aimed to evaluate the effects of the V1SAGES case management intervention (Vulnerable Patients in Primary Care: Nurse Case Management and Self-management Support) for frequent users of health care services with chronic disease and complex care needs on psychological distress and patient activation.

Methods

We used a 2-phase sequential mixed methods design. The first phase was a pragmatic randomized controlled trial with intention-to-treat analysis that measured the effects of the intervention compared with usual care on psychological distress and patient activation before and after 6 months. The second phase had a qualitative descriptive design and entailed thematic analysis of in-depth interviews (25 patients, 6 case management nurses, 9 health managers)

SUBMITTER: Hudon C 

PROVIDER: S-EPMC5951252 | biostudies-literature | 2018 May

REPOSITORIES: biostudies-literature