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Case management of the geriatric patient. Clinical Recommended Practice of the Committee of the Czech Gerontological and Geriatric Society ČLS JEP


Authors: Matějková Astrid 1;  Pavlíčková Ludmila 2;  Šnajdrová Zuzana 3;  Vaňková Hana 4;  Rýznarová Rid 5;  Jurašková Božena 6
Authors place of work: Geriatrické centrum, Pardubická nemocnice 1;  Fakultní ThomaYerova nemocnice Praha 2;  Nemocnice Milosrdných sester sv. K. Boromejského v Praze 1 3;  Interní klinika 3. LF UK a FNKV 4;  Geriatrické a doléčovací oddělení, Slezská nemocnice v Opavě 5;  III. interní gerontometabolická klinika FNHK, subkatedra geriatrie LF UK v Hradci Králové 6
Published in the journal: Geriatrie a Gerontologie 2023, 12, č. 1: 9-11
Category:

Summary

Due to their polymorbidity and frequent lack of independence, geriatric patients have complex needs that should be met by health and social care services. It is desirable that care for this population group is not fragmented. Case management is a long-established and proven approach in modern Western healthcare to provide quality, integrated care for the elderly. It can contribute to the quality of life of the elderly and at the same time lead to a reduction in healthcare costs by preventing complications, reducing hospital admissions and rationalising visits to outpatient specialists. Outpatient geriatricians are appropriate case management practitioners for seniors. In collaboration between the Alzheimer‘ s Foundation and the Czech Gerontological and Geriatric Society, a pilot performance project and questionnaire survey among outpatient geriatricians in the Czech Republic was conducted. The evaluation of the pilot project shows that outpatient geriatricians are able to perform expert case management and expect better integration of health and social care for the elderly and reduction of health care costs. We therefore requested that case management be included among the health interventions performed by geriatric outpatient clinics.

Keywords:

geriatric patient – Clinical Recommended Practice – case management


Zdroje

1. NAPAN – Národní akční plán pro Alzheimerovu nemoc a obdobná onemocnění 2020–2030. Ministerstvo zdravotnictví ČR 2021. Dostupné z: NAPAN-2020-2030. pdf (mzcr.cz).

2. You ECh, Dunt D, Doyle C, Hsueh A, et al. Effects of case management in community aged care on client and carer outcomes: a systematic review of randomized trials and comparative observational studies. BMC Health Serv Res 2012; 12: 395.

3. Case Management Society of America. Definition of Case Management. Dostupné z: https://cmsa.org/whowe- are/what-is-a-case-manager.

4. Hallberg IR, Kristensson J. Preventive home care of frail older people. J Clin Nurs 2004; 13(6B): 112–120.

5. Sandberg M, Jakobsson U, Midlöv P, Kristensson J. Case management for frail older people – a qualitative study of receivers’ and providers’ experiences of a complex intervention. BMC Health Serv Res 2014; 14: 14.

6. Gärtner B, Herzog A, Holzhausen M, Schmidtet S. „Case-management“ – Studien für Personen ab 65 Jahren in Deutschland: Systematische Übersicht. Z Gerontol Geriat 2015; 48(6): 529–538.

7. Joo JY, Liu LF. Case management effectiveness for managing chronic illnesses in Korea: a systematic review. Int Nurs Rev 2019; 66(1): 30–42.

8. Teper MH, Vedel I, Yang XQ, et al. Understanding barriers to and facilitators of case management in primary care: a systematic review and thematic synthesis. Ann Fam Med 2020; 18(4): 355–363.

9. Reilly S, Miranda-Castillo C, Malouf R, et al. Case management approaches to home support for people with dementia (Review). Cochrane Database Syst Rev 2015; 1(1): CD008345.

10. Lambert A-S, Legrand C, Cès S, et al. Evaluating case management as a complex intervention: Lessons for the future. PLoS ONE 2019; E14(10): e0224286.

11. van Durme T, Schmitz O, Cès S, et al. A comprehensive grid to evaluate case management’s expected effectiveness for community-dwelling frail older people: results from a multiple, embedded case study. BMC Geriatr 2015; 15: 67.

Štítky
Geriatrics General practitioner for adults Orthopaedic prosthetics

Článok vyšiel v časopise

Geriatrics and Gerontology

Číslo 1

2023 Číslo 1
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