Integrated case management reduces functional decline and costs in older patients
Since the introduction of case management several years ago many have
questioned whether it really provides better and more cost
effective care for older people. On p 1348 Bernabei et al report
results from a randomised study of case management and integrated care
and usual community care in 200 patients living in a well developed
area of northern Italy. After 1 year's follow up the intervention
group showed significant reductions in functional decline, rate of
admission to hospital or nursing home, and visits from general
practitioners, with an overall annual saving of £1125 per person.
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- Randomised trial of impact of model of integrated care and case management for older people living in the community
- Roberto Bernabei, Francesco Landi, Giovanni Gambassi, Antonio Sgadari, Giuseppe Zuccala, Vincent Mor, Laurence Z Rubenstein, and PierUgo Carbonin
BMJ 1998 316: 1348-1351.[Abstract] [Full Text] [PDF]
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