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

Paper
Key Questions Answered
  • Can a case management intervention reduce psychological distress and increase patient activation among individuals with complex needs?
  • What are the components of the intervention?
Key Themes and Takeaways

This resource describes a randomized controlled trial to evaluate the effects of a case management intervention called V1SAGES (Vulnerable Patients in Primary Care: Nurse Case Management

and Self-management Support) on psychological distress and patient activation among patients with chronic disease and complex care needs.

  • The intervention consisted of evaluation of patient needs and resources; an individualized service plan; care coordination among the health care and community partners; and self-management support for patients and their families.
  • According to the quantitative results, compared with usual care, the intervention reduced psychological distress, but did not have any significant effect on patient activation.
  • Subsequent in-depth interviews suggested that patients and their spouses gained a sense of security, and stakeholders noted better patient self-management of health.
  • Together, the study’s quantitative and qualitative results suggest that case management reduces psychological distress, making patients and caregivers feel more secure, whereas impact on self-management is unclear.
Authors
Catherine Hudon
Maud-Christine Chouinard
Marie-France Dubois
Pasquale Roberge
Christine Loignon
Eric Tchouaket
Mirielle Lambert
Emilie Hudon
Fatoumata Diadiou
Danielle Bouliane
Population Addressed
Adults Under 65 with Disabilities
People with Advanced Illness
Frail Older Adults
People with Multiple Chronic Conditions
People with Behavioral Health and Social Needs
Level of Evidence
Strong
Uploaded to The Playbook