SynthesisAnnals of family medicine
Barriers to implementation of case management for patients with dementia: a systematic mixed studies review.
Synthesis in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 8 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed, 8 syntheses or guidelines pooled it.
- The effect of psychosocial and healthcare interventions on reducing hospitalization in people with dementia: an umbrella review.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Pooled it
- Decision-making and related outcomes of patients with complex care needs in primary care settings: a systematic literature review with a case-based qualitative synthesis.BMC primary care · 2022Pooled it
- Optimizing the diagnosis and management of dementia within primary care: a systematic review of systematic reviews.BMC family practice · 2021Pooled it
- Characteristics of Case Management in Primary Care Associated With Positive Outcomes for Frequent Users of Health Care: A Systematic Review.Annals of family medicine · 2019Pooled it
- Pooled it
- Stakeholders perspectives on the key components of community-based interventions coordinating care in dementia: a qualitative systematic review.BMC health services research · 2017Pooled it
- Family Physician-Case Manager Collaboration and Needs of Patients With Dementia and Their Caregivers: A Systematic Mixed Studies Review.Annals of family medicine · 2016Pooled it
- Modifiable factors and cognitive dysfunction in breast cancer survivors: a mixed-method systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Pooled it
- Health care costs of case management for frequent users of the emergency department: Hospital and insurance perspectives.PloS one · 2018Trial
- Factors that affect the implementation of an integrated care programme for older people with different frailty levels: a qualitative study of commissioners and provider stakeholders.BMC geriatrics · 2024Article
- Feedback System Analysis of a Multicomponent Intervention on Dyads of Home-Dwelling Persons With Dementia and Their Caregivers: Results From the LIVE@Home.Path Trial.Innovation in aging · 2024Article
- Primary care family physicians' experiences with clinical integration in qualitative and mixed reviews: a systematic review protocol.BMJ open · 2023Article
- Design and implementation of the participatory German network for translational dementia care research (TaNDem): A mixed-method study on the perspectives of healthcare providers and dementia researchers in dementia care research.Health expectations : an international journal of public participation in health care and health policy · 2023Review
- [Practice and improvement plans of the tailored dementia case management in local dementia centers: A qualitative study using focus group].Journal of Korean gerontological nursing · 2023Article
- Implementation analysis of a case management intervention for people with complex care needs in primary care: a multiple case study across Canada.BMC health services research · 2023Article
- Article
- Lack of Any Caregiving for Those with Dementia.Journal of Alzheimer's disease : JAD · 2022Article
- The Cultural Diversity of Dementia Patients and Caregivers in Primary Care Case Management: a Pilot Mixed Methods Study.Canadian geriatrics journal : CGJ · 2021Article
- "It's Tricky": Care Managers' Perspectives on Interacting with Primary Care Clinicians.Population health management · 2021Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeResults of case management designed for patients with dementia and their caregivers in community-based primary health care (CBPHC) were inconsistent. Our objective was to identify the relationships between key outcomes of case management and barriers to implementation.
methodsWe conducted a systematic mixed studies review (including quantitative and qualitative studies). Literature search was performed in MEDLINE, PsycINFO, Embase, and Cochrane Library (1995 up to August 2012). Case management intervention studies were used to assess clinical outcomes for patients, service use, caregiver outcomes, satisfaction, and cost-effectiveness. Qualitative studies were used to examine barriers to case management implementation. Patterns in the relationships between barriers to implementation and outcomes were identified using the configurational comparative method. The quality of studies was assessed using the Mixed Methods Appraisal Tool.
resultsForty-three studies were selected (31 quantitative and 12 qualitative). Case management had a limited positive effect on behavioral symptoms of dementia and length of hospital stay for patients and on burden and depression for informal caregivers. Interventions that addressed a greater number of barriers to implementation resulted in increased number of positive outcomes. Results suggested that high-intensity case management was necessary and sufficient to produce positive clinical outcomes for patients and to optimize service use. Effective communication within the CBPHC team was necessary and sufficient for positive outcomes for caregivers.
conclusionsClinicians and managers who implement case management in CBPHC should take into account high-intensity case management (small caseload, regular proactive patient follow-up, regular contact between case managers and family physicians) and effective communication between case managers and other CBPHC professionals and services.
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Registered trials
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