Evidence map›Paper›PMID 28970745›Full record

ArticleInternational journal of integrated care2017

Case Management for Patients with Complex Multimorbidity: Development and Validation of a Coordinated Intervention between Primary and Hospital Care.

Salvador Tortajada, María Soledad Giménez-Campos, Julia Villar-López, Raquel Faubel-Cava, Lucas Donat-Castelló, Bernardo Valdivieso-Martínez, Elisa Soriano-Melchor, Amparo Bahamontes-Mulió, Juan M García-Gómez

Abstract readCase Reports
In one paragraph

Article in International journal of integrated care, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  18. Predictors of Frequent Emergency Department Utilization for Mental Health Reasons.The journal of behavioral health services & research · 2021
    Article
  19. Article
  20. Results of Nurse Case Management in Primary Heath Care: Bibliographic Review.International journal of environmental research and public health · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Salvador TortajadaInstituto de Investigación Sanitaria La Fe, ES.ORCID 0000-0001-7426-2407
María Soledad Giménez-CamposHospital Universitario y Politécnico La Fe, ES.
Julia Villar-LópezInstituto de Investigación Sanitaria La Fe, ES.
Raquel Faubel-CavaUniversitat de València, ES.
Lucas Donat-CastellóInstituto de Investigación Sanitaria La Fe, ES.
Bernardo Valdivieso-MartínezHospital Universitario y Politécnico La Fe, ES.
Elisa Soriano-MelchorHospital Universitario y Politécnico La Fe, ES.
Amparo Bahamontes-MulióHospital Universitario y Politécnico La Fe, ES.
Juan M García-GómezUniversidad Politécnica de Valencia, ES.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the past few years, healthcare systems have been facing a growing demand related to the high prevalence of chronic diseases. Case management programs have emerged as an integrated care approach for the management of chronic disease. Nevertheless, there is little scientific evidence on the impact of using a case management program for patients with complex multimorbidity regarding hospital resource utilisation. We evaluated an integrated case management intervention set up by community-based care at outpatient clinics with nurse case managers from a telemedicine unit. The hypothesis to be tested was whether improved continuity of care resulting from the integration of community-based and hospital services reduced the use of hospital resources amongst patients with complex multimorbidity. A retrospective cohort study was performed using a sample of 714 adult patients admitted to the program between January 2012 and January 2015. We found a significant decrease in the number of emergency room visits, unplanned hospitalizations, and length of stay, and an expected increase in the home care hospital-based episodes. These results support the hypothesis that case management interventions can reduce the use of unplanned hospital admissions when applied to patients with complex multimorbidity.

Indexed as

case managementchronic patientcomplex multimorbidityhospital at homeintegrated care

Identifiers

PMID28970745
PMCPMC5624062

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.