Trial reportAnnals of family medicine2018
Case Management in Primary Care for Frequent Users of Health Care Services: A Mixed Methods Study.
Trial report in Annals of family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Patient Activation, Depressive Symptoms, and Self-Rated Health: Care Management Intervention Effects among High-Need, Medically Complex Adults.International journal of environmental research and public health · 2021Trial
- Nurses' and Patients' Perspectives on Care Coordination Across Health Care and Social Services Sectors: A Qualitative Study.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026Article
- Patient Experience from a Pilot Study Implementing Software-Based Post-COVID Case Management in GP Practices-A Qualitative Process Evaluation.Healthcare (Basel, Switzerland) · 2025Article
- Impact on Health, Resources, and Satisfaction: A Qualitative Study of Primary Health Care Case-Management Nurses.Healthcare (Basel, Switzerland) · 2025Article
- Opportunities of integrated care to improve equity for adults with complex needs: a qualitative study of case management in primary care.BMC primary care · 2024Article
- Article
- No Time to Wait: Leveraging Primary Care to Treat Stimulant Use Disorder.American journal of preventive medicine · 2024Article
- Article
- Primary Healthcare Case Management Nurses and Assistance Provided to Chronic Patients: A Narrative Review.Healthcare (Basel, Switzerland) · 2024Review
- Article
- Predictors of frequent emergency department visits among hospitalized cancer patients: a comparative cohort study using integrated clinical and administrative data to improve care delivery.BMC health services research · 2023Article
- The economic burden of individuals living with generalized myasthenia gravis and facing social determinants of health challenges.Frontiers in public health · 2023Article
- Community-Based Advanced Case Management for Patients with Complex Multimorbidity and High Medical Dependence: A Longitudinal Study.International journal of environmental research and public health · 2022Article
- Defining the Resident Continuity Clinic Panel Along Patient Outcomes: a Health Equity Opportunity.Journal of general internal medicine · 2021Article
- Does Case Management Provide Support for Staff Facing Frequent Users of Emergency Departments? A Comparative Mixed-Method Evaluation of ED Staff Perception.BMC emergency medicine · 2021Article
- Qualitative evaluation of primary care providers' experiences caring for frequent users of the emergency department.BMJ open · 2021Article
- Nursing Care Coordination for Patients with Complex Needs in Primary Healthcare: A Scoping Review.International journal of integrated care · 2021Article
- Characterizing health care utilization following hospitalization for a traumatic brain injury: a retrospective cohort study.Brain injury · 2021Article
- Towards Better Health, Social, and Community-Based Services Integration for Patients with Chronic Conditions and Complex Care Needs: Stakeholders' Recommendations.International journal of environmental research and public health · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to evaluate the effects of the V1SAGES case management intervention (Vulnerable Patients in Primary Care: Nurse Case Management and Self-management Support) for frequent users of health care services with chronic disease and complex care needs on psychological distress and patient activation.
methodsWe used a 2-phase sequential mixed methods design. The first phase was a pragmatic randomized controlled trial with intention-to-treat analysis that measured the effects of the intervention compared with usual care on psychological distress and patient activation before and after 6 months. The second phase had a qualitative descriptive design and entailed thematic analysis of in-depth interviews (25 patients, 6 case management nurses, 9 health managers) and focus groups (8 patients' spouses, 21 family physicians) to understand stakeholders' perceived effects of the intervention on patients.
resultsA total of 247 patients were randomized into the intervention group (n = 126) or the control group (n = 121). Compared with usual care, the intervention reduced psychological distress (odds ratio = 0.43; 95% CI, 0.19-0.95,
conclusionsTogether, our 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. Case management is a promising avenue to improve outcomes among frequent users of health care with complex needs.
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