Why Is Case Management Effective A Realist Evaluation of Case Management for Frail, Community-Dwelling Older People: Lessons Learned from BelgiumReportar como inadecuado




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Despite many attempts to evaluate the effectiveness of case management for frail older people, systematic reviews including experimental designs show inconsistent results. Starting from the view that case management is a complex intervention occurring in multilayered realities, we conducted a realist evaluation of case management in Belgium, where this type of intervention is new. Realist approaches are particularly well suited to evaluate complex interventions as they seek to investigate iteratively the literature and empirical data to uncover mid-range theories underpinning the intervention under study. As such, realist evaluations are works in progress which provide tools to describe how, why and for whom an intervention is supposed to work. In this paper, we describe two mid-range theories that can explain why case management can help frail older people to remain at home, through the lens of capacity and social support.

KEYWORDS

Realist Evaluation, Frail Older People, Case Management, Home Care

Cite this paper

Van Durme, T. , Schmitz, O. , Cès, S. , Lambert, A. , Billings, J. , Anthierens, S. , Lopez-Hartmann, M. , Remmen, R. , Almeida Mello, J. , Declercq, A. and Macq, J. 2016 Why Is Case Management Effective? A Realist Evaluation of Case Management for Frail, Community-Dwelling Older People: Lessons Learned from Belgium. Open Journal of Nursing, 6, 863-880. doi: 10.4236-ojn.2016.610085.





Autor: Thérèse Van Durme1, Olivier Schmitz1, Sophie Cès1, Anne-Sophie Lambert1, Jenny Billings2, Sibyl Anthierens3, Maja Lopez-Hartma

Fuente: http://www.scirp.org/



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