Case management of individuals with long-term conditions by community matrons: report of qualitative findings of a mixed method evaluation

Sue Randall, Guy Daly, Colin Thunhurst, Natalie Mills, David A. Guest, Annette Barker

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Aim To consider findings from a study that evaluated case management of individuals with long-term conditions (LTCs) by a community matron (CM) service. The paper highlights issues related to the implementation of a new role and the impact this had on the experience of care across hospital and community settings for patients and their carers. Background The introduction of the role of CM was intended to increase effective management of patients with complex comorbid LTCs through the introduction of case management, thereby reducing unplanned hospital admissions. Methods The overall methodological approach was one of mixed methods. This paper reports the qualitative findings from CMs (n = 15); patients (n = 13); family carers (n = 8); and secondary care staff who interface with the CM service (n = 7). Data were collected between October 2009 and May 2010. Findings A thematic analysis resulted in the identification of four themes: (1) visibility; (2) interpersonal relationships; (3) leadership; and (4) systems/professional boundaries. Patients enjoyed being seen as a whole and family carers appreciated the coordination aspect of the role. Difficulties arose from the limited understanding of the CM role and from a lack of a shared vision across healthcare professionals concerning the role and its goals.
Original languageEnglish
Pages (from-to)26-37
JournalPrimary health care research & development
Volume15
Issue number1
Early online date2 Apr 2013
DOIs
Publication statusPublished - Jan 2014

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Case Management
Caregivers
Social Welfare
Organizational Case Studies
Professional Role
Secondary Care
Delivery of Health Care

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Keywords

  • article
  • caregiver
  • case management
  • community health nursing
  • comorbidity
  • health care quality
  • health personnel attitude
  • hospital readmission
  • human
  • interview
  • long term care
  • nurse attitude
  • nurse patient relationship
  • organization and management
  • patient satisfaction
  • program evaluation
  • psychological aspect
  • qualitative research
  • quality of life
  • standard
  • United Kingdom

Cite this

Case management of individuals with long-term conditions by community matrons: report of qualitative findings of a mixed method evaluation. / Randall, Sue; Daly, Guy; Thunhurst, Colin; Mills, Natalie; Guest, David A.; Barker, Annette.

In: Primary health care research & development, Vol. 15, No. 1, 01.2014, p. 26-37.

Research output: Contribution to journalArticle

Randall, Sue ; Daly, Guy ; Thunhurst, Colin ; Mills, Natalie ; Guest, David A. ; Barker, Annette. / Case management of individuals with long-term conditions by community matrons: report of qualitative findings of a mixed method evaluation. In: Primary health care research & development. 2014 ; Vol. 15, No. 1. pp. 26-37.
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