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

Van Durme, Thérèse, Schmitz, Olivier, Cès, Sophie, Lambert, Anne-Sophie, Billings, Jenny, Anthierens, Sibyl, Lopez-Hartmann, Maja, Remmen, Roy, De Almeida Mello, Johanna, Declercq, Anja, and others. (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 (10). pp. 863-880. ISSN 2162-5336. E-ISSN 2162-5344. (doi:10.4236/ojn.2016.610085) (KAR id:58174)

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http://dx.doi.org/10.4236/ojn.2016.610085

Abstract

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.

Item Type: Article
DOI/Identification number: 10.4236/ojn.2016.610085
Uncontrolled keywords: Realist Evaluation, Frail Older People, Case Management, Home Care
Subjects: H Social Sciences > HM Sociology
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Jennifer Billings
Date Deposited: 03 Nov 2016 11:04 UTC
Last Modified: 06 Feb 2020 04:15 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/58174 (The current URI for this page, for reference purposes)
Billings, Jenny: https://orcid.org/0000-0002-5660-9478
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