Care Management Journals

Care Management Journals is a medical journal focusing on Care Management

Articles from Vol. 2, No. 4, Winter

Age Speaks for Itself: Silent Voices of the Elderly
AGE SPEAKS FOR ITSELF: SILENT VOICES OF THE ELDERLY Tom Koch Westport, CT: Praeger Publishers, 2000, 177pp., $24.95 (hardcover).It is hard to resist seeing the elderly as a separate group in a world apart. Often they live in senior centers, or in rooms...
An Examination of Medicare Home Health Services: A Descriptive Study of the Effects of the Balanced Budget Act Interim Payment System on Access to and Quality of Care
Between 1987 and 1993 sharp increases in Medicarefinanced home health care utilization occurred, peeking in 1990 at a growth rate of over 40%. Multiple factors contributed to this growth including an increasing number of beneficiaries, expanded coverage...
A Study of Case Managers' Decision-Making Processes
Decision-making processes were explored in a study of 122 case managers from community-based aging network agencies. Of interest was how often case managers employed a consumer-driven model whereby elders' input is always considered during the assessment...
Connecting Research to Case Management in Nursing Education: An Example
Instruction that synthesizes research information, practical field experience with case management practices more appropriately prepares students for the complexity of the field they will be entering. By analyzing these data in research classes, students...
Home Care and the New Economy: Creating a New Model for Service Delivery
PLANNING FOR THE SERVICE DELIVERY MODELThe home health care industry has experienced steadily increasing challenges to its service delivery in recent years. Changes such as intensified competition, declining reimbursement in the face of escalating costs,...
Home Care Users' Experiences of Fiscal Constraints: Challenges and Opportunities for Case Management
With mounting fiscal constraints in home care, case managers find themselves increasingly confined in rationing roles and pressed into a narrow focus on the individual case. These pressures frustrate case management's potential to inform and contribute...
Primary Care of the Older Adult: A Multidisciplinary Approach
PRIMARY CARE OF THE OLDER ADULT: A MULTIDISCIPLINARY APPROACH Mary M. Burke and Joy A. Laramie. St. Louis: Mosby, 2000, 684pp., $49.95 (softcover).As our population continues to age, our health care system is faced with the challenge of meeting the diverse,...
The Home Health Aide: Scarce Resource in a Competitive Marketplace
Direct-care staff-home health aides and personal care attendants-are the very point where home care "touches the client." Yet our system of care delivery has never been designed for the needs of the direct-care worker. Today we are paying the price:...
The Storm before the Calm before the Storm: Medicare Home Care in the Wake of the Balanced Budget Act
The last four years have seen the greatest turmoil and disarray in the history of the American home health industry, and while it is possible that a new short-term equilibrium may be emerging, it is also clear that the issues underlying the recent crisis...
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