Greater Manchester Primary Care Patient Safety Translational Research Centre Effectiveness of the current dominant approach to integrated care in the NHS: A systematic review of case management Jonathan Stokes This presentation summarises independent research funded by the NIHR Greater Manchester PSTRC. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.
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Effectiveness of the current dominant approach to integrated care in the NHS: A systematic review of case management
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Greater ManchesterPrimary Care Patient SafetyTranslational Research Centre
Effectiveness of the current dominant approach to integrated care in the NHS: A systematic review of case management
Jonathan Stokes
This presentation summarises independent research funded by the NIHR Greater Manchester PSTRC. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.
BackgroundHealth system challenges
Greater Manchester Primary Care Patient Safety Translational Research Centre
Cost
Complexity
Barnettetal,2012
BackgroundIntegrated Care
Greater Manchester Primary Care Patient Safety Translational Research Centre
Greater Manchester Primary Care Patient Safety Translational Research Centre
Population: Adults (18+) with long-term conditionsIntervention:Identifying ‘at-risk’ patients to case manageCase management Primary care/community-basedComparison:Usual care or no-case management
Outcomes:Health – self-assessed health status, mortality;Cost – total cost of care, healthcare utilisation (primary and non-specialistcare and secondary care separately), and; Satisfaction – patient satisfactionStudy design:Cochrane EPOC methodology (RCT, nRCT, CBA, ITS)
Search strategy
DatabasesMEDLINE EMBASECINAHL Cochrane (CENTRAL) HMICCAB Global Health
Blocks of search terms1. Case management2. EPOC methodology filter3. Primary care filter
Exclusions
• Mental health only• Hospital discharge
planning• Non-English
language/ grey literature
QualityEPOC Risk of bias tool
MethodsData Analysis
Greater Manchester Primary Care Patient Safety Translational Research Centre
Greater Manchester Primary Care Patient Safety Translational Research Centre
A partnership between
The NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre is funded by the National Institute for Health Research (NIHR) and is a partnership between the University of Manchester and Salford Royal NHS Foundation Trust