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The case management approach may lead to cost containment and better care, but health professionals perceive inherent ethical challenges that threaten patient outcomes. The purpose of this study was to determine the impact of continuing education on the perceived value of case management to multidisciplinary team members. Eight teams of professionals participated in an on-site workshop on case management. (N = 50). Visual analog scales measured pre-and postworkshop perceptions of four components: assessing patient/family needs, educating patients/care givers, linking to community agencies, and monitoring costs and developing alternative care plans. Mean post-test scores were significantly greater than mean pretest scores for all components and disciplines. Cost monitoring was consistently least valued at pretest and improved the most at post-test. Global score improvement did not vary significantly by hospital type, nature of service, profession, or experience. Continuing educators can develop innovative tools to effect attitudinal and perceptual change, factors known to be antecedent to identification of educational needs by learners, and can measure shifts in values in multidisciplinary teams. These findings are timely in the current era of complex patient care and cost containment. |
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