| Autor: |
D, Pope, C M, Fernandes, F, Bouthillette, J, Etherington |
| Rok vydání: |
2000 |
| Předmět: |
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| Zdroj: |
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne. 162(7) |
| ISSN: |
0820-3946 |
| Popis: |
The authors describe a case-management program for frequent users of the emergency department. The study had a single-subject design, with evaluation for each patient of the number of visits to the emergency department for a 12-month period before referral to the program and a similar period after implementation of an individualized care plan. Referrals were made on the basis of 2 or more of the following criteria: chronic medical condition, complex medical condition, drug-seeking behaviour, violent behaviour and abusive behaviour. A multidisciplinary team developed the individualized care plans. Twenty-four patients agreed to participate. For the 12-month period before their referral, these patients accounted for a total of 616 (median 26.5) visits to the emergency department; for a similar period after implementation of the care plans, they accounted for 175 (median 6.5) visits. The difficult-case management program appeared to be effective in reducing the total number of visits to the emergency department during the study period and in improving the care for these patients. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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