Impact of the Case Management Model through Community Liaison Nurses

Gonzalo Duarte-Climents, María Begoña Sánchez-Gómez, José Ángel Rodríguez-Gómez, Cristobalina Rodríguez-Álvarez, Antonio Sierra-López, Armando Aguirre-Jaime and Juan Gómez-Salgado
Additional contact information
Gonzalo Duarte-Climents: University School of Nursing, Candelaria NS University Hospital, University of La Laguna, Canary Islands Health Service, 38010 Santa Cruz de Tenerife, Spain
María Begoña Sánchez-Gómez: University School of Nursing, Candelaria NS University Hospital, University of La Laguna, Canary Islands Health Service, 38010 Santa Cruz de Tenerife, Spain
José Ángel Rodríguez-Gómez: University School of Nursing and Physiotherapy, Health Sciences School, University of La Laguna, 38200 Santa Cruz de Tenerife, Spain
Cristobalina Rodríguez-Álvarez: Department of Preventive Medicine and Public Health, University of La Laguna, 38200 Santa Cruz de Tenerife, Spain
Antonio Sierra-López: Department of Preventive Medicine and Public Health, University of La Laguna, 38200 Santa Cruz de Tenerife, Spain
Armando Aguirre-Jaime: Research Support Unit for Primary Care Management and Candelaria NS University Hospital, 38010 Santa Cruz de Tenerife, Spain
Juan Gómez-Salgado: Department of Sociology, Social Work and Public Health, University of Huelva, 21007 Huelva, Spain

IJERPH, 2019, vol. 16, issue 11, 1-12

Abstract: The objective of the present study is to assess the model’s impact on patients and their families in terms of outcomes and the efficiency results for the health system in Tenerife, Canary Islands, selecting a period of eight years from the time interval 2002–2018. The employed indicators were collected on a monthly basis. They referred to home care and its impact on clinical outcomes and on the use of resources. The comparison between the indicators’ tendencies with and without the liaison nurse model was done with the F-test by Snedecor. All these tests are bilateral, with a level of significance of p < 0.05. In those areas with community liaison nurse (CLN), improvements have been found in indicators that describe: (1) the management of the clinical status of patients, (2) the efficiency of the use of resources, and (3) the quality and compliance with the process that also includes home visits and social risk detection and management. It can be said that in the basic areas of primary health care where the work of the CLN develops there are improvements in the management of the patients’ clinical condition as well as in the quality and efficiency of care.

Keywords: primary health care; community nursing; case management; polypathological patients; quality of health care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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