Patients' Reactions to being Selected by a Computerised Risk Tool for Case Management by a Community Matron in the UK

2.50
Hdl Handle:
http://hdl.handle.net/10755/304216
Category:
Full-text
Type:
Presentation
Title:
Patients' Reactions to being Selected by a Computerised Risk Tool for Case Management by a Community Matron in the UK
Author(s):
Wigmore, Belinda J.; Marshall-Lucette, Sylvie
Lead Author STTI Affiliation:
Non-member
Author Details:
Belinda J. Wigmore, RN, MSc, belindaandward@btinternet.com; Sylvie Marshall-Lucette, PhD, MSc, RN, RNT;
Abstract:

Session presented on: Friday, July 26, 2013

Purpose: In the UK, 15 million people have at least one long-term condition and represent 70% of the healthcare expenditure. Evidence'suggests that'improved'management of long-term conditions can reduce care costs.' Case Management,'by Community Matrons, was established using a predictive risk tool to predict the likelihood of an acute admission within the following six months.' Potential patients are sent a letter offering an assessment before being admitted to the Virtual Community Ward.' Some patients decline the service or find this approach unusual.'' This study aimed to explore the reactions of patients who have been selected by a 'computerised''risk tool for case management.

Methods: A qualitative study was considered appropriate to answer the research question. A purposive selection of eight patients, newly admitted to the Community Matron's caseload, was'interviewed and an interpretative phenomenological analytical model was used to interpret the data.

Results: Four themes emerged from the data: surveillance of health; dimensions of trust; dimensions of health guidance and dynamic perception of ill health.' Patients were not particularly concerned about the use of predictive modelling, in many cases it was perceived as the promotion of engagement in health care and intuitive to their health belief systems.' A linear model of reactions was thus developed from these findings.'

Conclusion: The findings suggest that to gain a true sense of reaction to the use of risk tools further research is required, specifically targeting those who have refused case management, yet could potentially benefit from it the most.' Such a care approach will become particularly important, as risk tools become more widely used and hard to reach individuals are required to engage in pro-active case management to prevent the rising cost of chronic ill health.

Keywords:
predictive risk tool; case management; community matron
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titlePatients' Reactions to being Selected by a Computerised Risk Tool for Case Management by a Community Matron in the UKen
dc.contributor.authorWigmore, Belinda J.en
dc.contributor.authorMarshall-Lucette, Sylvieen
dc.contributor.departmentNon-memberen
dc.author.detailsBelinda J. Wigmore, RN, MSc, belindaandward@btinternet.com; Sylvie Marshall-Lucette, PhD, MSc, RN, RNT;en
dc.identifier.urihttp://hdl.handle.net/10755/304216-
dc.description.abstract<p>Session presented on: Friday, July 26, 2013</p><strong><sup><b>Purpose: </b></sup></strong><sup> In the UK, 15 million people have at least one long-term condition and represent 70% of the healthcare expenditure. Evidence'suggests that'improved'management of long-term conditions can reduce care costs.' Case Management,'by Community Matrons, was established using a predictive risk tool to predict the likelihood of an acute admission within the following six months.' Potential patients are sent a letter offering an assessment before being admitted to the Virtual Community Ward.' Some patients decline the service or find this approach unusual.'' This study aimed to explore the reactions of patients who have been selected by a 'computerised''risk tool for case management.</sup><p><b><sup><b>Methods: </b> A</sup></b><sup> qualitative study was considered appropriate to answer the research question. A purposive selection of eight patients, newly admitted to the Community Matron's caseload, was'interviewed and an interpretative phenomenological analytical model was used to interpret the data.</sup><p><b><sup><b>Results: </b> </sup></b><sup>Four themes emerged from the data: surveillance of health; dimensions of trust; dimensions of health guidance and dynamic perception of ill health.' Patients were not particularly concerned about the use of predictive modelling, in many cases it was perceived as the promotion of engagement in health care and intuitive to their health belief systems.' A linear model of reactions was thus developed from these findings.'</sup><p><b><sup><b>Conclusion: </b></sup></b><sup> The findings suggest that to gain a true sense of reaction to the use of risk tools further research is required, specifically targeting those who have refused case management, yet could potentially benefit from it the most.' Such a care approach will become particularly important, as risk tools become more widely used and hard to reach individuals are required to engage in pro-active case management to prevent the rising cost of chronic ill health.</sup>en
dc.subjectpredictive risk toolen
dc.subjectcase managementen
dc.subjectcommunity matronen
dc.date.available2013-10-22T20:31:23Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:31:23Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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