Does the organisational model of dementia case management make a difference in satisfaction with case management and caregiver burden? An evaluation study

José M. Peeters, Anne Margriet Pot, Jacomine De Lange, Peter M. Spreeuwenberg, Anneke L. Francke

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

Background: In the Netherlands, various organisational models of dementia case management exist. In this study the following four models are distinguished, based on differences in the availability of the service and in the case management function: Model 1: the case management service is available from first dementia symptoms + is always a separate specialist function; Model 2: the case management service is only available after a formal dementia diagnosis + is always a separate specialist function; Model 3: the case management service is available from first dementia symptoms + is often a combined function; Model 4: the case management service is only available after a formal dementia diagnosis + is often a combined function. The objectives of this study are to give insight into whether satisfaction with dementia case management and the development of caregiver burden depend on the organisational model. Methods: A survey was carried out in regional dementia care networks in the Netherlands among 554 informal carers for people with dementia at the start of case management (response of 85 %), and one year later. Descriptive statistics and multilevel models were used to analyse the data. Results: The satisfaction with the case manager was high in general (an average of 8.0 within a possible range of 1 to 10), although the caregiver burden did not decrease in the first year after starting with case management. No differences were found between the four organisational models regarding the development of caregiver burden. However, statistically significant differences (p < 0.05) were found regarding satisfaction: informal carers in the organisational model where case management is only available after formal diagnosis of dementia and is often a combined function had on average the lowest satisfaction scores. Nevertheless, the satisfaction of informal carers within all organisational models was high (ranging from 7.51 to 8.40 within a range of 1 to 10). Conclusions: Organisational features of case management seem to make little or no difference to the development in caregiver burden and the satisfaction of informal carers. Future research is needed to explore whether the individual characteristics of the case managers themselves are associated with case management outcomes.

Original languageEnglish
Article number237
JournalBMC Geriatrics
Volume16
Issue number1
DOIs
Publication statusPublished - 9 Mar 2016

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Organizational Models
Case Management
Caregivers
Dementia
Netherlands

Keywords

  • Caregiver burden
  • Case management
  • Dementia care
  • Informal care
  • Integrated care
  • Satisfaction

Cite this

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title = "Does the organisational model of dementia case management make a difference in satisfaction with case management and caregiver burden? An evaluation study",
abstract = "Background: In the Netherlands, various organisational models of dementia case management exist. In this study the following four models are distinguished, based on differences in the availability of the service and in the case management function: Model 1: the case management service is available from first dementia symptoms + is always a separate specialist function; Model 2: the case management service is only available after a formal dementia diagnosis + is always a separate specialist function; Model 3: the case management service is available from first dementia symptoms + is often a combined function; Model 4: the case management service is only available after a formal dementia diagnosis + is often a combined function. The objectives of this study are to give insight into whether satisfaction with dementia case management and the development of caregiver burden depend on the organisational model. Methods: A survey was carried out in regional dementia care networks in the Netherlands among 554 informal carers for people with dementia at the start of case management (response of 85 {\%}), and one year later. Descriptive statistics and multilevel models were used to analyse the data. Results: The satisfaction with the case manager was high in general (an average of 8.0 within a possible range of 1 to 10), although the caregiver burden did not decrease in the first year after starting with case management. No differences were found between the four organisational models regarding the development of caregiver burden. However, statistically significant differences (p < 0.05) were found regarding satisfaction: informal carers in the organisational model where case management is only available after formal diagnosis of dementia and is often a combined function had on average the lowest satisfaction scores. Nevertheless, the satisfaction of informal carers within all organisational models was high (ranging from 7.51 to 8.40 within a range of 1 to 10). Conclusions: Organisational features of case management seem to make little or no difference to the development in caregiver burden and the satisfaction of informal carers. Future research is needed to explore whether the individual characteristics of the case managers themselves are associated with case management outcomes.",
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Does the organisational model of dementia case management make a difference in satisfaction with case management and caregiver burden? An evaluation study. / Peeters, José M.; Pot, Anne Margriet; De Lange, Jacomine; Spreeuwenberg, Peter M.; Francke, Anneke L.

In: BMC Geriatrics, Vol. 16, No. 1, 237, 09.03.2016.

Research output: Contribution to JournalArticleAcademicpeer-review

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