Patients' perceptions of intensive case management.

Full Abstract

OBJECTIVE:
The authors examined patients' perceptions of their case management care and the factors that influenced those perceptions.

METHODS:
A nine-item patients' perceptions questionnaire was administered to 225 patients with severe psychosis who were enrolled in a randomized controlled trial evaluating the efficacy of intensive versus standard case management.

RESULTS:
Factor analysis of the responses to the perceptions questionnaire revealed two principal components:
quality of care received (including relationship and contact with the case manager) and overall perception of case management. Patients had a better overall perception of intensive case management compared with standard case management, but no significant differences were noted in perceived quality of care. Patients with female case managers had more positive perceptions of the quality of the care they received than those with male case managers. Several clinical and social variables were strongly associated with perceived quality of care but less so with overall perception of case management.

CONCLUSIONS:
Patients' general perceptions of intensive case management seemed more favorable than patients' general perceptions of standard case management, but no difference was noted in their perceptions of quality of care.

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Author information

Author/s: Samele, Chiara (C); Gilvarry, Catherine (C); Walsh, Elizabeth (E); Manley, Catherine (C); van Os, Jim (J); Murray, Robin (R);

Affiliation: Division of Psychological Medicine, Institute of Psychiatry, De Crespigny Park, London, England. sphachs(-atsign-)iop.kcl.ac.uk

Journal and publication information

Publication Type: Clinical Trial; Journal Article; Randomized Controlled Trial

Journal: Psychiatric services (Washington, D.C.) (Psychiatr Serv), published in United States. (Language: eng)

Reference: 2002-Nov; vol 53 (issue 11) : pp 1432-7

Dates: Created 2002/10/30; Completed 2003/04/30; Revised 2004/11/17;

PMID: 12407271, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Case Management - statistics & numerical data
Factor Analysis, Statistical
Female
Humans
Male

Mental Disorders - therapy
Patient Satisfaction - statistics & numerical data
Perception - physiology
Professional-Patient Relations
Quality of Health Care
Questionnaires

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