Annemarie P M Stiekema, Desiree Bierlaagh, Mireille Donkervoort, Natska Jansen, Kitty H M Jurrius, Judith Zadoks, Caroline M Van Heugten
{"title":"复杂问题获得性脑损伤患者的病例管理（第二部分）：单组试验的过程评估。","authors":"Annemarie P M Stiekema, Desiree Bierlaagh, Mireille Donkervoort, Natska Jansen, Kitty H M Jurrius, Judith Zadoks, Caroline M Van Heugten","doi":"10.5334/ijic.8650","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>People with acquired brain injury (PwABI) and their families may face psychosocial problems and unmet needs. We assessed the feasibility of Case Management (CM) for PWABI in the Netherlands which aims to facilitate access to and integration of health care and social services for people with complex problems.</p><p><strong>Methods: </strong>We evaluated if CM was delivered according to plan, if participants and case managers (CMrs) were satisfied with CM, and which factors affected implementation. Data were collected using evaluation forms, logs and minutes, and interviews.</p><p><strong>Results: </strong>Twenty-eight PwABI, 13 caregivers, 17 CMr and all 3 project leaders participated. CM key elements were applied. PwABI and their caregivers generally expressed satisfaction with CM, though for some it did not meet expectations. CMrs valued the continuous involvement and the ability to support family. Facilitators were CMr working independent from existing care services and the diversity in expertise in the CMr teams. Barriers were imposed when a region offers medical stroke care but no integrated long-term services after brain injury.</p><p><strong>Discussion: </strong>It is important to ensure clear communication with PwABI and their family regarding the roles of CMr, as well as managing and aligning expectations.</p><p><strong>Conclusion: </strong>CM after ABI is feasible and warrants further research.</p>","PeriodicalId":14049,"journal":{"name":"International Journal of Integrated Care","volume":"25 3","pages":"6"},"PeriodicalIF":2.6000,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247791/pdf/","citationCount":"0","resultStr":"{\"title\":\"Case Management for People with Acquired Brain Injury with Complex Problems (Part 2): Process Evaluation of a One-Group Trial.\",\"authors\":\"Annemarie P M Stiekema, Desiree Bierlaagh, Mireille Donkervoort, Natska Jansen, Kitty H M Jurrius, Judith Zadoks, Caroline M Van Heugten\",\"doi\":\"10.5334/ijic.8650\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>People with acquired brain injury (PwABI) and their families may face psychosocial problems and unmet needs. We assessed the feasibility of Case Management (CM) for PWABI in the Netherlands which aims to facilitate access to and integration of health care and social services for people with complex problems.</p><p><strong>Methods: </strong>We evaluated if CM was delivered according to plan, if participants and case managers (CMrs) were satisfied with CM, and which factors affected implementation. Data were collected using evaluation forms, logs and minutes, and interviews.</p><p><strong>Results: </strong>Twenty-eight PwABI, 13 caregivers, 17 CMr and all 3 project leaders participated. CM key elements were applied. PwABI and their caregivers generally expressed satisfaction with CM, though for some it did not meet expectations. CMrs valued the continuous involvement and the ability to support family. Facilitators were CMr working independent from existing care services and the diversity in expertise in the CMr teams. Barriers were imposed when a region offers medical stroke care but no integrated long-term services after brain injury.</p><p><strong>Discussion: </strong>It is important to ensure clear communication with PwABI and their family regarding the roles of CMr, as well as managing and aligning expectations.</p><p><strong>Conclusion: </strong>CM after ABI is feasible and warrants further research.</p>\",\"PeriodicalId\":14049,\"journal\":{\"name\":\"International Journal of Integrated Care\",\"volume\":\"25 3\",\"pages\":\"6\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-07-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247791/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Integrated Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.5334/ijic.8650\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/7/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Integrated Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.5334/ijic.8650","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Case Management for People with Acquired Brain Injury with Complex Problems (Part 2): Process Evaluation of a One-Group Trial.
Introduction: People with acquired brain injury (PwABI) and their families may face psychosocial problems and unmet needs. We assessed the feasibility of Case Management (CM) for PWABI in the Netherlands which aims to facilitate access to and integration of health care and social services for people with complex problems.
Methods: We evaluated if CM was delivered according to plan, if participants and case managers (CMrs) were satisfied with CM, and which factors affected implementation. Data were collected using evaluation forms, logs and minutes, and interviews.
Results: Twenty-eight PwABI, 13 caregivers, 17 CMr and all 3 project leaders participated. CM key elements were applied. PwABI and their caregivers generally expressed satisfaction with CM, though for some it did not meet expectations. CMrs valued the continuous involvement and the ability to support family. Facilitators were CMr working independent from existing care services and the diversity in expertise in the CMr teams. Barriers were imposed when a region offers medical stroke care but no integrated long-term services after brain injury.
Discussion: It is important to ensure clear communication with PwABI and their family regarding the roles of CMr, as well as managing and aligning expectations.
Conclusion: CM after ABI is feasible and warrants further research.
期刊介绍：
Established in 2000, IJIC’s mission is to promote integrated care as a scientific discipline. IJIC’s primary purpose is to examine critically the policy and practice of integrated care and whether and how this has impacted on quality-of-care, user experiences, and cost-effectiveness.
The journal regularly publishes conference supplements and special themed editions. To find out more contact Managing Editor, Susan Royer.
The Journal is supported by the International Foundation for Integrated Care (IFIC).
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