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Why is case management effective? A realist evaluation of case management for frail, community-dwelling older people

Tijdschriftbijdrage - Tijdschriftartikel

Ondertitel:lessons learned from Belgium
Despite many attempts to evaluate the effectiveness of case management for frail older people, systematic reviews including experimental designs show inconsistent results. Starting from the view that case management is a complex intervention o c- cur ring in multilayered realities, we conducted a realist evaluation of case manag e- ment in Belgium, where this type of intervention is new. Realist approaches are pa r- ticularly well suited to evaluate complex interventions as they seek to investigate it e- rative ly the literature and empirical data to uncover mid -range theories underpi n- ning the intervention under study. As such, realist evaluations are works in progress which provide tools to describe how, why and for whom an intervention is supposed to work. In t his paper, we describe two mid - range theories that can explain why case management can help frail older people to remain at home, through the lens of c a- pacity and social support.
Tijdschrift: Open journal of nursing
ISSN: 2162-5336
Volume: 6
Pagina's: 863 - 880
Jaar van publicatie:2016