Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2009 Jun;39(3):366-375. Korean.
    Published online Jun 29, 2009.
    https://doi.org/10.4040/jkan.2009.39.3.366
    Copyright © 2009 Korean Society of Nursing Science
    Original Article

    Effects of Case Management using Resident Assessment Instrument-Home Care (RAI-HC) in Home Health Services for Older People

    Kyung Ja June,1 Ji Yun Lee,2 and Jong Lull Yoon3
      • 1Professor, Department of Nursing, Soonchunhyang University, Cheonan, Korea.
      • 2Full-time Lecturer, Department of Nursing, Hoseo University, Asan, Korea.
      • 3Professor, Department of Family Medicine, Hallym University Medical Center, Seoul, Korea.
    • Address reprint requests to: Lee, Ji Yun. Department of Nursing, Hoseo University, 165 Sechul-ri, Baebang-myeon, Asan 336-795, Korea. Tel: 82-41-540-9534, Fax: 82-41-540-9558, Email: leejiyun@hoseo.edu
    Received September 12, 2008; Accepted May 18, 2009.

    Abstract

    Purpose

    To evaluate the effects of case management using Resident Assessment Instrument-Home Care (RAI-HC) in home health service for older people.

    Methods

    All elders were assessed at baseline and 3 months later using RAI-HC. The change of function in the intervention group was compared with that of a conventional intervention group. Function was measured with Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), Cognitive Performance Scale (CPS), Depression Rating Scale (DRS), Pain and the number of Clinical Assessment Protocols (CAP).

    Results

    Among ninety two elders participated in the program, 59 were allocated to the case management group and 33 to the conventional group. The intervention, home health service by a nurse over a 3 month period, consisted of comprehensive assessment, case conference for care plan, direct care, education and referral, and outcome evaluation. The percent of elders whose function improved in the intervention group was greater than the conventional group for depression (odds ratio [OR]: 10.941, confidence interval [CI]: 2.338-51.206), IADL (OR: 4.423, CI: 1.151-16.999) and the number of CAP (OR: 11.443, CI: 3.805-34.410).

    Conclusion

    Case management was effective for older people in the community. The effect might have resulted from individual, systematic intervention, however, standards of service including eligibility criteria for case management and collaboration of multi-disciplines is required for more effective home health service programs.

    Keywords
    Home health service; Case management; Resident assessment instrument; Community care; Outcome evaluation

    Tables

    Table 1
    Homogeneity of Baseline Characteristics of Elders between Intervention and Control group

    Table 2
    Comparison of Outcomes between Intervention and Control group

    Table 3
    Impact of RAI-HC Case Management on Improvement of Function

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    MeSH Terms
    Case Management*
    Health Services for the Aged*
    Home Care Services*
    Activities of Daily Living
    Aged
    Aged, 80 and over
    Cognition
    Demography
    Depression
    Female
    Geriatric Assessment
    Humans
    Male
    Pain Measurement
    Metrics
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