Applied Nursing Research
Volume 20, Issue 4 , Pages 188-194, November 2007

Impact of a collaborative community case management program on a low-income uninsured population in Sedgwick County, KS

  • Ruth Wetta-Hall, RN, MPH, MSN, PhD

      Affiliations

    • Corresponding Author InformationTel.: +1 316 293 2627; fax: +1 316 293 2695.

Department of Preventive Medicine and Public Health, University of Kansas School of Medicine-Wichita, Wichita, KS 67214-3199, USA

Received 5 August 2005; received in revised form 31 July 2006; accepted 24 August 2006.

Abstract 

This cross-sectional study assessed the impact of a collaborative nursing/social worker case management (CM) intervention on emergency department (ED) use, health status, and health locus of control (HLOC) in a low-income uninsured population. Using a pre–post intervention design, key outcomes were assessed using paired t test. A statistically significant (48%) reduction in total ED visits resulted in an estimated charge avoidance of US$1,446,280. Physical health status improved significantly; however, mental health status and HLOC scores showed minimal change. This CM model may assist vulnerable groups in gaining access to care and improved health.

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PII: S0897-1897(07)00100-0

doi:10.1016/j.apnr.2006.08.009

Applied Nursing Research
Volume 20, Issue 4 , Pages 188-194, November 2007

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