Establishing a case management model that improves patient motivation to wishes for treatment, A population-based analysis of genitourinary cancer in Taiwan
演題番号 : P85-7
1:Chi Mei Medical Center, Liouying, Taiwan・Cancer Center、2:Chi Mei Medical Center, Liouying・Division of Urologists
Case management models have been encouraged in recent years for treatment in Taiwan. Case management combines disease management with the coordination of patient care services. integrated and coordinated utilization of resources, and the emphasis on continuous care.
The aim of this project was to apply case management to increasing the rate of follow-up for genitourinary cancer cases.
The experimental group comprised 682 patients who had treatment.
The study was example research measuring the impact of the intervention the outcomes.
After implementing a case management system from 2012, Phone interviews and hospital visits were conducted to inquire about the needs for 2009~2014 genitourinary cancer cases of a health information consultation .then between January 1, 2012 and December 31, 2014, data were retrospectively collected frequency for regular treatment and follow up rate.
All statistical analyses were performed using the PASW, version 19.0 (SPSS Inc., Chicago, IL).
After implementing a case management system from 2012, the rate of refuse treatment for genitourinary cancer cases was decrease from 29.5% (36/122) to2.5% (3/120)and the rate of loss follow-up for genitourinary cancer cases was decrease from 11.2% (29/259) to9.3% (33/355) and the revisit rate was elevating from 37.9% (11/29) to 57.6% (19/33).
In this study, we discussed whether the attitudes of nurses and the contents of medical information influenced the wishes at which patients with genitourinary tumors for Treatment. The application of the case management was able to significantly increase the follow-up rate and decrease the refuse rate (r= - .213, p= .040) for genitourinary cancer cases as well as improving the actual outcomes for the follow-up patients.
The Case management Model is to elevate the quality of care and improve on the cost effectiveness, while simultaneously strengthen the multidisciplinary team with respect to integration, communication and cooperation.