The effectiveness of advanced case management in community-based long-term care services

Abstract

Abstract Aim: This study examined the long-term care in Taiwan to determine the effectiveness of advanced case management with Community Integrated Care Service. Methods: This was a retrospective observational study targeting individuals who had developed disabilities and received services for at least 6 months between January 2018 and June 2021. Participants who received only long-term care services were assigned to the control group, and those who received advanced case management with long-term care were assigned to the experimental group.Analyzed disability prevention, depression improvement, and consumption of medical resources. Results: The data of 1,947 participants. The ratios of complicated care needs and severe disabilities were significantly higher in the experimental group. The two groups had similar levels of disabilities. The experimental group had significantly of depression improvement scores than the control group did. No significant difference was observed in medical resources expended before and after intervention between groups. Complex cases had more medical expenses, and interventions prevent the medical expenses from increasing rapidly. Conclusion: The advanced case management group achieved superior results in alleviating depression and lowering the costs incurred on the taxpayers and patients’ families . From a holistic health-care perspective, advanced case management is essential.