Background
CACP program –comparative to low residential care (since 1992) | EACH program-comparative to high residential care (since 2002) | EACHD program-comparative to high residential care (since 2006) |
---|---|---|
CACP clients | EACH clients | EACHD clients |
1) Frail older people aged 70 and over (50 and over if indigenous) 2) Preferring & being able to live in the community 3) Assessed as eligible for low residential care 4) Complex care needs resulting from physical, social & psychological conditions 5) Needing comprehensive care management & ongoing monitoring and review of their changing care needs. | 1) Similar characteristics of CACP clients 2) High care needs & assessed as eligible for high residential care. | 1) Similar characteristics of EACH clients 2) Behavioural & psychological symptoms of dementia (BPSD). |
CACP services | EACH services | EACHD services |
1) Personal care (such as bathing & dressing) 2) Domestic care (such as housework, shopping, meal preparation & gardening) 3) Social support 4) Transport to appointments. | 1) CACP services 2) Carer support 3) Allied health 4) Clinical nursing care 5) Certain mobility equipment 6) Continence consumables. | 1) EACH services 2) Special care services (such as dementia care) for addressing clients’ BPSD problems. |
Case management support, functions and activities | ||
Typical case management support: 1) Needs assessment 2) Care planning 3) Identifying services that will best meet clients’ needs 4) Arranging additional services through brokerage (brokering/purchasing services from external agencies or persons) or advocacy 5) Monitoring ongoing needs & service delivery 6) Staff management related to clients (excluding rostering) 7) Liaising with family members & other professionals such as general practitioners 8) Administering packages, including leave, collection of fees & suspension of services and case closure if necessary. Typical case management functions/activities: 1) Developing, monitoring & formally reviewing care plans 2) Coordinating & negotiating services provided by internal & external aged care organisations 3) Providing assistance for clients and carers, e.g. understanding and managing situations, behaviours and relationships; providing emotional support; assisting individuals to access and use general community services/facilities (advocacy); providing one-to-one training or advice 4) Communicating with & providing information (such as available services) to clients’ carers/family members. |
Methods
Study setting and population
Variables | n (%) | Mean (range) | SD |
---|---|---|---|
Case manager information | |||
1. Age | |||
18–40 | 42 (27.3) | ||
41–60 | 98 (63.6) | ||
Over 60 | 14 (9.1) | ||
2. Female gender | 134 (87.0) | ||
3. Case managers (versus lead case managers) | 130 (84.8) | ||
4. Australian born (versus born overseas) | 110 (71.4) | ||
5. Professional backgrounds | |||
Nursing | 45 (29.2) | ||
Social work | 38 (24.7) | ||
Allied health | 47 (30.5) | ||
Others | 24 (15.6) | ||
6. Qualifications | |||
Certificate/diploma | 59 (38.3) | ||
Bachelor | 79 (51.3) | ||
Master | 16 (10.4) | ||
7. Practice locations | |||
Rural place | 39 (25.3) | ||
Suburb | 73 (47.5) | ||
City | 21 (13.6) | ||
Multiple regions | 21 (13.6) | ||
8. Full-time (versus casual/part-time) workers | 94 (61.4) | ||
9. Level of authority over budget management | |||
No to partial | 99 (65.6) | ||
Complete | 52 (34.4) | ||
10. Level of involvement in organisational decision-making | |||
No to medium | 119 (81.0) | ||
Strong | 28 (19.0) | ||
11. Years working as a case manager | 6.4 (0.2–30) | 5.4 | |
12. Caseload: number of community aged care (CACP, EACH and EACHD) and other community care clients | 21 (3–45) | 7.4 | |
13. Caseload types | |||
Only one type | 37 (24.8) | ||
More than one type | 112 (75.2) | ||
14. Number of community aged care clients | 18 (3–40) | 8.8 | |
15. Emphasis on achieving the number of goals | 4.9 (1–7) | 1.4 | |
Organisational information | |||
1. Organisational size (measured by the number of community aged care packages provided) | 414 (10–1298) | 442 | |
2. Private not-for-profit (versus government-owned) organisations | 116 (75.3) | ||
Client information | |||
1. Born in Australia (%) | 57.2 % (0–100 %) | 30.6 % | |
2. Living with dementia (%) | 21.6 % (0–92.6 %) | 16.3 % | |
3. Living alone (%) | 47.8 % (0–100 %) | 22.6 % | |
4. Having carers (%) | 50.2 % (0–100 %) | 28.5 % | |
5. Having high care needs (%) | 34.3 % (0–100 %) | 24.4 % | |
6. Level of involvement in case management processes | |||
No to mild | 29 (19.6) | ||
Moderate | 53 (35.8) | ||
Strong | 66 (44.6) |
Survey recruitment and the study sample
Development of the survey questionnaire
Measures of this study
-
Dependent variablesDependent variables were frequency ratings of 41 case management activities.
-
Independent variablesBased on the literature review [3, 8, 19‐21] and available information, independent variables included in ordinal logistic regression analyses were:
-
Organisational factors: attributes and size.
-
Case manager factors: age, gender, job titles, birthplaces, practice locations, years working as a case manager, professional backgrounds, qualifications, employment status, level of authority over budget management, level of involvement in organisational decision-making, caseload managed (number of community aged care and other community care clients), number of community aged care clients managed, caseload types (one vs. more than one type), and emphasis on achieving the number of case management goals.
-
Client factors: born in Australia, living with dementia, living alone, having carers, having high care needs, and level of involvement in case management processes.
-
Data analysis
Results
Proportions of time allocated to different case management functions
Mean (range) | SD | F |
p
| |
---|---|---|---|---|
Needs assessment |
1.256
|
0.292
| ||
Nursing case managers (n = 42) | 14.0 % (3.0 %–30.0 %) | 7.1 % | ||
Social worker case managers (n = 36) | 12.3 % (0–20.0 %) | 6.6 % | ||
Allied health case managers (n = 42) | 11.9 % (3.5 %–25.0 %) | 5.3 % | ||
Case managers with other professional backgrounds (n = 24) | 11.3 % (5.0 %–20.0 %) | 4.9 % | ||
Total (N = 144) | 12.5 % (0–30.0 %) | 6.2 % | ||
Care planning |
3.171
|
0.026
| ||
Nursing case managers (n = 42) | 15.3 % (2.0 %–40.0 %) | 8.3 % | ||
Social worker case managers (n = 36) | 12.1 % (1.0 %–20.0 %) | 5.4 % | ||
Allied health case managers (n = 42) | 13.4 % (5.0 %–30.0 %) | 6.2 % | ||
Case managers with other professional backgrounds (n = 24) | 10.6 % (5.0 %–20.0 %) | 4.0 % | ||
Total (N = 144) | 13.2 % (1.0 %–40.0 %) | 6.5 % | ||
Care plan implementation |
0.095
|
0.963
| ||
Nursing case managers (n = 42) | 13.8 % (1.0 %–30.0 %) | 6.4 % | ||
Social worker case managers (n = 36) | 13.8 % (5.0 %–30.0 %) | 6.7 % | ||
Allied health case managers (n = 42) | 14.2 % (2.5 %–40.0 %) | 7.6 % | ||
Case managers with other professional backgrounds (n = 24) | 13.3 % (3.0 %–30.0 %) | 6.2 % | ||
Total (N = 144) | 13.8 % (1.0 %–40.0 %) | 6.8 % | ||
Care coordination |
0.497
|
0.685
| ||
Nursing case managers (n = 42) | 20.4 % (1.0 %–50.0 %) | 13.0 % | ||
Social worker case managers (n = 36) | 22.8 % (4.0 %–90.0 %) | 17.2 % | ||
Allied health case managers (n = 42) | 21.3 % (0–50.0 %) | 13.6 % | ||
Case managers with other professional backgrounds (n = 24) | 24.6 % (5.0 %–50.0 %) | 12.8 % | ||
Total (N = 144) | 22.0 % (0–90.0 %) | 14.2 % | ||
Monitoring and review |
0.398
|
0.755
| ||
Nursing case managers (n = 42) | 15.4 % (5.0 %–30.0 %) | 6.8 % | ||
Social worker case managers (n = 36) | 16.4 % (0.5 %–50.0 %) | 9.7 % | ||
Allied health case managers (n = 42) | 17.0 % (4.0 %–40.0 %) | 9.6 % | ||
Case managers with other professional backgrounds (n = 24) | 17.7 % (10.0 %–50.0 %) | 9.3 % | ||
Total (N = 144) | 16.5 % (0.5 %–50.0 %) | 8.8 % | ||
Outcome evaluation |
1.490
|
0.220
| ||
Nursing case managers (n = 42) | 8.8 % (0–20.0 %) | 4.0 % | ||
Social worker case managers (n = 36) | 7.0 % (0–25.0 %) | 5.3 % | ||
Allied health case managers (n = 42) | 7.4 % (0–20.0 %) | 4.9 % | ||
Case managers with other professional backgrounds (n = 24) | 9.0 % (0–20.0 %) | 4.7 % | ||
Total (N = 144) | 8.0 % (0–25.0 %) | 4.8 % | ||
Other functions (program-related) |
0.117
|
0.950
| ||
Nursing case managers (n = 42) | 8.2 % (0–50.0 %) | 10.1 % | ||
Social worker case managers (n = 36) | 9.1 % (0–60.0 %) | 14.2 % | ||
Allied health case managers (n = 42) | 7.6 % (0–50.0 %) | 10.3 % | ||
Case managers with other professional backgrounds (n = 24) | 8.2 % (0–55.0 %) | 12.4 % | ||
Total (N = 144) | 8.3 % (0–60.0 %) | 11.6 % | ||
Other functions (not program-related) |
0.185
|
0.907
| ||
Nursing case managers (n = 42) | 5.0 % (0–77.0 %) | 12.4 % | ||
Social worker case managers (n = 36) | 3.9 % (0–15.0 %) | 4.6 % | ||
Allied health case managers (n = 42) | 5.3 % (0–60.0 %) | 10.4 % | ||
Case managers with other professional backgrounds (n = 24) | 4.4 % (0–15.0 %) | 4.7 % | ||
Total (N = 144) | 4.7 % (0–77.0 %) | 9.2 % |
Frequency ratings assigned to specific activities within different functions
Case management activities | Never | Seldom | Occasionally | Often | Very often | High frequency rating (often or very often) |
---|---|---|---|---|---|---|
n (%) | n (%) | n (%) | n (%) | n (%) | n (%) | |
F1-identify potential clients requiring case management services | ||||||
Nursing case managers (n = 45) | 3 (6.7) | 5 (11.1) | 15 (33.3) | 11 (24.4) | 11 (24.4) | 22 (48.8) |
Social worker case managers (n = 37) | 2 (5.4) | 8 (21.6) | 11 (29.7) | 11 (29.7) | 5 (13.5) | 16 (43.2) |
Allied health case managers (n = 46) | 5 (10.9) | 9 (19.6) | 13 (28.3) | 9 (19.6) | 10 (21.7) | 19 (41.3) |
Case managers with other professional backgrounds (n = 23) | 5 (21.7) | 3 (13.0) | 4 (17.4) | 6 (26.1) | 5 (21.7) | 11 (47.8) |
Total (N
= 151) |
15 (9.9)
|
25 (16.6)
|
43 (28.5)
|
37 (24.5)
|
31 (20.5)
|
68 (45.0)
|
F2-organise secondary specialist assessment for clients if necessary | ||||||
Nursing case managers (n = 45) | 2 (4.4) | 13 (28.9) | 21 (46.7) | 9 (20.0) | 30 (66.7) | |
Social worker case managers (n = 37) | 1 (2.7) | 12 (32.4) | 18 (48.6) | 6 (16.2) | 24 (64.8) | |
Allied health case managers (n = 45) | 1 (2.2) | 18 (40.0) | 20 (44.4) | 6 (13.3) | 26 (57.7) | |
Case managers with other professional backgrounds (n = 23) | 7 (30.4) | 12 (52.2) | 4 (17.4) | 16 (69.6) | ||
Total (N
= 150) |
1 (0.7)
|
3 (2.0)
|
50 (33.3)
|
71 (47.3)
|
25 (16.7)
|
96 (64.0)
|
F3-assess clients’ readiness and willingness for case management services | ||||||
Nursing case managers (n = 45) | 1 (2.2) | 8 (17.8) | 26 (57.8) | 10 (22.2) | 36 (80.0) | |
Social worker case managers (n = 37) | 8 (21.6) | 11 (29.7) | 9 (24.3) | 9 (24.3) | 18 (48.6) | |
Allied health case managers (n = 46) | 2 (4.3) | 4 (8.7) | 9 (19.6) | 17 (37.0) | 14 (30.4) | 31 (67.4) |
Case managers with other professional backgrounds (n = 23) | 1 (4.3) | 4 (17.4) | 14 (60.9) | 4 (17.4) | 18 (78.3) | |
Total (N
= 151) |
3 (2.0)
|
13 (8.6)
|
32 (21.2)
|
66 (43.7)
|
37 (24.5)
|
103 (68.2)
|
F7-assess clients’ relationships with key stakeholders (e.g. care providers, family members, carers, etc.) | ||||||
Nursing case managers (n = 45) | 1 (2.2) | 2 (4.4) | 16 (35.6) | 26 (57.8) | 42 (93.4) | |
Social worker case managers (n = 37) | 1 (2.7) | 15 (40.5) | 21 (56.8) | 36 (97.3) | ||
Allied health case managers (n = 46) | 3 (6.5) | 7 (15.2) | 17 (37.0) | 19 (41.3) | 36 (78.3) | |
Case managers with other professional backgrounds (n = 23) | 1 (4.3) | 5 (21.7) | 11 (47.8) | 6 (26.1) | 17 (73.9) | |
Total (N
= 151) |
5 (3.3)
|
15 (9.9)
|
59 (39.1)
|
72 (47.7)
|
131 (86.8)
| |
F11-conduct research on the availability of resources (particularly financial and care resources) and then develop care plans based on the research findings | ||||||
Nursing case managers (n = 45) | 5 (11.1) | 8 (17.8) | 6 (13.3) | 16 (35.6) | 10 (22.2) | 26 (57.8) |
Social worker case managers (n = 36) | 2 (5.6) | 8 (22.2) | 8 (22.2) | 7 (19.4) | 11 (30.6) | 18 (50.0) |
Allied health case managers (n = 45) | 1 (2.2) | 5 (11.1) | 12 (26.7) | 19 (42.2) | 8 (17.8) | 27 (60.0) |
Case managers with other professional backgrounds (n = 23) | 1 (4.3) | 2 (8.7) | 3 (13.0) | 13 (56.5) | 4 (17.4) | 17 (73.9) |
Total (N
= 149) |
9 (6.0)
|
23 (15.4)
|
29 (19.5)
|
55 (36.9)
|
33 (22.1)
|
88 (59.0)
|
F13-assess barriers that may influence achieving expected goals and then determine corresponding strategies | ||||||
Nursing case managers (n = 45) | 1 (2.2) | 1 (2.2) | 20 (44.4) | 23 (51.1) | 43 (95.5) | |
Social worker case managers (n = 36) | 1 (2.8) | 5 (13.9) | 12 (33.3) | 18 (50.0) | 30 (83.3) | |
Allied health case managers (n = 45) | 2 (4.4) | 1 (2.2) | 8 (17.8) | 19 (42.2) | 15 (33.3) | 34 (75.5) |
Case managers with other professional backgrounds (n = 23) | 1 (4.3) | 12 (52.2) | 10 (43.5) | 22 (95.7) | ||
Total (N
= 149) |
2 (1.3)
|
4 (2.7)
|
14 (9.4)
|
63 (42.3)
|
66 (44.3)
|
129 (86.6)
|
F22-provide or facilitate to provide health prevention/education services to improve clients and carers’ wellness | ||||||
Nursing case managers (n = 45) | 17 (37.8) | 21 (46.7) | 7 (15.6) | 28 (62.3) | ||
Social worker case managers (n = 35) | 2 (5.7) | 4 (11.4) | 11 (31.4) | 11 (31.4) | 7 (20.0) | 18 (51.4) |
Allied health case managers (n = 44) | 2 (4.5) | 22 (50.0) | 12 (27.3) | 8 (18.2) | 20 (45.5) | |
Case managers with other professional backgrounds (n = 22) | 2 (9.1) | 10 (45.5) | 8 (36.4) | 2 (9.1) | 10 (45.5) | |
Total (N
= 146) |
2 (1.4)
|
8 (5.5)
|
60 (41.1)
|
52 (35.6)
|
24 (16.4)
|
76 (52.0)
|
F29-monitor clients’ progress in terms of achieving expected outcomes at specific time frames as defined by care plans | ||||||
Nursing case managers (n = 45) | 3 (6.7) | 21 (46.7) | 21 (46.7) | 42 (93.4) | ||
Social worker case managers (n = 36) | 2 (5.6) | 1 (2.8) | 7 (19.4) | 14 (38.9) | 12 (33.3) | 26 (72.2) |
Allied health case managers (n = 44) | 5 (11.4) | 28 (63.6) | 11 (25.0) | 39 (88.6) | ||
Case managers with other professional backgrounds (n = 22) | 2 (9.1) | 13 (59.1) | 7 (31.8) | 20 (90.9) | ||
Total (N
= 147) |
2 (1.4)
|
1 (0.7)
|
17 (11.6)
|
76 (51.7)
|
51 (34.7)
|
127 (86.4)
|
F33-develop implementation plans for evaluating the effects of case management plans systematically and periodically | ||||||
Nursing case managers (n = 45) | 6 (13.3) | 5 (11.1) | 8 (17.8) | 16 (35.6) | 10 (22.2) | 26 (57.8) |
Social worker case managers (n = 36) | 7 (19.4) | 7 (19.4) | 10 (27.8) | 9 (25.0) | 3 (8.3) | 12 (33.3) |
Allied health case managers (n = 44) | 9 (20.5) | 10 (22.7) | 13 (29.5) | 10 (22.7) | 2 (4.5) | 12 (27.2) |
Case managers with other professional backgrounds (n = 22) | 2 (9.1) | 4 (18.2) | 5 (22.7) | 8 (36.4) | 3 (13.6) | 11 (50.0) |
Total (N
= 147) |
24 (16.3)
|
26 (17.7)
|
36 (24.5)
|
43 (29.3)
|
18 (12.2)
|
61 (41.5)
|
F34-evaluate multicultural issues and other factors that influence achieving identified goals and expected outcomes | ||||||
Nursing case managers (n = 45) | 1 (2.2) | 7 (15.6) | 13 (28.9) | 13 (28.9) | 11 (24.4) | 24 (53.3) |
Social worker case managers (n = 36) | 2 (5.6) | 1 (2.8) | 10 (27.8) | 16 (44.4) | 7 (19.4) | 23 (63.8) |
Allied health case managers (n = 44) | 2 (4.5) | 6 (13.6) | 9 (20.5) | 17 (38.6) | 10 (22.7) | 27 (61.3) |
Case managers with other professional backgrounds (n = 22) | 1 (4.5) | 1 (4.5) | 6 (27.3) | 10 (45.5) | 4 (18.2) | 14 (63.7) |
Total (N
= 147) |
6 (4.1)
|
15 (10.2)
|
38 (25.9)
|
56 (38.1)
|
32 (21.8)
|
88 (59.9)
|
F35-evaluate the effects related to identified goals and expected outcomes (e.g. client outcomes, carer outcomes, cost-effectiveness, cost-benefits, etc.) at specified timeframes as defined by care plans | ||||||
Nursing case managers (n = 45) | 1 (2.2) | 2 (4.4) | 8 (17.8) | 16 (35.6) | 18 (40.0) | 34 (75.6) |
Social worker case managers (n = 36) | 3 (8.3) | 4 (11.1) | 8 (22.2) | 12 (33.3) | 9 (25.0) | 21 (58.3) |
Allied health case managers (n = 44) | 3 (6.8) | 3 (6.8) | 10 (22.7) | 20 (45.5) | 8 (18.2) | 28 (63.7) |
Case managers with other professional backgrounds (n = 22) | 1 (4.5) | 5 (22.7) | 13 (59.1) | 3 (13.6) | 16 (72.7) | |
Total (N
= 147) |
7 (4.8)
|
10 (6.8)
|
31 (21.1)
|
61 (41.5)
|
38 (25.9)
|
99 (67.4)
|
F36-evaluate the feasibility, timeliness, availability, quality and appropriateness of services identified in care plans | ||||||
Nursing case managers (n = 45) | 2 (4.4) | 3 (6.7) | 5 (11.1) | 21 (46.7) | 14 (31.1) | 35 (77.8) |
Social worker case managers (n = 36) | 3 (8.3) | 5 (13.9) | 5 (13.9) | 9 (25.0) | 14 (38.9) | 23 (63.9) |
Allied health case managers (n = 44) | 3 (6.8) | 3 (6.8) | 11 (25.0) | 15 (34.1) | 12 (27.3) | 27 (61.4) |
Case managers with other professional backgrounds (n = 22) | 3 (13.6) | 3 (13.6) | 11 (50.0) | 5 (22.7) | 16 (72.7) | |
Total (N
= 147) |
8 (5.4)
|
14 (9.5)
|
24 (16.3)
|
56 (38.1)
|
45 (30.6)
|
101 (68.7)
|
F37-generate client summary reports and present them to key stakeholders (e.g. care professionals, care providers, payers, etc.) | ||||||
Nursing case managers (n = 44) | 4 (9.1) | 7 (15.9) | 9 (20.5) | 17 (38.6) | 7 (15.9) | 24 (54.5) |
Social worker case managers (n = 36) | 1 (2.8) | 9 (25.0) | 7 (19.4) | 15 (41.7) | 4 (11.1) | 19 (52.8) |
Allied health case managers (n = 45) | 5 (11.1) | 5 (11.1) | 15 (33.3) | 9 (20.0) | 11 (24.4) | 20 (44.4) |
Case managers with other professional backgrounds (n = 23) | 2 (8.7) | 3 (13.0) | 6 (26.1) | 8 (34.8) | 4 (17.4) | 12 (52.2) |
Total (N
= 148) |
12 (8.1)
|
24 (16.2)
|
37 (25.0)
|
49 (33.1)
|
26 (17.6)
|
75 (50.7)
|
F38-document the processes of all the core functions as described above and communicate related information to key stakeholders (e.g. clients and carers, care professionals, care providers, payers, etc.) | ||||||
Nursing case managers (n = 44) | 4 (9.1) | 1 (2.3) | 4 (9.1) | 14 (31.8) | 21 (47.7) | 35 (79.5) |
Social worker case managers (n = 36) | 1 (2.8) | 3 (8.3) | 11 (30.6) | 21 (58.3) | 32 (88.9) | |
Allied health case managers (n = 45) | 1 (2.2) | 2 (4.4) | 6 (13.3) | 36 (80.0) | 42 (93.3) | |
Case managers with other professional backgrounds (n = 23) | 1 (4.3) | 8 (34.8) | 14 (60.9) | 22 (95.7) | ||
Total (N
= 148) |
6 (4.1)
|
1 (0.7)
|
10 (6.8)
|
39 (26.4)
|
92 (62.2)
|
131 (88.6)
|
Significant factors associated with frequency ratings of nine activities
OR | P | 95 % CI | |
---|---|---|---|
F1-identify potential clients requiring case management services | |||
Job titles | 0.042 | ||
Lead case managers | 2.66 | 0.042 | 1.04–6.82 |
Case managers (reference group) | 1.00 | ||
Gender | 0.027 | ||
Male | 0.36 | 0.027 | 0.14–0.90 |
Female (reference group) | 1.00 | ||
F2-organise secondary specialist assessment for clients if necessary | |||
Percentage of clients with high care needs | 1.01 | 0.049 | 1.00–1.03 |
Involvement in organisational decision-making | 0.016 | ||
Strong | 2.94 | 0.016 | 1.22–7.03 |
None to medium (reference group) | 1.00 | ||
F11-conduct research on the availability of resources (particularly financial and care resources) and then develop care plans based on the research findings | |||
Percentage of clients with carers | 1.02 | 0.010 | 1.00–1.03 |
Age | 0.069 | ||
Over 60 | 4.35 | 0.036 | 1.11–16.95 |
41–60 | 0.70 | 0.350 | 0.34–1.48 |
18–40 (reference group) | 1.00 | ||
F22-provide or facilitate to provide health prevention/education services to improve clients and carers’ wellness | |||
Years working as a case manager | 1.09 | 0.009 | 1.02–1.16 |
Birthplaces | 0.004 | ||
Overseas | 3.25 | 0.004 | 1.46–7.24 |
Australia (reference group) | 1.00 | ||
Practice locations | 0.102 | ||
Multiple locations | 0.24 | 0.014 | 0.08–0.75 |
Suburb | 0.58 | 0.216 | 0.24–1.38 |
City | 0.70 | 0.534 | 0.22–2.18 |
Rural area (reference group) | 1.00 | ||
F33-develop implementation plans for evaluating the effects of case management plans systematically and periodically | |||
Number of case management goals | 1.28 | 0.022 | 1.04–1.58 |
F34-evaluate multicultural issues and other factors that influence achieving identified goals and expected outcomes | |||
Number of case management goals | 1.28 | 0.033 | 1.02–1.60 |
Years working as a case manager | 1.07 | 0.027 | 1.01–1.14 |
F35-evaluate the effects related to identified goals and expected outcomes (e.g. client outcomes, carer outcomes, cost-effectiveness, cost-benefits, etc.) at specified timeframes as defined by care plans | |||
Number of case management goals | 1.27 | 0.033 | 1.02–1.57 |
Educational level | 0.087 | ||
Master | 0.29 | 0.026 | 0.10–0.86 |
Bachelor | 0.51 | 0.069 | 0.24–1.05 |
Diploma/certificates (reference group) | 1.00 | ||
Authority over budget management | 0.016 | ||
Complete | 2.48 | 0.016 | 1.19–5.21 |
None or partial (reference group) | 1.00 | ||
F36-evaluate the feasibility, timeliness, availability, quality and appropriateness of services identified in care plans | |||
Employment status | 0.017 | ||
Full-time | 2.16 | 0.017 | 1.15–4.10 |
Casual or part-time (reference group) | 1.00 | ||
F37-generate client summary reports and present them to key stakeholders (e.g. care professionals, care providers, payers, etc.) | |||
Age | 0.002 | ||
Over 60 | 0.15 | 0.001 | 0.05–0.45 |
41-60 | 0.56 | 0.092 | 0.28–0.91 |
18-40 (reference group) | 1.00 |