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  • 1.
    Hjelm, Markus
    et al.
    Blekinge Tekniska Högskola.
    Holst, Göran
    Blekinge Tekniska Högskola.
    Willman, Ania
    Blekinge Tekniska Högskola / Malmö högskola.
    Bohman, Doris
    Blekinge Tekniska Högskola.
    Kristensson, Jimmie
    Lunds universitet.
    The work of case managers as experienced by older persons (75+) with multi-morbidity – a focused ethnography2015In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 15, article id 168Article in journal (Refereed)
    Abstract [en]

    Background

    Complex health systems make it difficult for older persons (75+) with multi-morbidity to achieve continuity of care. Case management could be one way to address this difficulty. Currently, there is a need to extend the knowledge regarding case management as experienced by those utilising the services, namely older persons (75+) with multi-morbidity. The study aimed to explore older persons’ (75+) with multi-morbidity experiences of case managers.

    Methods

    The study design was qualitative and used a focused ethnographic approach. Data was collected through individual interviews with 13 older persons and by participant observations with accompanying field notes, all conducted in 2012–2013.

    Results

    The data revealed four themes illustrating the older persons’ experiences of case managers:

    1) Someone providing me with a trusting relationship; 2) Someone assisting me; 3) Someone who is on my side; and 4) Someone I do not need at present.

    Conclusions

    This study illustrates the importance of establishing trusting relationships between older persons and their case managers in order to truly provide assistance. The older persons valued the case managers acting as informed but unbiased facilitators. The findings could be of help in the development of case management interventions better designed for older persons with multi-morbidity.

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