Implementations of Community-Based Nursing Case Management to Improve Access to Care: A Scoping Review Alenda Dwiadila Matra Putra (a*), Ayyu Sandhi (b)
a) Departments of Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
b) Department of Pediatric and Maternity Nursing, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
Abstract
Background: Case management is a strategy used to help patients locate and manage health resources as well as to enhance effective communication among patients, families, and health systems. Nurses role as a case manager has been proven effective in reducing healthcare costs among patients with chronic diseases. However, little is known about its implementation in improving access to care in community-based settings.
Aim: The aim of this scoping review is to examine the components of nursing case management interventions to improve access to care in the community-based settings and to identify the issues of nursing case management for future implications.
Methods: This study was conducted following the framework of scoping review. Four electronic databases (CINAHL, Pubmed, Science Direct, and Scopus) and grey literature were searched to identify studies published between 2010 and 2020. Only original studies involving nurses as one of the professions performing case management roles in the community-based settings, providing access to care as the findings, were included. The article screening was guided by PRISMA flowchart, extraction was performed on Google Form and synthesis was conducted from the extraction result.
Results: A total of 19 studies were included in qualitative synthesis. Five components of nursing case management interventions to improve access to care were identified: 1) Bridging health systems into community; 2) Providing the process of care; 3) Delivering individually-tailored health promotion and prevention; 4) Providing assistance in decision making; and 5) Providing holistic support. Three issues of nursing case management were also identified: 1) Regulation ambiguity; 2) High caseloads; and 3) Lack of continuing case management training.
Conclusions: Care coordination and care planning were the most components of nursing case management frequently associated with access to care. These findings are substantial to improve nurses ability in performing nursing processes and having more advocacy competence for futures implications.
Keywords: Nursing case management, Case management, Access to care, care manager, community
