Psychosomatics
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Psychosomatics 47:421-429, October 2006
doi: 10.1176/appi.psy.47.5.421
© 2006 Academy of Psychosomatic Medicine
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Effectiveness of Post-Discharge Case Management in General-Medical Outpatients: A Randomized, Controlled Trial

Corine H.M. Latour, C.N.S., R.N., Rien de Vos, Ph.D., Frits J. Huyse, M.D., Ph.D., Peter de Jonge, Ph.D., Liesbeth A.M. van Gemert, M.Sc., R.N., and Wim A.B. Stalman, Prof., M.D., Ph.D.

Received July 20, 2005; revised December 6, 2005; accepted December 15, 2005. From the Psychiatric Consultation and Liaison Service, VU University Medical Center, Amsterdam; the Dept. of Clinical Epidemiology and Biostatistics, Academic Medical Center, Univ. of Amsterdam; the Dept. of General-Internal Medicine, Groningen Univ. Hospital; the Dept. of Psychiatry, Univ. of Groningen; and the Dept. of General Practice, Institute for Research in Extramural Medicine, VU Univ. Medical Center, Amsterdam, The Netherlands. Address correspondence and reprint requests to C.H.M. Latour, Psychiatric Consultation and Liaison Service / Rm. 2 D 22, VU University Medical Center, P.O. Box 7057 1007, MB Amsterdam, the Netherlands. e-mail: chm.latour{at}vumc.nl

This study was initiated to determine the impact of post-discharge, nurse-led, home-based case management intervention on the number of emergency readmissions, level of care utilization, quality of life, and psychological functioning. Patients discharged home from a general hospital (N=147) were randomly assigned to usual care or nurse-led, home-based, case management intervention. During the 24 weeks of follow-up, no difference between the two groups was found for readmission, care utilization, quality of life, or psychological functioning. Patients in the control group tended to move sooner to non-independent living accommodation than patients in the nurse-led, home-based, case management intervention group.







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