Abstract
Purpose: We compared implementation of care management by care managers' occupations in order to study contributing factors of care management to outcome improvement of home care elderly, and clarified effective care management. Methods: We analyzed 64 (29 nurses, 24 social workers, and 11 other occupations) care managers and 384 clients after completing twice assessments as a set of 6 cases of different care levels for two months in 2001. Results: (1) Of 36 client outcome items, improvement was seen in 18 items by nurses, and 9 items by social workers and 9 items by other occupations. (2) Effective care management for outcome improvement includes utilization of expertise (e.g. nurses should be in charge of clients with demanding medical needs), combining services to meet the client needs, explanation for clients and obtaining their consent, and client confirmation of implementation of care management services.
