Home Health Care Management & Practice

 

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First published on July 14, 2008
Home Health Care Management & Practice 2008, doi:10.1177/1084822308321607


Article

Impact of Nursing Case Management on an Underserved Population

Marilyn Wideman, DNP, RN-BC*, Lenora Pizzello, MS, RN, and Sally Lemke, MS, RNC, WHNP

Rush University

* To whom correspondence should be addressed. E-mail: Marilyn_Wideman{at}rush.edu.


   Abstract
Underserved populations face many barriers to health care that include lack of personal resources such as limited income, lack of or inadequate health care insurance, and limited community health care recourses. Nursing case management is an outcome-oriented model and is well suited to address these obstacles to care with interventions of resource identification, coordination of care, and promotion of self-sufficiency. This article will outline health care barriers for residents of a Housing First program, describe the implementation of a nursing case management model for these residents, discuss barrier reduction interventions, and present the related outcomes on acute care and preventative health care services. Implications of the model and outcomes are discussed.


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