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With declined therapy resource use, case management service (CMS) is the best approach that leads to high participant satisfaction levels and improved health outcomes.
According to the
results of economical and clinical evaluation of CMS, it was found that CMS
exhibits the provision to be serving a consequent improvement in the quality of
life and functional outcomes of the patients with back pain.
Back pain is the
most common musculoskeletal condition with high cost of management. It is
associated with functional limitation, depression, and anxiety, and thus
reduced the quality of life (QoL).
An observational
cohort study was conducted by comprising patient-reported outcome measures and
existing administrative health database. Patients were referred into CMS for
about three months and managed under common pathways. Outcome evaluation
involved PSFS and EQ‐5D‐5L. Assessments were taken at baseline and repeated at the
point at which the client's case was closed. The CARE measure examined
patient-reported practicality. Cost Consequence evaluation was completed using
existing data for the same period in two separate years: 2014, two years after
CMS application, and 2011, prior Case Management Service development. There was
a consequent statistical development in the quality of life (EQ‐5D‐5L p <
0.0001; EQ‐VAS p < 0.001) and functional capability (p < 0.001)
succeeding the Physiotherapy Case Management. The CARE determination showed
high levels of patient satisfaction with 96% of clients rating their case
manager as good to excellent. The cost consequences evaluation showed a cost
reduction in therapy resource utilization by £252 842 (from £10 772 875 to £10
520 034). All together, service users
are highly satisfied with their experience with the efficient use of resources.
J Eval Clin Pract. 2017 Aug 1
Clinical and economic evaluation of a Case Management Service for patients with back pain
Judith S. et al.
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