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Hickam DH, Weiss JW, Guise JM, et al. Outpatient Case Management for Adults With Medical Illness and Complex Care Needs [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013 Jan. (Comparative Effectiveness Reviews, No. 99.)

  • This publication is provided for historical reference only and the information may be out of date.

This publication is provided for historical reference only and the information may be out of date.

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Outpatient Case Management for Adults With Medical Illness and Complex Care Needs [Internet].

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Appendix CInclusion and Exclusion Criteria

Abstract Level Eligibility Criteria

Study CharacteristicInclusion/Exclusion
PopulationInclude: all ages >18; adults with medical illnesses and complex care needs

Exclude: Mental health only
InterventionsInclude: case management, care coordination, care management and disease management programs and others that may have elements of case management (e.g., coordination, medical monitoring)

Exclude: disease management without care coordination, low intensity telephonic and short duration interventions, screening interventions
ComparatorsInclude: Usual care or other model of case management
OutcomesInclude: Relevant outcome measured (patient, resource utilization, or process measurement outcomes as listed in Key Questions.
Timing/DurationInclude: Duration >30 days
SettingInclude: Outpatient settings (i.e., primary care, specialty care, and home care)
Study DesignInclude: Randomized trial, cohort, case control, systematic review, meta-analysis

Full-Text Eligibility Criteria

Study CharacteristicInclusion/Exclusion
PopulationInclude: all ages >18; adults with medical illnesses and complex care needs

Exclude: Mental health only
InterventionsInclude: case management, care coordination, care management and disease management programs and others that may have elements of case management (e.g., coordination, medical monitoring)

Exclude: disease management without care coordination, low intensity telephonic and short duration interventions, screening interventions
ComparatorsInclude: Usual care or other model of case management
OutcomesInclude: Patient (health) outcomes, resource utilization (e.g., hospitalizations, primary care visits), or process measurement outcomes (e.g. medication adherence)
Timing/DurationInclude any study duration >30 days
SettingInclude all outpatient settings (e.g., primary care)

Exclude: Inpatient, hospital-based case management

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