Evaluating of Effectiveness on Case Management Model in Gastric Cancer

Wen-Li Lin ； Chien-Liang Lin ； Shu-Chan Chang ； Pei-Hua Wu ； Wen-Tsung Huang ； Chao-Jung Tsao

《醫院雙月刊》 48卷1期 (2015/02) Pp. 49-56

並列摘要

This study examines and evaluates the effect that adopting a case management model (CMM) has on the care and survival rates of gastric cancer patients. In this retrospective study, 165 gastric cancer patients were recruited between January 2007 and December 2010. The experimental group comprised 80 patients who had received care from a case management model. The case manager coordinated the recruitment, liaison, and care plan implementation, and conducted disease education, telephone consultations, follow-ups, and evaluations. The control group comprised 85 gastric cancer patients. The patients in the control group had similar characteristics to those in the experimental group, and received routine care. Adopting a case management model in gastric cancer care increased patient followup appointment compliance rates at 1 month, and 3 months (p=0.02, p＜.001). The model also effectively reduced the patients' 14-day readmission rate (p＜.001). Furthermore, these improvements were statistically significant. The results also indicated that the survival rate for patients receiving care from the gastric cancer. A case management model was superior to that of the control group receiving traditional care. More than 90% satisfaction with all aspects of patients was found. Adopting a CMM in gastric cancer care effectively enhanced clinical treatment adherence, increased survival rates, and reduced the 14-day readmission rate. The results of this study may be valuable for medical institutions promoting a CMM in gastric cancer care, improve cancer patient care, and ultimately enhance the quality of health care.

並列關鍵字

Gastric cancer ； Case management model ； Survival