Effect of Case Management on Frequency of Emergency Department Visits by Persons with Mental Illness: A Systematic Review

摘要: A problem in healthcare is the increasing number of emergency department visits by repeat users with a comorbid mental illness. These increase costs, patient wait times, demand for service, overcrowding, and fragmented care; they may decrease quality care effective treatment. The purpose this study to identify, review, critically appraise evidence about effect case management on (ED) use those systematic review 21 studies was performed. All explored illness, frequent ED, interventions. twenty-one were reviewed formulated into ultimately attempting determine whether or not people serious illness medical conditions over age 18 years presenting multiple times ED benefit from management, therefore decreasing their visits. Due lack authors recommend further research be done interventions offered seriously mentally ill general. In addition, other facilities, such as urgent would beneficial identify if any preventative measures are being utilized prior coming ED. EFFECTIVENESS OF CASE MANAGEMENT 3 Frequent (SMI) has become an issue system (Wooden, Air, Schrader, Wieland, & Goldney, 2009). This because SMI who frequently services contribute high numbers patients using services, which effectiveness all (Bodenmann, Velonaki, Ruggeri, Hugli, Burnand, Wasserfallen, Moschetti, Iglesias, Baggio, Daeppen, 2014; Little, Clasen, Hendricks, Walker, 2011). Overcrowding defined staffing resources compared need treated, assessed, discharged (Lo, Choi, Wong, Lee, Yeung, Chan, Chair, 2014). Approximately 18.6% adults United States have been diagnosed some type (Any Mental Illness (AMI) Among Adults, 2013). Liu, Nagurney, Chang, Parry, Smulowitz, Atlas (2013) found that out 91,325 2010, accounted 13,303 Out 65,201 patients, 2,496 considered (Liu et al., 2013), most whom visiting due health reason (83.6%) Although less than 4% overall visits, percentage costs these user high. cost burden created taking time, money away more