Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
REVIEW

Patients’ experiences of nurse case management in primary care: a meta-synthesis

Anna Askerud A C and Jenny Conder B
+ Author Affiliations
- Author Affiliations

A Otago Polytechnic School of Nursing, Forth Street, Private Bag 1910, Dunedin 9054, New Zealand.

B University of Otago Postgraduate School of Nursing, 72 Oxford Terrace, Christchurch, 8011, New Zealand.

C Corresponding author. Email: aaskerud@op.ac.nz

Australian Journal of Primary Health 23(5) 420-428 https://doi.org/10.1071/PY17040
Submitted: 31 March 2017  Accepted: 15 July 2017   Published: 19 September 2017

Abstract

The health system in New Zealand and Australia requires health practitioners to prepare for the challenge of long-term conditions. Wagner’s 1998 Chronic Care Model advocates a move away from the traditional acute model of primary health care to a model that addresses the long-term episodic nature of chronic disease. Nurse case management has been developed over the last 2 decades as a means to coordinate health services for people with long-term conditions. This meta-synthesis combines the results of 15 qualitative research studies that have a similar research question regarding peoples’ perceptions of nurse case management. The research synthesises the experiences of people with long-term conditions on the quality of care under a nurse case management model of primary health care. Over 1000 people were represented across the studies, and the results suggest that people had a high degree of confidence and trust in their nurse case manager, were better able to manage their health conditions with nurse case management support, and had better access to appropriate health care. This research suggests that nurse case management is an effective model of care and may contribute to improved quality of life and better health care for those with long-term health conditions.


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