The efficiency of case and self-management techniques for care coordination to lower health care service utilization; Systematic review

Sarah Jaffer AL Ahmed 1, *, Adnan Khalifa Bunayan 1, Mahnd Saleh Alsowaida 2 and Fares Mohammed Alabdullah 3

1 Department of physiotherapy, Imam Abdulrahman Bin Faisal Hospital, NGHA, Dammam, Saudi Arabia.
2 Laboratory medical technologist, laboratory, King Abdulaziz Medical City, NGHA, Riyadh, Saudi Arabia.
3 Department of EMS, King Abdulaziz Medical City, NGHA, Riyadh, Saudi Arabia.
 
Review Article
World Journal of Advanced Research and Reviews, 2022, 15(02), 772–777
Article DOI: 10.30574/wjarr.2022.15.2.0556
 
Publication history: 
Received on 28 April 2022; revised on 18 August 2022; accepted on 21 August 2022
 
Abstract: 
Study aim: We conducted a comprehensive assessment of the effectiveness of quality improvement strategies for care coordination for patients who often use the health care system.
Method: The Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA) guideline was followed in the conduct of this investigation. MEDLINE, Cochrane, and Embase were extensively searched between 2011 and 2021. We also searched Web of Science for studies that cited the included studies, examined PubMed's top ten related citations for each included study, contacted authors to request additional studies that might be of interest, and examined trial registries, conference abstracts, the reference lists of included studies, and relevant reviews.
Result and conclusion: Coordination of care-focused quality improvement initiatives decreased ED visits among older patients and hospitalizations among patients with chronic disorders other than mental illness. Patients with mental health disorders demand new approaches. Because these strategies seem to be more successful than other quality improvement strategies in lowering health care utilization, researchers who are creating and implementing interventions aimed at frequent users should take into account particular tactics like team changes, case management, and the encouragement of self-management. To find the best care coordination tactics for certain patient subgroups and environments, more study is required.
 
Keywords: 
Efficiency; Self-management techniques; Health care service; Health care quality
 
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