Rastreamento/identificação estratificação de risco |
- Utilização de sistemas de registros eletrônicos do departamento de emergência para inserir o plano de cuidados individual(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
-55 Grover CA, Crawford E, Close RJ. The efficacy of case management on emergency department frequent users: an eight-year observational study. J Emerg Med. 2016;51(5):595-604. doi: 10.1016/j.jemermed.2016.06.002 https://doi.org/10.1016/j.jemermed.2016....
,88 Phillips GA, Brophy DS, Weiland TJ, Chenhall AJ, Dent AW. The effect of multidisciplinary case management on selected outcomes for frequent attenders at an emergency department. Med J Aust. 2006;184(12):602-6. doi: 10.5694/j.1326-5377.2006.tb00412.x https://doi.org/10.5694/j.1326-5377.2006...
,1111 Shumway M, Boccellari A, O'brien K, Okin RL. Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial. Am J Emerg Med. 2008;26(2):155-64. doi: 10.1016/j.ajem.2007.04.021 https://doi.org/10.1016/j.ajem.2007.04.0...
-1212 Skinner J, Carter L, Haxton C. Case management of patients who frequently present to a Scottish emergency department. Emerg Med J. 2009;26(2):103-5. doi: 10.1136/emj.2008.063081 https://doi.org/10.1136/emj.2008.063081...
,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
,32-33,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
,4242 Pillow MT, Doctor S, Brown S, Carter K, Mulliken R. An emergency department-initiated, web-based, multidisciplinary approach to decreasing emergency department visits by the top frequent visitors using patient care plans. J Emerg Med. 2013;44(4):853-60. doi: 10.1016/j.jemermed.2012.08.020 https://doi.org/10.1016/j.jemermed.2012....
) e sistemas de informação para rastreamento de usuários frequentes(55 Grover CA, Crawford E, Close RJ. The efficacy of case management on emergency department frequent users: an eight-year observational study. J Emerg Med. 2016;51(5):595-604. doi: 10.1016/j.jemermed.2016.06.002 https://doi.org/10.1016/j.jemermed.2016....
,1212 Skinner J, Carter L, Haxton C. Case management of patients who frequently present to a Scottish emergency department. Emerg Med J. 2009;26(2):103-5. doi: 10.1136/emj.2008.063081 https://doi.org/10.1136/emj.2008.063081...
,2121 Brewster LR, Rudell LS, Lesser CS. Emergency room diversions: a symptom of hospitals under stress. Issue Brief Cent Stud Health Syst Change [Internet]. 2001 [cited 2017 May 15];(38):1-4. Available from: https://www.ncbi.nlm.nih.gov/pubmed/11603406 https://www.ncbi.nlm.nih.gov/pubmed/1160...
,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
); recrutamento de pacientes com necessidades de cuidados complexos(2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
). - Revisão sistemática de prontuários para identificação sistemática e precoce dos pacientes de alto risco elegíveis para o gerenciamento de casos(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
-55 Grover CA, Crawford E, Close RJ. The efficacy of case management on emergency department frequent users: an eight-year observational study. J Emerg Med. 2016;51(5):595-604. doi: 10.1016/j.jemermed.2016.06.002 https://doi.org/10.1016/j.jemermed.2016....
,77 Okin RL, Boccellari A, Azocar F, Shumway M, O'brien K, Gelb A, et al. The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med. 2000;18(5):603-8. doi: 10.1053/ajem.2000.9292 https://doi.org/10.1053/ajem.2000.9292...
,1111 Shumway M, Boccellari A, O'brien K, Okin RL. Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial. Am J Emerg Med. 2008;26(2):155-64. doi: 10.1016/j.ajem.2007.04.021 https://doi.org/10.1016/j.ajem.2007.04.0...
,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
,32-33,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
-4040 Lee K-H, Davenport L. Can case management interventions reduce the number of emergency department visits by frequent users? Health Care Manag (Frederick) [Internet]. 2006 [cited 2018 Sep 20];25(2):155-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16699330 https://www.ncbi.nlm.nih.gov/pubmed/1669...
,4646 Walsh KM. ED case managers: one large teaching hospital's experience. J Emerg Nurs [Internet]. 1999 [cited 2018 Sep 5];25(1):17-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/9925673 https://www.ncbi.nlm.nih.gov/pubmed/9925...
). - Avaliação do paciente face a face após o contato telefônico(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
,1111 Shumway M, Boccellari A, O'brien K, Okin RL. Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial. Am J Emerg Med. 2008;26(2):155-64. doi: 10.1016/j.ajem.2007.04.021 https://doi.org/10.1016/j.ajem.2007.04.0...
,3232 Bodenmann P, Velonaki V-S, Griffin JL, Baggio S, Iglesias K, Moschetti K, et al. Case management may reduce emergency department frequent use in a universal health coverage system: a randomized controlled trial. J Gen Intern Med [Internet]. 2017 [cited 2018 Nov 12];32(5):508-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27400922 https://www.ncbi.nlm.nih.gov/pubmed/2740...
-3333 Edgren G, Anderson J, Dolk A, Torgerson J, Nyberg S, Skau T, et al. A case management intervention targeted to reduce healthcare consumption for frequent Emergency Department visitors: results from an adaptive randomized trial. Eur J Emerg Med. 2016;23(5):344-50. doi: 10.1097/mej.0000000000000280 https://doi.org/10.1097/mej.000000000000...
,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
). - Envio de uma carta ao médico da atenção primária para convidar o paciente a participar do processo de gerenciamento de caso, desde que seja usuário frequente do serviço de emergência(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
). - Entrevista para avaliação inicial completa das necessidades clínicas e psicossociais do paciente(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
,77 Okin RL, Boccellari A, Azocar F, Shumway M, O'brien K, Gelb A, et al. The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med. 2000;18(5):603-8. doi: 10.1053/ajem.2000.9292 https://doi.org/10.1053/ajem.2000.9292...
,99 Pope D, Fernandes CM, Bouthillette F, Etherington J. Frequent users of the emergency department: a program to improve care and reduce visits. Cmaj [Internet]. 2000 [cited 2018 Sep 12];162(7):1017-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10763402 https://www.ncbi.nlm.nih.gov/pubmed/1076...
,11-12,2929 Soril LJ, Leggett LE, Lorenzetti DL, Noseworthy TW, Clement FM. Reducing frequent visits to the emergency department: a systematic review of interventions. PloS One. 2015;10(4):e0123660. doi: 10.1371/journal.pone.0123660 https://doi.org/10.1371/journal.pone.012...
-3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
,3232 Bodenmann P, Velonaki V-S, Griffin JL, Baggio S, Iglesias K, Moschetti K, et al. Case management may reduce emergency department frequent use in a universal health coverage system: a randomized controlled trial. J Gen Intern Med [Internet]. 2017 [cited 2018 Nov 12];32(5):508-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27400922 https://www.ncbi.nlm.nih.gov/pubmed/2740...
-3333 Edgren G, Anderson J, Dolk A, Torgerson J, Nyberg S, Skau T, et al. A case management intervention targeted to reduce healthcare consumption for frequent Emergency Department visitors: results from an adaptive randomized trial. Eur J Emerg Med. 2016;23(5):344-50. doi: 10.1097/mej.0000000000000280 https://doi.org/10.1097/mej.000000000000...
,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
40 Lee K-H, Davenport L. Can case management interventions reduce the number of emergency department visits by frequent users? Health Care Manag (Frederick) [Internet]. 2006 [cited 2018 Sep 20];25(2):155-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16699330 https://www.ncbi.nlm.nih.gov/pubmed/1669...
41 Rinke ML, Dietrich E, Kodeck T, Westcoat K. Operation care: a pilot case management intervention for frequent emergency medical system users. Am J Emerg Med. 2012;30(2):352-7 doi: 10.1016/j.ajem.2010.12.012 https://doi.org/10.1016/j.ajem.2010.12.0...
42 Pillow MT, Doctor S, Brown S, Carter K, Mulliken R. An emergency department-initiated, web-based, multidisciplinary approach to decreasing emergency department visits by the top frequent visitors using patient care plans. J Emerg Med. 2013;44(4):853-60. doi: 10.1016/j.jemermed.2012.08.020 https://doi.org/10.1016/j.jemermed.2012....
43 Brewer BB, Jackson L. A case management model for the emergency department. J Emerg Nurs. 1997;23(6):618-21. doi: 10.1016/s0099-1767(97)90280-4 https://doi.org/10.1016/s0099-1767(97)90...
44 Bristow DP, Herrick CA. Emergency department case management: the dyad team of nurse case manager and social worker improve discharge planning and patient and staff satisfaction while decreasing inappropriate admissions and costs: a literature review. Lippincotts Case Manag. [Internet]. 2002 [cited 2018 May 2];7(6):243-51. Available from: https://www.ncbi.nlm.nih.gov/pubmed/12048342 https://www.ncbi.nlm.nih.gov/pubmed/1204...
45 Walsh KT, Moran P, Greenwood C. A successful emergency department case management practice model. Case Manager [Internet]. 2003[cited 2018 Sep 5];14(6):54-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/14618150 https://www.ncbi.nlm.nih.gov/pubmed/1461...
-4646 Walsh KM. ED case managers: one large teaching hospital's experience. J Emerg Nurs [Internet]. 1999 [cited 2018 Sep 5];25(1):17-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/9925673 https://www.ncbi.nlm.nih.gov/pubmed/9925...
). - Diálogo entre o gestor de caso e o médico do departamento de emergência para compreensão do caso e discussão a respeito do tratamento esperado e nível de admissão adequado(4545 Walsh KT, Moran P, Greenwood C. A successful emergency department case management practice model. Case Manager [Internet]. 2003[cited 2018 Sep 5];14(6):54-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/14618150 https://www.ncbi.nlm.nih.gov/pubmed/1461...
). - Identificação da motivação do indivíduo para procurar atendimento no departamento de emergência e das barreiras por ele encontradas para o atendimento no contexto comunitário; identificação de qual caminho de cuidado pode ser fornecido(55 Grover CA, Crawford E, Close RJ. The efficacy of case management on emergency department frequent users: an eight-year observational study. J Emerg Med. 2016;51(5):595-604. doi: 10.1016/j.jemermed.2016.06.002 https://doi.org/10.1016/j.jemermed.2016....
,1212 Skinner J, Carter L, Haxton C. Case management of patients who frequently present to a Scottish emergency department. Emerg Med J. 2009;26(2):103-5. doi: 10.1136/emj.2008.063081 https://doi.org/10.1136/emj.2008.063081...
,2020 Althaus F, Paroz S, Hugli O, Ghali WA, Daeppen J-B, Peytremann-Bridevaux I, et al. Effectiveness of interventions targeting frequent users of emergency departments: a systematic review. Ann Emerg Med. 2011;58(1):41-52. e42. doi: 10.1016/j.annemergmed.2011.03.007 https://doi.org/10.1016/j.annemergmed.20...
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,4040 Lee K-H, Davenport L. Can case management interventions reduce the number of emergency department visits by frequent users? Health Care Manag (Frederick) [Internet]. 2006 [cited 2018 Sep 20];25(2):155-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16699330 https://www.ncbi.nlm.nih.gov/pubmed/1669...
,4646 Walsh KM. ED case managers: one large teaching hospital's experience. J Emerg Nurs [Internet]. 1999 [cited 2018 Sep 5];25(1):17-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/9925673 https://www.ncbi.nlm.nih.gov/pubmed/9925...
); e investigação dos fatores relacionados ao uso excessivo dos serviços de saúde(2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
). - Identificação dos serviços de cuidados em saúde que podem ser fornecidos com sucesso e de forma eficaz(1212 Skinner J, Carter L, Haxton C. Case management of patients who frequently present to a Scottish emergency department. Emerg Med J. 2009;26(2):103-5. doi: 10.1136/emj.2008.063081 https://doi.org/10.1136/emj.2008.063081...
,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
); avaliação dos níveis de cuidado e coleta de informações necessárias para elaborar o planejamento(4343 Brewer BB, Jackson L. A case management model for the emergency department. J Emerg Nurs. 1997;23(6):618-21. doi: 10.1016/s0099-1767(97)90280-4 https://doi.org/10.1016/s0099-1767(97)90...
,4545 Walsh KT, Moran P, Greenwood C. A successful emergency department case management practice model. Case Manager [Internet]. 2003[cited 2018 Sep 5];14(6):54-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/14618150 https://www.ncbi.nlm.nih.gov/pubmed/1461...
). |
Plano de gerenciamento do cuidado |
- Plano de cuidado individualizado elaborado pelo gestor de caso juntamente com a equipe multiprofissional, para coordenar os serviços que o paciente necessita(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
5 Grover CA, Crawford E, Close RJ. The efficacy of case management on emergency department frequent users: an eight-year observational study. J Emerg Med. 2016;51(5):595-604. doi: 10.1016/j.jemermed.2016.06.002 https://doi.org/10.1016/j.jemermed.2016....
6 Kumar GS, Klein R. Effectiveness of case management strategies in reducing emergency department visits in frequent user patient populations: a systematic review. J Emerg Med. 2013;44(3):717-29. doi: 10.1016/j.jemermed.2012.08.035 https://doi.org/10.1016/j.jemermed.2012....
7 Okin RL, Boccellari A, Azocar F, Shumway M, O'brien K, Gelb A, et al. The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med. 2000;18(5):603-8. doi: 10.1053/ajem.2000.9292 https://doi.org/10.1053/ajem.2000.9292...
8 Phillips GA, Brophy DS, Weiland TJ, Chenhall AJ, Dent AW. The effect of multidisciplinary case management on selected outcomes for frequent attenders at an emergency department. Med J Aust. 2006;184(12):602-6. doi: 10.5694/j.1326-5377.2006.tb00412.x https://doi.org/10.5694/j.1326-5377.2006...
-99 Pope D, Fernandes CM, Bouthillette F, Etherington J. Frequent users of the emergency department: a program to improve care and reduce visits. Cmaj [Internet]. 2000 [cited 2018 Sep 12];162(7):1017-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10763402 https://www.ncbi.nlm.nih.gov/pubmed/1076...
,1212 Skinner J, Carter L, Haxton C. Case management of patients who frequently present to a Scottish emergency department. Emerg Med J. 2009;26(2):103-5. doi: 10.1136/emj.2008.063081 https://doi.org/10.1136/emj.2008.063081...
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
,32-33,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
40 Lee K-H, Davenport L. Can case management interventions reduce the number of emergency department visits by frequent users? Health Care Manag (Frederick) [Internet]. 2006 [cited 2018 Sep 20];25(2):155-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16699330 https://www.ncbi.nlm.nih.gov/pubmed/1669...
41 Rinke ML, Dietrich E, Kodeck T, Westcoat K. Operation care: a pilot case management intervention for frequent emergency medical system users. Am J Emerg Med. 2012;30(2):352-7 doi: 10.1016/j.ajem.2010.12.012 https://doi.org/10.1016/j.ajem.2010.12.0...
-4242 Pillow MT, Doctor S, Brown S, Carter K, Mulliken R. An emergency department-initiated, web-based, multidisciplinary approach to decreasing emergency department visits by the top frequent visitors using patient care plans. J Emerg Med. 2013;44(4):853-60. doi: 10.1016/j.jemermed.2012.08.020 https://doi.org/10.1016/j.jemermed.2012....
); para compreender as necessidades clínicas do paciente; fornecer recomendações para o plano de cuidado, evitar internações inapropriadas e diminuir o número de visitas ao departamento de emergência(2020 Althaus F, Paroz S, Hugli O, Ghali WA, Daeppen J-B, Peytremann-Bridevaux I, et al. Effectiveness of interventions targeting frequent users of emergency departments: a systematic review. Ann Emerg Med. 2011;58(1):41-52. e42. doi: 10.1016/j.annemergmed.2011.03.007 https://doi.org/10.1016/j.annemergmed.20...
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,2929 Soril LJ, Leggett LE, Lorenzetti DL, Noseworthy TW, Clement FM. Reducing frequent visits to the emergency department: a systematic review of interventions. PloS One. 2015;10(4):e0123660. doi: 10.1371/journal.pone.0123660 https://doi.org/10.1371/journal.pone.012...
,4343 Brewer BB, Jackson L. A case management model for the emergency department. J Emerg Nurs. 1997;23(6):618-21. doi: 10.1016/s0099-1767(97)90280-4 https://doi.org/10.1016/s0099-1767(97)90...
). - Deve envolver melhores práticas relacionadas a: planejamento da transição de pacientes com necessidades psicossociais complexas pelo assistente social; planejamento de transferência simples executado por um gestor de caso do departamento de emergência; e planejamento de alta após a admissão de pacientes no departamento de emergência executado por um gestor de caso domiciliar e/ou assistente social(3131 Walsh K, Z. Emergency Department Case Management: the compendium of best practices [Internet] 2nd ed. Danvers (MA): HCPro; 2014 [cited 2018 Aug 21]. Available from: https://hcmarketplace.com/aitdownloadablefiles/download/aitfile/aitfile_id/1616.pdf https://hcmarketplace.com/aitdownloadabl...
). - Direcionado para as necessidades clínicas e sociais do paciente e da família(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
,11-12,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
,32-33,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
40 Lee K-H, Davenport L. Can case management interventions reduce the number of emergency department visits by frequent users? Health Care Manag (Frederick) [Internet]. 2006 [cited 2018 Sep 20];25(2):155-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16699330 https://www.ncbi.nlm.nih.gov/pubmed/1669...
-4141 Rinke ML, Dietrich E, Kodeck T, Westcoat K. Operation care: a pilot case management intervention for frequent emergency medical system users. Am J Emerg Med. 2012;30(2):352-7 doi: 10.1016/j.ajem.2010.12.012 https://doi.org/10.1016/j.ajem.2010.12.0...
). - Foco no estabelecimento de metas e objetivos terapêuticos que promovam o autogerenciamento da saúde e o aconselhamento em busca de soluções para os problemas psicossociais e definição do melhor seguimento do cuidado nos demais níveis de atenção à saúde(88 Phillips GA, Brophy DS, Weiland TJ, Chenhall AJ, Dent AW. The effect of multidisciplinary case management on selected outcomes for frequent attenders at an emergency department. Med J Aust. 2006;184(12):602-6. doi: 10.5694/j.1326-5377.2006.tb00412.x https://doi.org/10.5694/j.1326-5377.2006...
,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
). - Engajamento de toda a equipe de cuidado na elaboração de um plano de cuidado abrangente, com intervenções e reavaliações contínuas dos problemas do paciente(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
-55 Grover CA, Crawford E, Close RJ. The efficacy of case management on emergency department frequent users: an eight-year observational study. J Emerg Med. 2016;51(5):595-604. doi: 10.1016/j.jemermed.2016.06.002 https://doi.org/10.1016/j.jemermed.2016....
,77 Okin RL, Boccellari A, Azocar F, Shumway M, O'brien K, Gelb A, et al. The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med. 2000;18(5):603-8. doi: 10.1053/ajem.2000.9292 https://doi.org/10.1053/ajem.2000.9292...
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,3232 Bodenmann P, Velonaki V-S, Griffin JL, Baggio S, Iglesias K, Moschetti K, et al. Case management may reduce emergency department frequent use in a universal health coverage system: a randomized controlled trial. J Gen Intern Med [Internet]. 2017 [cited 2018 Nov 12];32(5):508-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27400922 https://www.ncbi.nlm.nih.gov/pubmed/2740...
-3333 Edgren G, Anderson J, Dolk A, Torgerson J, Nyberg S, Skau T, et al. A case management intervention targeted to reduce healthcare consumption for frequent Emergency Department visitors: results from an adaptive randomized trial. Eur J Emerg Med. 2016;23(5):344-50. doi: 10.1097/mej.0000000000000280 https://doi.org/10.1097/mej.000000000000...
,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
40 Lee K-H, Davenport L. Can case management interventions reduce the number of emergency department visits by frequent users? Health Care Manag (Frederick) [Internet]. 2006 [cited 2018 Sep 20];25(2):155-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16699330 https://www.ncbi.nlm.nih.gov/pubmed/1669...
41 Rinke ML, Dietrich E, Kodeck T, Westcoat K. Operation care: a pilot case management intervention for frequent emergency medical system users. Am J Emerg Med. 2012;30(2):352-7 doi: 10.1016/j.ajem.2010.12.012 https://doi.org/10.1016/j.ajem.2010.12.0...
-4242 Pillow MT, Doctor S, Brown S, Carter K, Mulliken R. An emergency department-initiated, web-based, multidisciplinary approach to decreasing emergency department visits by the top frequent visitors using patient care plans. J Emerg Med. 2013;44(4):853-60. doi: 10.1016/j.jemermed.2012.08.020 https://doi.org/10.1016/j.jemermed.2012....
). - Convite e envolvimento ativo do paciente na revisão do seu caso (autogerenciamento) e participação na elaboração do seu plano de cuidado individualizado e na busca de soluções para os seus problemas(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
,99 Pope D, Fernandes CM, Bouthillette F, Etherington J. Frequent users of the emergency department: a program to improve care and reduce visits. Cmaj [Internet]. 2000 [cited 2018 Sep 12];162(7):1017-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10763402 https://www.ncbi.nlm.nih.gov/pubmed/1076...
,1111 Shumway M, Boccellari A, O'brien K, Okin RL. Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial. Am J Emerg Med. 2008;26(2):155-64. doi: 10.1016/j.ajem.2007.04.021 https://doi.org/10.1016/j.ajem.2007.04.0...
,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
,3333 Edgren G, Anderson J, Dolk A, Torgerson J, Nyberg S, Skau T, et al. A case management intervention targeted to reduce healthcare consumption for frequent Emergency Department visitors: results from an adaptive randomized trial. Eur J Emerg Med. 2016;23(5):344-50. doi: 10.1097/mej.0000000000000280 https://doi.org/10.1097/mej.000000000000...
) e diálogo com a equipe e família sobre a necessidade de encaminhamentos, planos de cuidados e metas a serem atingidas(4545 Walsh KT, Moran P, Greenwood C. A successful emergency department case management practice model. Case Manager [Internet]. 2003[cited 2018 Sep 5];14(6):54-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/14618150 https://www.ncbi.nlm.nih.gov/pubmed/1461...
). - Realização de um planejamento de transições complexas para coordenar o cuidado clínico no departamento de emergência(99 Pope D, Fernandes CM, Bouthillette F, Etherington J. Frequent users of the emergency department: a program to improve care and reduce visits. Cmaj [Internet]. 2000 [cited 2018 Sep 12];162(7):1017-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10763402 https://www.ncbi.nlm.nih.gov/pubmed/1076...
,4646 Walsh KM. ED case managers: one large teaching hospital's experience. J Emerg Nurs [Internet]. 1999 [cited 2018 Sep 5];25(1):17-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/9925673 https://www.ncbi.nlm.nih.gov/pubmed/9925...
); plano de alta planejado(4141 Rinke ML, Dietrich E, Kodeck T, Westcoat K. Operation care: a pilot case management intervention for frequent emergency medical system users. Am J Emerg Med. 2012;30(2):352-7 doi: 10.1016/j.ajem.2010.12.012 https://doi.org/10.1016/j.ajem.2010.12.0...
); Elaboração de um plano abrangente de cuidados pós-alta, incluindo coordenação do cuidado nas seguintes vertentes: seguro, transporte, moradia e atendimento às necessidades clínicas e psicossociais(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
,6-7,1111 Shumway M, Boccellari A, O'brien K, Okin RL. Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial. Am J Emerg Med. 2008;26(2):155-64. doi: 10.1016/j.ajem.2007.04.021 https://doi.org/10.1016/j.ajem.2007.04.0...
,2020 Althaus F, Paroz S, Hugli O, Ghali WA, Daeppen J-B, Peytremann-Bridevaux I, et al. Effectiveness of interventions targeting frequent users of emergency departments: a systematic review. Ann Emerg Med. 2011;58(1):41-52. e42. doi: 10.1016/j.annemergmed.2011.03.007 https://doi.org/10.1016/j.annemergmed.20...
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,29-30,3232 Bodenmann P, Velonaki V-S, Griffin JL, Baggio S, Iglesias K, Moschetti K, et al. Case management may reduce emergency department frequent use in a universal health coverage system: a randomized controlled trial. J Gen Intern Med [Internet]. 2017 [cited 2018 Nov 12];32(5):508-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27400922 https://www.ncbi.nlm.nih.gov/pubmed/2740...
,4343 Brewer BB, Jackson L. A case management model for the emergency department. J Emerg Nurs. 1997;23(6):618-21. doi: 10.1016/s0099-1767(97)90280-4 https://doi.org/10.1016/s0099-1767(97)90...
,4545 Walsh KT, Moran P, Greenwood C. A successful emergency department case management practice model. Case Manager [Internet]. 2003[cited 2018 Sep 5];14(6):54-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/14618150 https://www.ncbi.nlm.nih.gov/pubmed/1461...
). - Promoção de ações que envolvem educação em saúde, empoderamento na tomada de decisão e incentivo ao autogerenciamento do cuidado e à participação do paciente na elaboração do plano de cuidado(2020 Althaus F, Paroz S, Hugli O, Ghali WA, Daeppen J-B, Peytremann-Bridevaux I, et al. Effectiveness of interventions targeting frequent users of emergency departments: a systematic review. Ann Emerg Med. 2011;58(1):41-52. e42. doi: 10.1016/j.annemergmed.2011.03.007 https://doi.org/10.1016/j.annemergmed.20...
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,4545 Walsh KT, Moran P, Greenwood C. A successful emergency department case management practice model. Case Manager [Internet]. 2003[cited 2018 Sep 5];14(6):54-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/14618150 https://www.ncbi.nlm.nih.gov/pubmed/1461...
). - O plano de cuidados deverá ser atualizado, revisado e compartilhado considerando-se as necessidades dos pacientes e o risco futuro de admissão hospitalar, de acordo com a classificação(1212 Skinner J, Carter L, Haxton C. Case management of patients who frequently present to a Scottish emergency department. Emerg Med J. 2009;26(2):103-5. doi: 10.1136/emj.2008.063081 https://doi.org/10.1136/emj.2008.063081...
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,4141 Rinke ML, Dietrich E, Kodeck T, Westcoat K. Operation care: a pilot case management intervention for frequent emergency medical system users. Am J Emerg Med. 2012;30(2):352-7 doi: 10.1016/j.ajem.2010.12.012 https://doi.org/10.1016/j.ajem.2010.12.0...
). - Alto risco (plano de cuidados revisado a cada 3 meses, gestão de caso intensiva e advocacia); - Médio risco (plano de cuidados revisado em 6 meses e contato telefônico para monitorar e implementar o plano de cuidado e direcionar problemas emergentes); - Baixo risco (plano de cuidados revisado em 12 meses). |
Apoio e comunicação no pós-transição |
- Educação e orientação do paciente quanto ao uso adequado do sistema de saúde e dos serviços clínicos e sociais disponíveis na comunidade(66 Kumar GS, Klein R. Effectiveness of case management strategies in reducing emergency department visits in frequent user patient populations: a systematic review. J Emerg Med. 2013;44(3):717-29. doi: 10.1016/j.jemermed.2012.08.035 https://doi.org/10.1016/j.jemermed.2012....
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
,32-33,39-41,4646 Walsh KM. ED case managers: one large teaching hospital's experience. J Emerg Nurs [Internet]. 1999 [cited 2018 Sep 5];25(1):17-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/9925673 https://www.ncbi.nlm.nih.gov/pubmed/9925...
); ajudar o paciente a encontrar soluções para seus problemas(55 Grover CA, Crawford E, Close RJ. The efficacy of case management on emergency department frequent users: an eight-year observational study. J Emerg Med. 2016;51(5):595-604. doi: 10.1016/j.jemermed.2016.06.002 https://doi.org/10.1016/j.jemermed.2016....
,4343 Brewer BB, Jackson L. A case management model for the emergency department. J Emerg Nurs. 1997;23(6):618-21. doi: 10.1016/s0099-1767(97)90280-4 https://doi.org/10.1016/s0099-1767(97)90...
); - Orientação do paciente quanto ao autogerenciamento do cuidado, oferecendo opções de cuidado e ajudando-o a fazer escolhas adequadas(3232 Bodenmann P, Velonaki V-S, Griffin JL, Baggio S, Iglesias K, Moschetti K, et al. Case management may reduce emergency department frequent use in a universal health coverage system: a randomized controlled trial. J Gen Intern Med [Internet]. 2017 [cited 2018 Nov 12];32(5):508-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27400922 https://www.ncbi.nlm.nih.gov/pubmed/2740...
-3333 Edgren G, Anderson J, Dolk A, Torgerson J, Nyberg S, Skau T, et al. A case management intervention targeted to reduce healthcare consumption for frequent Emergency Department visitors: results from an adaptive randomized trial. Eur J Emerg Med. 2016;23(5):344-50. doi: 10.1097/mej.0000000000000280 https://doi.org/10.1097/mej.000000000000...
); aconselhamento do paciente sobre comportamentos de risco (por exemplo, uso abusivo de substâncias) e quanto ao uso dos serviços clínicos(2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
,3232 Bodenmann P, Velonaki V-S, Griffin JL, Baggio S, Iglesias K, Moschetti K, et al. Case management may reduce emergency department frequent use in a universal health coverage system: a randomized controlled trial. J Gen Intern Med [Internet]. 2017 [cited 2018 Nov 12];32(5):508-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27400922 https://www.ncbi.nlm.nih.gov/pubmed/2740...
,4343 Brewer BB, Jackson L. A case management model for the emergency department. J Emerg Nurs. 1997;23(6):618-21. doi: 10.1016/s0099-1767(97)90280-4 https://doi.org/10.1016/s0099-1767(97)90...
). - Comunicação com toda a equipe e com diferentes provedores e níveis de cuidado(3232 Bodenmann P, Velonaki V-S, Griffin JL, Baggio S, Iglesias K, Moschetti K, et al. Case management may reduce emergency department frequent use in a universal health coverage system: a randomized controlled trial. J Gen Intern Med [Internet]. 2017 [cited 2018 Nov 12];32(5):508-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27400922 https://www.ncbi.nlm.nih.gov/pubmed/2740...
,4141 Rinke ML, Dietrich E, Kodeck T, Westcoat K. Operation care: a pilot case management intervention for frequent emergency medical system users. Am J Emerg Med. 2012;30(2):352-7 doi: 10.1016/j.ajem.2010.12.012 https://doi.org/10.1016/j.ajem.2010.12.0...
,4343 Brewer BB, Jackson L. A case management model for the emergency department. J Emerg Nurs. 1997;23(6):618-21. doi: 10.1016/s0099-1767(97)90280-4 https://doi.org/10.1016/s0099-1767(97)90...
); Ligação com outras agências comunitárias(77 Okin RL, Boccellari A, Azocar F, Shumway M, O'brien K, Gelb A, et al. The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med. 2000;18(5):603-8. doi: 10.1053/ajem.2000.9292 https://doi.org/10.1053/ajem.2000.9292...
,2222 Freitas LFC, Moreira DA, Brito MJM. The continuity of care from the perspective of the being cared for. 2014;19(4):636-42. doi: 10.5380/ce.v19i4.35993 https://doi.org/10.5380/ce.v19i4.35993...
,4040 Lee K-H, Davenport L. Can case management interventions reduce the number of emergency department visits by frequent users? Health Care Manag (Frederick) [Internet]. 2006 [cited 2018 Sep 20];25(2):155-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16699330 https://www.ncbi.nlm.nih.gov/pubmed/1669...
); comunicação com os demais níveis de cuidado(3333 Edgren G, Anderson J, Dolk A, Torgerson J, Nyberg S, Skau T, et al. A case management intervention targeted to reduce healthcare consumption for frequent Emergency Department visitors: results from an adaptive randomized trial. Eur J Emerg Med. 2016;23(5):344-50. doi: 10.1097/mej.0000000000000280 https://doi.org/10.1097/mej.000000000000...
,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
,4141 Rinke ML, Dietrich E, Kodeck T, Westcoat K. Operation care: a pilot case management intervention for frequent emergency medical system users. Am J Emerg Med. 2012;30(2):352-7 doi: 10.1016/j.ajem.2010.12.012 https://doi.org/10.1016/j.ajem.2010.12.0...
); informar ao médico da Atenção Primária à Saúde sobre consultas agendadas e necessidade de acompanhamento(3232 Bodenmann P, Velonaki V-S, Griffin JL, Baggio S, Iglesias K, Moschetti K, et al. Case management may reduce emergency department frequent use in a universal health coverage system: a randomized controlled trial. J Gen Intern Med [Internet]. 2017 [cited 2018 Nov 12];32(5):508-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27400922 https://www.ncbi.nlm.nih.gov/pubmed/2740...
). |
Coordenação do cuidado |
- A atuação multiprofissional inclui médico, enfermeiro, assistente social(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
-55 Grover CA, Crawford E, Close RJ. The efficacy of case management on emergency department frequent users: an eight-year observational study. J Emerg Med. 2016;51(5):595-604. doi: 10.1016/j.jemermed.2016.06.002 https://doi.org/10.1016/j.jemermed.2016....
,77 Okin RL, Boccellari A, Azocar F, Shumway M, O'brien K, Gelb A, et al. The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med. 2000;18(5):603-8. doi: 10.1053/ajem.2000.9292 https://doi.org/10.1053/ajem.2000.9292...
8 Phillips GA, Brophy DS, Weiland TJ, Chenhall AJ, Dent AW. The effect of multidisciplinary case management on selected outcomes for frequent attenders at an emergency department. Med J Aust. 2006;184(12):602-6. doi: 10.5694/j.1326-5377.2006.tb00412.x https://doi.org/10.5694/j.1326-5377.2006...
-99 Pope D, Fernandes CM, Bouthillette F, Etherington J. Frequent users of the emergency department: a program to improve care and reduce visits. Cmaj [Internet]. 2000 [cited 2018 Sep 12];162(7):1017-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10763402 https://www.ncbi.nlm.nih.gov/pubmed/1076...
,1212 Skinner J, Carter L, Haxton C. Case management of patients who frequently present to a Scottish emergency department. Emerg Med J. 2009;26(2):103-5. doi: 10.1136/emj.2008.063081 https://doi.org/10.1136/emj.2008.063081...
,3232 Bodenmann P, Velonaki V-S, Griffin JL, Baggio S, Iglesias K, Moschetti K, et al. Case management may reduce emergency department frequent use in a universal health coverage system: a randomized controlled trial. J Gen Intern Med [Internet]. 2017 [cited 2018 Nov 12];32(5):508-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27400922 https://www.ncbi.nlm.nih.gov/pubmed/2740...
,4040 Lee K-H, Davenport L. Can case management interventions reduce the number of emergency department visits by frequent users? Health Care Manag (Frederick) [Internet]. 2006 [cited 2018 Sep 20];25(2):155-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16699330 https://www.ncbi.nlm.nih.gov/pubmed/1669...
41 Rinke ML, Dietrich E, Kodeck T, Westcoat K. Operation care: a pilot case management intervention for frequent emergency medical system users. Am J Emerg Med. 2012;30(2):352-7 doi: 10.1016/j.ajem.2010.12.012 https://doi.org/10.1016/j.ajem.2010.12.0...
42 Pillow MT, Doctor S, Brown S, Carter K, Mulliken R. An emergency department-initiated, web-based, multidisciplinary approach to decreasing emergency department visits by the top frequent visitors using patient care plans. J Emerg Med. 2013;44(4):853-60. doi: 10.1016/j.jemermed.2012.08.020 https://doi.org/10.1016/j.jemermed.2012....
43 Brewer BB, Jackson L. A case management model for the emergency department. J Emerg Nurs. 1997;23(6):618-21. doi: 10.1016/s0099-1767(97)90280-4 https://doi.org/10.1016/s0099-1767(97)90...
-4444 Bristow DP, Herrick CA. Emergency department case management: the dyad team of nurse case manager and social worker improve discharge planning and patient and staff satisfaction while decreasing inappropriate admissions and costs: a literature review. Lippincotts Case Manag. [Internet]. 2002 [cited 2018 May 2];7(6):243-51. Available from: https://www.ncbi.nlm.nih.gov/pubmed/12048342 https://www.ncbi.nlm.nih.gov/pubmed/1204...
), profissionais da atenção primária, nutricionista, terapeuta ocupacional, fisioterapeuta, entre outros(88 Phillips GA, Brophy DS, Weiland TJ, Chenhall AJ, Dent AW. The effect of multidisciplinary case management on selected outcomes for frequent attenders at an emergency department. Med J Aust. 2006;184(12):602-6. doi: 10.5694/j.1326-5377.2006.tb00412.x https://doi.org/10.5694/j.1326-5377.2006...
,4646 Walsh KM. ED case managers: one large teaching hospital's experience. J Emerg Nurs [Internet]. 1999 [cited 2018 Sep 5];25(1):17-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/9925673 https://www.ncbi.nlm.nih.gov/pubmed/9925...
); - Trabalho colaborativo com a equipe multidisciplinar para apoiar o gerenciamento de casos(2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,4040 Lee K-H, Davenport L. Can case management interventions reduce the number of emergency department visits by frequent users? Health Care Manag (Frederick) [Internet]. 2006 [cited 2018 Sep 20];25(2):155-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16699330 https://www.ncbi.nlm.nih.gov/pubmed/1669...
) e elaborar recomendações quanto ao uso deste serviço e tratamentos que deveriam ser fornecidos neste contexto(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
); - Reuniões periódicas da equipe multidisciplinar (multidisciplinary case conference) para discussão dos casos(55 Grover CA, Crawford E, Close RJ. The efficacy of case management on emergency department frequent users: an eight-year observational study. J Emerg Med. 2016;51(5):595-604. doi: 10.1016/j.jemermed.2016.06.002 https://doi.org/10.1016/j.jemermed.2016....
-66 Kumar GS, Klein R. Effectiveness of case management strategies in reducing emergency department visits in frequent user patient populations: a systematic review. J Emerg Med. 2013;44(3):717-29. doi: 10.1016/j.jemermed.2012.08.035 https://doi.org/10.1016/j.jemermed.2012....
,99 Pope D, Fernandes CM, Bouthillette F, Etherington J. Frequent users of the emergency department: a program to improve care and reduce visits. Cmaj [Internet]. 2000 [cited 2018 Sep 12];162(7):1017-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10763402 https://www.ncbi.nlm.nih.gov/pubmed/1076...
,1212 Skinner J, Carter L, Haxton C. Case management of patients who frequently present to a Scottish emergency department. Emerg Med J. 2009;26(2):103-5. doi: 10.1136/emj.2008.063081 https://doi.org/10.1136/emj.2008.063081...
,2020 Althaus F, Paroz S, Hugli O, Ghali WA, Daeppen J-B, Peytremann-Bridevaux I, et al. Effectiveness of interventions targeting frequent users of emergency departments: a systematic review. Ann Emerg Med. 2011;58(1):41-52. e42. doi: 10.1016/j.annemergmed.2011.03.007 https://doi.org/10.1016/j.annemergmed.20...
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
,4141 Rinke ML, Dietrich E, Kodeck T, Westcoat K. Operation care: a pilot case management intervention for frequent emergency medical system users. Am J Emerg Med. 2012;30(2):352-7 doi: 10.1016/j.ajem.2010.12.012 https://doi.org/10.1016/j.ajem.2010.12.0...
-4242 Pillow MT, Doctor S, Brown S, Carter K, Mulliken R. An emergency department-initiated, web-based, multidisciplinary approach to decreasing emergency department visits by the top frequent visitors using patient care plans. J Emerg Med. 2013;44(4):853-60. doi: 10.1016/j.jemermed.2012.08.020 https://doi.org/10.1016/j.jemermed.2012....
); |
Seguimento, avaliação e reavaliação periódica das necessidades do paciente e do seu progresso |
- Contato proativo e estreito entre pacientes e provedores de cuidados por meio de chamadas telefônicas ou visitas(3333 Edgren G, Anderson J, Dolk A, Torgerson J, Nyberg S, Skau T, et al. A case management intervention targeted to reduce healthcare consumption for frequent Emergency Department visitors: results from an adaptive randomized trial. Eur J Emerg Med. 2016;23(5):344-50. doi: 10.1097/mej.0000000000000280 https://doi.org/10.1097/mej.000000000000...
,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
); Acesso telefônico a um gestor caso, para esclarecer dúvidas(3333 Edgren G, Anderson J, Dolk A, Torgerson J, Nyberg S, Skau T, et al. A case management intervention targeted to reduce healthcare consumption for frequent Emergency Department visitors: results from an adaptive randomized trial. Eur J Emerg Med. 2016;23(5):344-50. doi: 10.1097/mej.0000000000000280 https://doi.org/10.1097/mej.000000000000...
,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
,4141 Rinke ML, Dietrich E, Kodeck T, Westcoat K. Operation care: a pilot case management intervention for frequent emergency medical system users. Am J Emerg Med. 2012;30(2):352-7 doi: 10.1016/j.ajem.2010.12.012 https://doi.org/10.1016/j.ajem.2010.12.0...
); - Seguimento telefônico agendado com base nos riscos de admissão hospitalar(1111 Shumway M, Boccellari A, O'brien K, Okin RL. Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial. Am J Emerg Med. 2008;26(2):155-64. doi: 10.1016/j.ajem.2007.04.021 https://doi.org/10.1016/j.ajem.2007.04.0...
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,3232 Bodenmann P, Velonaki V-S, Griffin JL, Baggio S, Iglesias K, Moschetti K, et al. Case management may reduce emergency department frequent use in a universal health coverage system: a randomized controlled trial. J Gen Intern Med [Internet]. 2017 [cited 2018 Nov 12];32(5):508-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27400922 https://www.ncbi.nlm.nih.gov/pubmed/2740...
-3333 Edgren G, Anderson J, Dolk A, Torgerson J, Nyberg S, Skau T, et al. A case management intervention targeted to reduce healthcare consumption for frequent Emergency Department visitors: results from an adaptive randomized trial. Eur J Emerg Med. 2016;23(5):344-50. doi: 10.1097/mej.0000000000000280 https://doi.org/10.1097/mej.000000000000...
,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
); e visitas domiciliares ou contato telefônico para verificar adesão e adequar o plano de cuidados(66 Kumar GS, Klein R. Effectiveness of case management strategies in reducing emergency department visits in frequent user patient populations: a systematic review. J Emerg Med. 2013;44(3):717-29. doi: 10.1016/j.jemermed.2012.08.035 https://doi.org/10.1016/j.jemermed.2012....
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,4141 Rinke ML, Dietrich E, Kodeck T, Westcoat K. Operation care: a pilot case management intervention for frequent emergency medical system users. Am J Emerg Med. 2012;30(2):352-7 doi: 10.1016/j.ajem.2010.12.012 https://doi.org/10.1016/j.ajem.2010.12.0...
,4343 Brewer BB, Jackson L. A case management model for the emergency department. J Emerg Nurs. 1997;23(6):618-21. doi: 10.1016/s0099-1767(97)90280-4 https://doi.org/10.1016/s0099-1767(97)90...
,4545 Walsh KT, Moran P, Greenwood C. A successful emergency department case management practice model. Case Manager [Internet]. 2003[cited 2018 Sep 5];14(6):54-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/14618150 https://www.ncbi.nlm.nih.gov/pubmed/1461...
) e/ou reavaliá-lo caso o paciente retorne para atendimento, a fim de checar se ele está recebendo os serviços coordenados apropriados para diminuir o uso do serviço de emergência(2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
); - Fornecer um e-mail ou telefone para o paciente entrar em contato caso haja problemas na alta. Deve-se garantir que as chamadas serão retornadas pelo gestor de caso no mesmo dia(2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,4343 Brewer BB, Jackson L. A case management model for the emergency department. J Emerg Nurs. 1997;23(6):618-21. doi: 10.1016/s0099-1767(97)90280-4 https://doi.org/10.1016/s0099-1767(97)90...
); - Reuniões regulares com um gestor de caso e visitas de um gestor de caso para avaliar as respostas do paciente ao plano de cuidado individualizado e, se necessário, revisá-lo(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
,4141 Rinke ML, Dietrich E, Kodeck T, Westcoat K. Operation care: a pilot case management intervention for frequent emergency medical system users. Am J Emerg Med. 2012;30(2):352-7 doi: 10.1016/j.ajem.2010.12.012 https://doi.org/10.1016/j.ajem.2010.12.0...
); - Assistência domiciliar(88 Phillips GA, Brophy DS, Weiland TJ, Chenhall AJ, Dent AW. The effect of multidisciplinary case management on selected outcomes for frequent attenders at an emergency department. Med J Aust. 2006;184(12):602-6. doi: 10.5694/j.1326-5377.2006.tb00412.x https://doi.org/10.5694/j.1326-5377.2006...
,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
); acompanhamento contínuo monitorado eletronicamente por enfermeiros com ações de acompanhamento e feedback dos progressos do paciente(55 Grover CA, Crawford E, Close RJ. The efficacy of case management on emergency department frequent users: an eight-year observational study. J Emerg Med. 2016;51(5):595-604. doi: 10.1016/j.jemermed.2016.06.002 https://doi.org/10.1016/j.jemermed.2016....
,3333 Edgren G, Anderson J, Dolk A, Torgerson J, Nyberg S, Skau T, et al. A case management intervention targeted to reduce healthcare consumption for frequent Emergency Department visitors: results from an adaptive randomized trial. Eur J Emerg Med. 2016;23(5):344-50. doi: 10.1097/mej.0000000000000280 https://doi.org/10.1097/mej.000000000000...
,3939 Reinius P, Johansson M, Fjellner A, Werr J, Öhlén G, Edgren G. A telephone-based case-management intervention reduces healthcare utilization for frequent emergency department visitors. Eur J Emerg Med. 2013;20(5):327-34. doi: 10.1097/MEJ.0b013e328358bf5a https://doi.org/10.1097/MEJ.0b013e328358...
); definição dos padrões de procura por cuidados em saúde e qualidade de vida; e verificar a necessidade de nova internação do paciente(4343 Brewer BB, Jackson L. A case management model for the emergency department. J Emerg Nurs. 1997;23(6):618-21. doi: 10.1016/s0099-1767(97)90280-4 https://doi.org/10.1016/s0099-1767(97)90...
); - Implementação do tratamento comunitário assertivo que envolve a abordagem proativa e assertiva, enfatizando a promoção e prevenção em saúde e o tratamento agudo. Consiste em visitas domiciliares para discussão do caso, acompanhamento em consultas, rastreamento e identificação de pacientes, especialmente usuários frequentes dos serviços de emergência com comprometimento da saúde mental(77 Okin RL, Boccellari A, Azocar F, Shumway M, O'brien K, Gelb A, et al. The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med. 2000;18(5):603-8. doi: 10.1053/ajem.2000.9292 https://doi.org/10.1053/ajem.2000.9292...
,99 Pope D, Fernandes CM, Bouthillette F, Etherington J. Frequent users of the emergency department: a program to improve care and reduce visits. Cmaj [Internet]. 2000 [cited 2018 Sep 12];162(7):1017-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10763402 https://www.ncbi.nlm.nih.gov/pubmed/1076...
,1111 Shumway M, Boccellari A, O'brien K, Okin RL. Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial. Am J Emerg Med. 2008;26(2):155-64. doi: 10.1016/j.ajem.2007.04.021 https://doi.org/10.1016/j.ajem.2007.04.0...
,2020 Althaus F, Paroz S, Hugli O, Ghali WA, Daeppen J-B, Peytremann-Bridevaux I, et al. Effectiveness of interventions targeting frequent users of emergency departments: a systematic review. Ann Emerg Med. 2011;58(1):41-52. e42. doi: 10.1016/j.annemergmed.2011.03.007 https://doi.org/10.1016/j.annemergmed.20...
,3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
); - Referência do paciente para outra configuração de cuidado, de modo a garantir a continuidade do cuidado em curto e longo prazo(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
,77 Okin RL, Boccellari A, Azocar F, Shumway M, O'brien K, Gelb A, et al. The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med. 2000;18(5):603-8. doi: 10.1053/ajem.2000.9292 https://doi.org/10.1053/ajem.2000.9292...
,1111 Shumway M, Boccellari A, O'brien K, Okin RL. Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial. Am J Emerg Med. 2008;26(2):155-64. doi: 10.1016/j.ajem.2007.04.021 https://doi.org/10.1016/j.ajem.2007.04.0...
,2020 Althaus F, Paroz S, Hugli O, Ghali WA, Daeppen J-B, Peytremann-Bridevaux I, et al. Effectiveness of interventions targeting frequent users of emergency departments: a systematic review. Ann Emerg Med. 2011;58(1):41-52. e42. doi: 10.1016/j.annemergmed.2011.03.007 https://doi.org/10.1016/j.annemergmed.20...
,3232 Bodenmann P, Velonaki V-S, Griffin JL, Baggio S, Iglesias K, Moschetti K, et al. Case management may reduce emergency department frequent use in a universal health coverage system: a randomized controlled trial. J Gen Intern Med [Internet]. 2017 [cited 2018 Nov 12];32(5):508-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27400922 https://www.ncbi.nlm.nih.gov/pubmed/2740...
,4343 Brewer BB, Jackson L. A case management model for the emergency department. J Emerg Nurs. 1997;23(6):618-21. doi: 10.1016/s0099-1767(97)90280-4 https://doi.org/10.1016/s0099-1767(97)90...
44 Bristow DP, Herrick CA. Emergency department case management: the dyad team of nurse case manager and social worker improve discharge planning and patient and staff satisfaction while decreasing inappropriate admissions and costs: a literature review. Lippincotts Case Manag. [Internet]. 2002 [cited 2018 May 2];7(6):243-51. Available from: https://www.ncbi.nlm.nih.gov/pubmed/12048342 https://www.ncbi.nlm.nih.gov/pubmed/1204...
-4545 Walsh KT, Moran P, Greenwood C. A successful emergency department case management practice model. Case Manager [Internet]. 2003[cited 2018 Sep 5];14(6):54-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/14618150 https://www.ncbi.nlm.nih.gov/pubmed/1461...
); referência para cuidados de saúde primários, serviços comunitários(44 Grover CA, Close RJ, Villarreal K, Goldman LM. Emergency department frequent user: pilot study of intensive case management to reduce visits and computed tomography. West J Emerg Med[Internet]. 2010 [cited 2017 Sep 18];11(4):336-43. Available from: https://www.ncbi.nlm.nih.gov/pubmed/21079705 https://www.ncbi.nlm.nih.gov/pubmed/2107...
,66 Kumar GS, Klein R. Effectiveness of case management strategies in reducing emergency department visits in frequent user patient populations: a systematic review. J Emerg Med. 2013;44(3):717-29. doi: 10.1016/j.jemermed.2012.08.035 https://doi.org/10.1016/j.jemermed.2012....
,2020 Althaus F, Paroz S, Hugli O, Ghali WA, Daeppen J-B, Peytremann-Bridevaux I, et al. Effectiveness of interventions targeting frequent users of emergency departments: a systematic review. Ann Emerg Med. 2011;58(1):41-52. e42. doi: 10.1016/j.annemergmed.2011.03.007 https://doi.org/10.1016/j.annemergmed.20...
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,2929 Soril LJ, Leggett LE, Lorenzetti DL, Noseworthy TW, Clement FM. Reducing frequent visits to the emergency department: a systematic review of interventions. PloS One. 2015;10(4):e0123660. doi: 10.1371/journal.pone.0123660 https://doi.org/10.1371/journal.pone.012...
-3030 McCarty RL, Zarn J, Fenn R, Collins RD. Frequent ED utilizers: A case management program to address patient needs. Nurs Manage. 2015;46(9):24-31. doi: 10.1097/01.NUMA.0000470771.17731.3d https://doi.org/10.1097/01.NUMA.00004707...
,3232 Bodenmann P, Velonaki V-S, Griffin JL, Baggio S, Iglesias K, Moschetti K, et al. Case management may reduce emergency department frequent use in a universal health coverage system: a randomized controlled trial. J Gen Intern Med [Internet]. 2017 [cited 2018 Nov 12];32(5):508-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27400922 https://www.ncbi.nlm.nih.gov/pubmed/2740...
,4040 Lee K-H, Davenport L. Can case management interventions reduce the number of emergency department visits by frequent users? Health Care Manag (Frederick) [Internet]. 2006 [cited 2018 Sep 20];25(2):155-9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16699330 https://www.ncbi.nlm.nih.gov/pubmed/1669...
,4343 Brewer BB, Jackson L. A case management model for the emergency department. J Emerg Nurs. 1997;23(6):618-21. doi: 10.1016/s0099-1767(97)90280-4 https://doi.org/10.1016/s0099-1767(97)90...
-4444 Bristow DP, Herrick CA. Emergency department case management: the dyad team of nurse case manager and social worker improve discharge planning and patient and staff satisfaction while decreasing inappropriate admissions and costs: a literature review. Lippincotts Case Manag. [Internet]. 2002 [cited 2018 May 2];7(6):243-51. Available from: https://www.ncbi.nlm.nih.gov/pubmed/12048342 https://www.ncbi.nlm.nih.gov/pubmed/1204...
,4646 Walsh KM. ED case managers: one large teaching hospital's experience. J Emerg Nurs [Internet]. 1999 [cited 2018 Sep 5];25(1):17-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/9925673 https://www.ncbi.nlm.nih.gov/pubmed/9925...
) e serviços para tratar de abuso de substâncias(1111 Shumway M, Boccellari A, O'brien K, Okin RL. Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial. Am J Emerg Med. 2008;26(2):155-64. doi: 10.1016/j.ajem.2007.04.021 https://doi.org/10.1016/j.ajem.2007.04.0...
,2929 Soril LJ, Leggett LE, Lorenzetti DL, Noseworthy TW, Clement FM. Reducing frequent visits to the emergency department: a systematic review of interventions. PloS One. 2015;10(4):e0123660. doi: 10.1371/journal.pone.0123660 https://doi.org/10.1371/journal.pone.012...
); referência para serviço social de aconselhamento, intervenção de crise, programa assertivo na comunidade, terapia de apoio e auxílio para obtenção de moradia e ligação com provedor de cuidado(55 Grover CA, Crawford E, Close RJ. The efficacy of case management on emergency department frequent users: an eight-year observational study. J Emerg Med. 2016;51(5):595-604. doi: 10.1016/j.jemermed.2016.06.002 https://doi.org/10.1016/j.jemermed.2016....
6 Kumar GS, Klein R. Effectiveness of case management strategies in reducing emergency department visits in frequent user patient populations: a systematic review. J Emerg Med. 2013;44(3):717-29. doi: 10.1016/j.jemermed.2012.08.035 https://doi.org/10.1016/j.jemermed.2012....
-77 Okin RL, Boccellari A, Azocar F, Shumway M, O'brien K, Gelb A, et al. The effects of clinical case management on hospital service use among ED frequent users. Am J Emerg Med. 2000;18(5):603-8. doi: 10.1053/ajem.2000.9292 https://doi.org/10.1053/ajem.2000.9292...
,99 Pope D, Fernandes CM, Bouthillette F, Etherington J. Frequent users of the emergency department: a program to improve care and reduce visits. Cmaj [Internet]. 2000 [cited 2018 Sep 12];162(7):1017-20. Available from: https://www.ncbi.nlm.nih.gov/pubmed/10763402 https://www.ncbi.nlm.nih.gov/pubmed/1076...
,1111 Shumway M, Boccellari A, O'brien K, Okin RL. Cost-effectiveness of clinical case management for ED frequent users: results of a randomized trial. Am J Emerg Med. 2008;26(2):155-64. doi: 10.1016/j.ajem.2007.04.021 https://doi.org/10.1016/j.ajem.2007.04.0...
-1212 Skinner J, Carter L, Haxton C. Case management of patients who frequently present to a Scottish emergency department. Emerg Med J. 2009;26(2):103-5. doi: 10.1136/emj.2008.063081 https://doi.org/10.1136/emj.2008.063081...
,2020 Althaus F, Paroz S, Hugli O, Ghali WA, Daeppen J-B, Peytremann-Bridevaux I, et al. Effectiveness of interventions targeting frequent users of emergency departments: a systematic review. Ann Emerg Med. 2011;58(1):41-52. e42. doi: 10.1016/j.annemergmed.2011.03.007 https://doi.org/10.1016/j.annemergmed.20...
,2323 Hudon C, Chouinard M-C, Lambert M, Diadiou F, Bouliane D, Beaudin J. Key factors of case management interventions for frequent users of healthcare services: a thematic analysis review. BMJ Open. 2017;7(10):e017762. doi: 10.1136/bmjopen-2017-017762 https://doi.org/10.1136/bmjopen-2017-017...
,2929 Soril LJ, Leggett LE, Lorenzetti DL, Noseworthy TW, Clement FM. Reducing frequent visits to the emergency department: a systematic review of interventions. PloS One. 2015;10(4):e0123660. doi: 10.1371/journal.pone.0123660 https://doi.org/10.1371/journal.pone.012...
,3232 Bodenmann P, Velonaki V-S, Griffin JL, Baggio S, Iglesias K, Moschetti K, et al. Case management may reduce emergency department frequent use in a universal health coverage system: a randomized controlled trial. J Gen Intern Med [Internet]. 2017 [cited 2018 Nov 12];32(5):508-15. Available from: https://www.ncbi.nlm.nih.gov/pubmed/27400922 https://www.ncbi.nlm.nih.gov/pubmed/2740...
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); - Criação de um site de gerenciamento de casos que inclui agências comunitárias, agências privadas e hospitais de reabilitação(4545 Walsh KT, Moran P, Greenwood C. A successful emergency department case management practice model. Case Manager [Internet]. 2003[cited 2018 Sep 5];14(6):54-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/14618150 https://www.ncbi.nlm.nih.gov/pubmed/1461...
); compartilhamento de informações (information sharing): sistema de registro eletrônico entre provedores de cuidado; acesso ao plano de cuidado individualizado por meio do sistema por toda a equipe envolvida no processo de gerenciamento de caso(2929 Soril LJ, Leggett LE, Lorenzetti DL, Noseworthy TW, Clement FM. Reducing frequent visits to the emergency department: a systematic review of interventions. PloS One. 2015;10(4):e0123660. doi: 10.1371/journal.pone.0123660 https://doi.org/10.1371/journal.pone.012...
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