ARTICLE IN PRESS
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Enferm Clin. 2019;xxx(xx):xxx---xxx
www.elsevier.es/enfermeriaclinica
SPECIAL ARTICLE
Characteristics of the provision of case management
services in the community setting in Andalusia based
on the RANGECOM registry
José Miguel Morales-Asencio
a,*
, Magdalena Cuevas-Fernández-Gallego
b
,
Juan Carlos Morilla-Herrera
b
, Francisco Javier Martín-Santos
b
,
Agustina Silvano Arranz
c
, Juan Pedro Batres Sicilia
d
,
Asunción Delgado-Romero
e
, Leopoldo Palacios-Gómez
f
,
Ángela Cejudo López
g
, Shakira Kaknani-Uttumchandani
a
a
Facultad de Ciencias de la Salud, Universidad de Málaga, Instituto de Investigación Biomédica de Málaga (IBIMA), Málaga, Spain
b
Distrito Sanitario Málaga-Valle del Guadalhorce, Facultad de Ciencias de la Salud, Instituto de Investigación Biomédica de
Málaga (IBIMA), Málaga, Spain
c
Distrito Sanitario Almería, Almería, Spain
d
Distrito Sanitario Jaén, Jaén, Spain
e
Distrito Sanitario Cádiz-Bahía-La Janda, Cádiz, Spain
f
Distrito Sanitario Huelva-Costa, Huelva, Spain
g
Distrito Sanitario Sevilla, Sevilla, Spain
Received 5 July 2018; accepted 14 December 2018
KEYWORDS
Multimorbidity;
Case management;
Advanced practice
nursing;
Registries;
Nursing intervention
classification
Abstract
Objective: To describe the characteristics of case management in terms of population served,
interventions, use of services and outcomes such as mortality, readmissions, pressure ulcers,
falls, drug problems and institutionalisation.
Method: Follow-up study of a cohort, from the RANGECOM Multicentric Registry of Andalusia.
The study population were patients included in the case management services of Health Centres
and their family caregivers.
Results: Data from 835 patients with a mean age of 76.8 years (SD: 12.1), 50.24% women, are
presented. They had an important comorbidity (Charlson 3.1, SD: 2.5) and high dependence
(Barthel 37.5, SD: 31.4). Sixty-two point two percent of the interventions deployed by the case
managers were grouped into three domains: behavioural (26.0%), health system (20.2%) and
safety (14.1%). Mortality was 34.4% and hospital admissions 38.1%. Patients with more hospital
readmissions had more visits to the Emergency Department (OR: 1.41; 95% CI: 1.22---1.63), more
DOI of original article: https://doi.org/10.1016/j.enfcli.2018.12.009
Please cite this article as: Morales-Asencio JM, Cuevas-Fernández-Gallego M, Morilla-Herrera JC, Martín-Santos FJ, Silvano Arranz A,
Batres Sicilia JP, et al. Características de la provisión del servicio de gestión de casos en el entorno comunitario en Andalucía a partir del
registro RANGECOM. Enferm Clin. 2019. https://doi.org/10.1016/j.enfcli.2018.12.009
∗
Corresponding author.
E-mail address: jmmasen@uma.es (J.M. Morales-Asencio).
2445-1479/© 2019 Elsevier Espa˜ na, S.L.U. All rights reserved.
ENFCLE-846; No. of Pages 7