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Biomedical subjects

R L Sowell

Publications and source records attributed to R L Sowell.

61 records · Page 4Linked to original sources
PubMedDate not supplied

A case management curricular model. The challenge for nursing education.

Preparing students for practice in a managed care system requires restructuring of the nursing curriculum. The authors describe a case management curricular model as a framework for baccalaureate education. Processes used for curricular redesign and recommendations for knowledge and skills expected of baccalaureate program graduates are included. Examples of expected student case management performance behaviors and evaluation criteria are provided.

Case Management↗
PubMedDate not supplied

Social service and case management needs of HIV-infected persons upon release from prison/jail.

This study sought to identify social service needs of HIV-infected persons at the time of release from prison/jail and to describe their case management experiences after release from prison/jail. Sixteen men and women who were infected with HIV, each with a history of incarceration, participated in one of three focus group sessions. Study participants consisted of 11 men and five women. The majority of the participants were African-American (81%), single (50%), and currently unemployed (69%). Qualitative analysis of the focus group transcripts revealed a total of 483 comments regarding a need for social or health services. These comments were further grouped into 13 categories of services or service-related issues that represented the range of the responses. Although participants described positive experiences with specific case managers, their overall evaluation of case management was negative. Identified social services needs and the descriptions of their experiences with case management provides insight as to how case management services can be improved for this population.

Adult↗
PubMedDate not supplied

Impact of case management on hospital charges of PWAs in Georgia.

To determine the effects of case management in controlling hospital based costs for persons with AIDS (PWAs), a retrospective review of records of deceased PWAs was performed. The study compared diagnosis-to-death hospital charges for PWAs who received care under a care management model (n = 60) with PWAs receiving care within a non-case managed approach (n = 60). Hospital charges were adjusted for inflation. PWAs receiving care within the case managed model had significantly lower hospital-based changes than the non-case managed group. Additionally, PWAs in the case managed group lived significantly longer between HIV diagnosis and death, and lived longer between their first AIDS-related hospital admission and death.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Services for persons with AIDS. Nurse executives report.

The increasing number of persons with AIDS (PWAs) requiring healthcare services is a challenge to the organization and delivery of healthcare in the United States. The extent of these services is unclear. In this article, nurse executives report what services for PWAs presently exist or are planned. Management implications and strategies for developing AIDS care are addressed.

Acquired Immunodeficiency Syndrome↗
PubMedDate not supplied

Case management at what expense? A case study of the emotional costs of case management.

Case management, which has its historical roots in community and public health, seeks to coordinate care, decrease costs, and promote access to appropriate levels of service. The case management system in this case study underscores the potential negative outcomes that can result from ignoring the holistic approach represented by an implemented case management system as a cost control mechanism. These negative outcomes not only include those expenditures of resources usually included when describing costs of care, but include those emotional costs of the system, patient, and care managers. Several needed system changes are identified and recommendations provided.

Case Management↗