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The work of case managers as experienced by older persons (75+) with multi-morbidity – a focused ethnography
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.ORCID iD: 0000-0003-2225-7598
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
Blekinge Institute of Technology, Faculty of Engineering, Department of Health.
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2015 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 15, 168Article in journal (Refereed) Published
Abstract [en]


Complex health systems make it difficult for older persons (75+) with multi-morbidity to achieve continuity of care. Case management could be one way to address this difficulty. Currently, there is a need to extend the knowledge regarding case management as experienced by those utilising the services, namely older persons (75+) with multi-morbidity. The study aimed to explore older persons’ (75+) with multi-morbidity experiences of case managers.


The study design was qualitative and used a focused ethnographic approach. Data was collected through individual interviews with 13 older persons and by participant observations with accompanying field notes, all conducted in 2012–2013.


The data revealed four themes illustrating the older persons’ experiences of case managers:

1) Someone providing me with a trusting relationship; 2) Someone assisting me; 3) Someone who is on my side; and 4) Someone I do not need at present.


This study illustrates the importance of establishing trusting relationships between older persons and their case managers in order to truly provide assistance. The older persons valued the case managers acting as informed but unbiased facilitators. The findings could be of help in the development of case management interventions better designed for older persons with multi-morbidity.

Place, publisher, year, edition, pages
2015. Vol. 15, 168
Keyword [en]
Aged, Case management, Comorbidity, Continuity of patient care, Delivery of health care, Ethnography, Intervention, Multi-morbidity, Qualitative research
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URN: urn:nbn:se:bth-11231DOI: 10.1186/s12877-015-0172-3ISI: 000366545100001OAI: diva2:885313
Available from: 2015-12-18 Created: 2015-12-18 Last updated: 2016-02-03Bibliographically approved

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Hjelm, MarkusHolst, GöranWillman, AniaBohman, Doris
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