The purpose of this study was to evaluate the clinical outcomes of a nurse care coordination program for people receiving services from a state-funded home and community-based waiver program called Missouri Care Options (MCO). A quasi-experimental design was used to compare 55 MCO clients who received nurse care coordination (NCC) and 30 clients who received MCO services but no NCC.

At 12 months, the NCC group scored significantly better statistically in the clinical outcomes of pain, dyspnea, and ADLs. No significant differences between groups were found in eight clinical outcome measures at 6 months. Therefore, use of NCC for acute and chronice home care warrants further evaluation as a treatment approach for chronically ill older adults.

Marek, K.D., Popejoy, L., Petroski, G., & Rantz, M.J. (2006). Nurse care coordination in community-based long-term care. Journal of Nursing Scholarship, 38(1), 80-86.

Journal of Nursing Scholarship

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