Impact of a collaborative community case management program on a low-income uninsured population in Sedgwick County, KS

Appl Nurs Res. 2007 Nov;20(4):188-94. doi: 10.1016/j.apnr.2006.08.009.


This cross-sectional study assessed the impact of a collaborative nursing/social worker case management (CM) intervention on emergency department (ED) use, health status, and health locus of control (HLOC) in a low-income uninsured population. Using a pre-post intervention design, key outcomes were assessed using paired t test. A statistically significant (48%) reduction in total ED visits resulted in an estimated charge avoidance of US$1,446,280. Physical health status improved significantly; however, mental health status and HLOC scores showed minimal change. This CM model may assist vulnerable groups in gaining access to care and improved health.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Case Management*
  • Cross-Sectional Studies
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Health Services Accessibility
  • Humans
  • Kansas
  • Male
  • Medically Uninsured*
  • Poverty*