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Table 3 Scores on Statements about Organizational and Operational Preconditions

From: Delphi-research exploring essential components and preconditions for case management in people with dementia

Statements with consensus, rated as essential

N

M1

SD

M2

Dementia case managers may be expected to provide active input in their cooperation with the chain partners.

28

6.54

0.59

7

No proper case management can be delivered without care diagnostics, i.e. assessment of problems, limitations, handicaps, and wishes of the patient and their system.

28

6.54

0.64

7

No proper case management can be delivered without keeping a care file.

28

6.43

0.69

7

No proper case management can be delivered without firm agreements with the chain partners about coordination, exchange of information and caregiving responsibilities.

28

6.36

0.91

7

A dementia case manager is responsible for setting up, maintaining and concluding a manageable care relationship with each patient and their system.

27

6.04

1.13

6/7

A higher professional qualification (HBO) is the minimum level of education required for a dementia case manager to be able to perform her duties properly.

28

5.96

1.26

7

A dementia case manager must work in such a transparent manner as to facilitate her immediate replacement in case of absence due to a period of leave or illness.

28

5.89

1.32

6

A dementia case manager must make house calls.

28

5.82

1.09

6

A dementia case manager must make use of protocol- and evidence-based interventions where possible.

28

5.64

1.52

6

 

29

5.66

1.26

6

The use of standardised measuring instruments for diagnostic purposes and for monitoring patients is essential to the delivery of quality case management.

28

5.57

1.03

6

A good dementia case manager must discuss her own job performance and the existing care relationship with each patient and her system at least once a year.

27

5.56

1.45

6

The use of standardised measuring instruments for diagnostic purposes and for monitoring the informal carers is essential to the delivery of quality case management.

27

5.52

1.28

6

High-quality case management for people with dementia cannot be achieved if case management is not implemented methodically.

26

5.50

1.27

6

A dementia case manager must always be reachable by telephone during office hours to answer questions and/or respond to emergencies.

28

5.50

1.29

6

Statements with consensus, rated as non-essential

N

M1

SD

M2

Dementia case managers can only perform their duties properly if they keep up with relevant professional literature.

27

5.37

1.31

6

A good dementia case manager should perform and discuss yearly multi-disciplinary care evaluations with the patient and their system.

27

5.52

1.58

6

 

28

5.36

1.47

6

A dementia case manager must attend a minimum of six peer consultation meetings per annum in order to assure the quality of the case management delivered.

28

5.07

1.56

6

 

29

4.52

1.46

5/6

Statements without consensus

N

M1

SD

M2

A dementia case manager must prepare a personal care plan for the patient and their system within two months.

28

5.29

1.72

6

 

26

4.73

1.76

6

Good case management requires a 24/7 on-call service for emergency situations.

26

5.00

1.63

6

 

29

4.55

2.03

6

Dementia case managers cannot properly perform their duties without a nursing education.

26

4.65

1.65

6

 

29

4.03

1.88

3

An ideal case load for dementia case managers involves 12 to 15 patients per 8 hours of work.

24

4.46

1.62

6

 

28

3.96

1.50

4

A case manager should have structural contacts with patients and their systems at least once every six weeks, even if there is no demand for care.

28

4.64

1.73

6

 

28

3.75

1.80

6

  1. (M1 = Mean, 1 Totally disagree, 2 Disagree, 3 Disagree slightly, 4 Neutral, 5 Agree slightly, 6 Agree, 7 Totally agree, SD = Standard Deviation, M2 = Modus)