Gaertner Beate, Herzog Anna, Holzhausen Martin, Schmidt Stefan
Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Str. 62-66, 12101, Berlin, Deutschland,
Z Gerontol Geriatr. 2015 Aug;48(6):529-38. doi: 10.1007/s00391-014-0839-y. Epub 2015 Jan 14.
The aim of this systematic review was to provide an overview on the current state of published research on case management (CM) according to the definition of the German Association of Care and Case Management (DGCC) for individuals 65 years and older in Germany.
A systematic literature search was carried out for CM studies according to the DGCC in Germany since 2000 including individuals aged 65 years and older.
Of the 249 abstracts retrieved a total of 14 evaluation and intervention studies of 10 different projects fulfilled the inclusion criteria. According to the results of the five evaluation studies, CM was feasible and barriers to implementation as well as satisfaction and positive effects of CM were described. The quality and outcome criteria of the intervention studies were heterogeneous. The results of the intervention studies can be interpreted as CM having positive effects on, for example hospital admissions and mortality.
Only few and qualitatively heterogeneous studies are currently available on the intervention effects of CM in Germany among this age group. So far robust scientific evidence of this method in Germany seems to be lacking.
本系统评价旨在根据德国护理与个案管理协会（DGCC）的定义，概述德国65岁及以上老年人个案管理（CM）的已发表研究现状。
自2000年以来，针对德国符合DGCC标准的CM研究进行了系统的文献检索，纳入年龄在65岁及以上的个体。
在检索到的249篇摘要中，共有来自10个不同项目的14项评估和干预研究符合纳入标准。根据5项评估研究的结果，描述了CM的可行性、实施障碍以及CM的满意度和积极效果。干预研究的质量和结果标准各不相同。干预研究的结果可以解释为CM对例如住院和死亡率有积极影响。
目前在德国该年龄组中，关于CM干预效果的研究很少，而且质量参差不齐。到目前为止，德国似乎缺乏这种方法的有力科学证据。
