Effectiveness of a case management model for thecomprehensive provision of health services tomulti‐pathological people

Abstract

Aim:To determine the effectiveness of a case management model for approachingmulti‐pathological people in a health promoting entity of the contributory healthcarescheme in Bogotá, Colombia between 2018‐2019.Design:Mixed methods research.Method:The study contemplates two components: a quantitative component using aquasi‐experimental analytical design before and after longitudinal intervention todetermine the effectiveness of the case management model and a qualitative descrip-tive design to understand the experience of the participants about the model.The Administrative Department of Science, Technology and Innovation of Colombia(Colciencias) funded this project by means of call 777—November 2017, under thefinancing agreement No. 848—December 2017.Discussion:Addressing problems deriving from the structure of the Colombianhealthcare system is crucial for implementing case management models. Further-more, the effectiveness of such models may be affected by power relations andmarket failures, but the proved potential of a model may represent a generalizedbenefit for the Colombian health system.Impact:In Colombia, considering complications and management of chronic non‐communicable diseases as isolated cases is considered as the highest cost events inhealthcare provision, since an average of 12.8 million pesos is invested in eachpatient. This has led to rethink the management in these patients by means of acomprehensive model that guarantees the effectiveness of healthcare delivery, inthe framework of a healthcare system heavily affected by payment capacity, wherethe market has a strong predominance, such as the case of Colombia.