Effectiveness of a rehabilitation professional's advice and suggestions on a care manager's self-assessment scores of their care management.
Yoshio Suzuki, Reiko Ishiyama
PMID 37529057WHAT IT FOUND
Care managers who had received advice from rehabilitation professionals rated their own care management skills higher than those who had not.
The association was strongest for joint home visits and weakest for community care conferences. Self-assessment does not prove patient outcomes improved.
Key findings
01Care managers with experience receiving advice from rehabilitation professionals scored significantly higher on the total Self-Assessment Scale of Care Management Process than those without such experience.
02Support received during joint visits to a user's home was associated with higher self-assessment scores than support received at community care conferences.
03There was no significant difference in self-assessment scores based on whether the advice came from a physical therapist, occupational therapist, or speech-language pathologist.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The study is cross-sectional and relies on self-assessment, not objective measures of care quality or patient outcomes. We do not know if the advice actually improved patient care, only that care managers felt more competent. The response rate was very low (11.3%), and the participants were significantly more experienced and more likely to be chief care managers than the national average, limiting generalizability. The study compared care managers who had ever received advice to those who had not. It did not measure the quality or content of the advice, nor did it control for the care managers' baseline skill levels. It is possible that more skilled care managers seek out more advice, or that those who receive advice are in more complex cases. The SASCMP-SIU scale is not a widely used or validated measure outside of the authors' previous work. The study did not assess the impact of the advice on the patients themselves, only on the care managers' self-perception.
Declared interests
The authors declare no conflicts of interest.
The easy way to misread this
Do not interpret higher self-assessment scores as evidence that patient outcomes improved. This study only shows that care managers who received advice felt more competent in their role; it did not measure actual care quality or patient benefit.