Case study: Conducting a major Study on the Impact of Case Management Services on Primary Medical Care for HIV/AIDS Clients
Edward Stephenson
Edward Stephenson

A major medical academic university in South Florida


The medical school received a Ryan White Grant to determine to what extent case management services funded by Ryan White Title I in the county facilitate client access, retention, and adherence to primary medical care.

We were engaged to manage the planning and daily operations of the study with input from key faculty members from the medical school.

The study investigated the impact that case management services have on enhancing the clients’ ability to access primary medical care services and remain in treatment (Retention). The study also evaluated how case management services encouraged clients to Adhere to their treatment regimen.



The study was implemented over five phases.

Phase I: Involved –

  • Abstracting data from 500 randomly selected client case management charts
  • Interviewing 22 client case managers and 60 clients from different agencies
  • Three evaluation tools were designed, developed and tested

Phase II: Focused on the design and development of the database into which data collected was inputted. The data analysis systems were developed and employed.

Phase III: Involved the analysis of the data abstracted from the interviews and charts. The coded data was exported into SPSS software and frequencies were run and cross tabulations were performed with regard to individual agencies and key demographic factors.

Phase IV: Involved in-depth analysis and interpretation of the data. Tests of statistical significance were applied to key questions and all results were examined as to their contribution to the study questions.

Phase V: Required a written report of the results, conclusions and recommendations to be submitted to the Regional County Planning Agency.



A Power-Point presentation of the study findings and recommendations was done before the full-body of the members of the Regional Planning Council.