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. 2006 Jul 19;2006(3):CD004348. doi: 10.1002/14651858.CD004348.pub2

Messeri 2002.

Methods Prospective cohort
Participants 577 subjects 
 61% Male 
 39% Female 
 16% White 
 52% Black 
 31% Hispanic 
 Age range 20+
Interventions CASE MANAGEMENT 
 a) Medical 
 b) Counselling 
 c) Social Services
Outcomes HEALTHCARE UTILIZATION: 
 1) Entry into appropriate medical care: 
 a) Medical: OR=0.9 (ns) 
 b) Counselling: OR=2.0 (ns) 
 c) Social Services OR = 3.3 (p<.05) 
 2) Continuity in appropriate medical care 
 a) Medical: OR= 2.3 (p<.01) 
 b) Counselling: 
 OR=2.6 (p<.01) 
 c) Social Services: OR=2.9 
 (p<.01) 
 3) Entry into care with any medical provider 
 a) Medical OR=3.1 (ns) 
 b) Counselling 
 OR=3.5 (ns) 
 c) Social Services OR=9.4 
 (p<.05) 
 4) Continuity with any medical provider 
 a) Medical OR=2.3 (p<.01) 
 b) Counselling OR=2.6 (p<.01) 
 c) Social Services OR=2.9 
 (p<.01)
Notes Receipt of ancillary services is significantly associated with increased entry and retention in medical care.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Unclear risk D ‐ Not used