The authors conducted a realistic synthesis to determine how and under what circumstances case management in primary care works to improve outcomes for frequent users with chronic conditions. The results of their study suggest that the development of a trusting relationship between the case manager and the patient fosters the commitment of both individuals and leads to positive outcomes when the following mechanisms are triggered: patients and clinicians feel supported, respected, accepted, engaged, and committed; and patients feel less anxious, safer, and able to manage themselves. Read the article here.