案例护理管理再论.pdfVIP

Revisit on Case Management in Nursing 案例护理管理再论 Dr Alice TSO, 2013 What are the care models nurses have used in the past decades? 过去几十年使用过护理模式是什么？ • Task Nursing • Team Nursing • Primary Nursing • Case Management in Nursing….. • 任务护理 • 团队护理 • 初级护理 • 案例管理护理 Historical Background of Case Management 案例护理管理的历史背景 • Since the late 1980, Nursing Case Management has been found in professional literatures. • As Managed Care and a Capitated Reimbursement System become the norm for health care delivery in USA, case management flourishes as a definitive strategy for providing cost-effective and quality care.管理式医疗和人头报销制度 • For a Capitated Payment System, providers receiving fixed amounts of moneys per person regardless of the resources that person actually uses. Therefore the financial risks rest with the providers. It requires some systems of controlling, managing and evaluating all facets of patient care • Case Management has the potential to improve care processes and health outcome and thereby reduces cost • Achieving defined outcomes with restricted resources require a system designed to move patients through a process of care coordinated by a professional which is what the Case Management is all about. • ANA’s view of Case Management 1992 is that it shows great promise as a means of improving care outcome esp for patients with multiple health care needs due to complex or chronic conditions. Why Nursing Roles support Case Management 为什么护士角色支持案例管理？ • Case Management offers the professional nurse the daily opportunity to assess, diagnose, treat and evaluate care while teaching, advocating for, and supporting patients and their significant others and helping them to achieve the maximum health outcomes obtainable • These nurses know first hand the need for managing care across a continuum; the value of collaborating with other professionals and orga