Capitman J
Health Care Financ Rev. 1988 Dec;Spec No(Suppl):53-5.
Case management has developed as an administrative service for controlling costs and improving the quality of health and social service delivery. Long-term care case management combined with service expansion has been examined in some detail with varied results. Less research has focused on case management for users of high-cost medical care. This overview highlights five programs and patient groups where integrated delivery and/or financing of medical and long-term care services are being demonstrated and where new roles for case management may be indicated.
病例管理已发展成为一种行政服务,用于控制成本并提高医疗和社会服务提供的质量。长期护理病例管理与服务扩展相结合的情况已得到较为详细的研究,结果各异。较少有研究关注高成本医疗使用者的病例管理。本概述重点介绍了五个项目和患者群体,在这些项目和群体中,医疗和长期护理服务的综合提供和/或融资正在得到体现,病例管理的新角色也可能有所显现。