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按人头付费的长期护理中的病例管理。

Case management in capitated long-term care.

作者信息

Zawadski R T, Eng C

出版信息

Health Care Financ Rev. 1988 Dec;Spec No(Suppl):75-81.

Abstract

For a very impaired population needing multiple interrelated services, the case management approach used by On Lok Senior Health Services in San Francisco, California, produces a responsive, flexible service system. Case management in On Lok's consolidated model has three key characteristics: (1) a true multidisciplinary team of medical as well as nonmedical personnel who separately assess, then, as a group, plan with the client and/or the family the services to be given; (2) use of the same team to assess needs and deliver services; and (3) team access to a potentially unlimited array of services, with freedom to adapt or create needed services.

摘要

对于需要多种相互关联服务的极度弱势人群,加利福尼亚州旧金山的安老健康服务中心所采用的病例管理方法构建了一个反应迅速、灵活多变的服务体系。安老服务中心整合模式下的病例管理具有三个关键特征:(1)由医疗和非医疗人员组成真正的多学科团队,他们分别进行评估,然后作为一个团队与客户和/或家庭一起规划提供的服务;(2)使用同一团队评估需求并提供服务;(3)团队可获取一系列可能不受限的服务,并有自由调整或创建所需服务的权利。

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