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病例管理中的私营部门举措。

Private sector initiatives in case management.

作者信息

Henderson M G, Souder B A, Bergman A, Collard A F

出版信息

Health Care Financ Rev. 1988 Dec;Spec No(Suppl):89-95.

PMID:10312978
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4195124/
Abstract

Case management for high-cost patients is offered by virtually all private insurers and many health management firms. Despite the proliferation of the service, little is known about the process of case management, how it varies among vendors, what its impact is on short- and long-run patient costs, and what its effects are on quality. In this article, the authors present the results of a survey of insurance-based programs that reveal some process variations that could lead to differences in program effectiveness and cost.

摘要

几乎所有的私人保险公司和许多健康管理公司都为高成本患者提供病例管理服务。尽管这项服务已广泛普及，但对于病例管理的流程、不同供应商之间的差异、其对患者短期和长期成本的影响以及对医疗质量的影响，我们却知之甚少。在本文中，作者展示了一项针对基于保险的项目的调查结果，这些结果揭示了一些流程差异，而这些差异可能会导致项目效果和成本的不同。

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本文引用的文献

1
Private-sector medical case management for high-cost illness.针对高额费用疾病的私营部门医疗病例管理。
Adv Health Econ Health Serv Res. 1988;9:213-45.
2
Community care demonstrations: what have we learned?社区护理示范：我们学到了什么？
Health Care Financ Rev. 1987 Summer;8(4):87-100.
3
Changes in distribution of Medicare expenditures among aged enrollees, 1969-82.1969 - 1982年老年参保者中医疗保险支出分布的变化。
Health Care Financ Rev. 1986 Spring;7(3):53-63.
4
Six months of Medicaid data: a summary from the National Medical Care Utilization and Expenditure Survey.六个月的医疗补助数据：来自国家医疗保健利用与支出调查的总结。
Health Care Financ Rev. 1983 Mar;4(3):115-21.
5
An intervention strategy for controlling costly care.一种控制高成本医疗的干预策略。
Bus Health. 1984 Jul-Aug;1(8):17-21.
6
High-cost users of medical care.高医疗成本使用者。
N Engl J Med. 1980 May 1;302(18):996-1002. doi: 10.1056/NEJM198005013021804.

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