Hosp Case Manag. 1999 Jan;7(1):1-3.
If your hospital hasn't already collapsed social work, utilization review, discharge planning, and other disciplines into case management, it's probably just a matter of time before it does, experts say. And whether or not the integration effort succeeds depends largely on the real motivation behind it. Simply mashing case management and utilization review together in an effort to cut costs--and corners--is likely to result in tension among all disciplines involved and may not be in the best interests of patients. At University Hospital in Denver, the case management team has partnered with the Office of Clinical Practice to form a unit that preserves the integrity of both case managers and quality managers while giving each group a better perspective on how their roles interrelate.
专家表示，如果你的医院尚未将社会工作、利用审查、出院计划及其他学科整合为病例管理，那么这很可能只是时间问题。而整合工作能否成功很大程度上取决于其背后的真正动机。仅仅为了削减成本而将病例管理和利用审查简单拼凑在一起——甚至偷工减料——很可能会导致所有相关学科之间关系紧张，而且可能不符合患者的最大利益。在丹佛大学医院，病例管理团队已与临床实践办公室合作组建了一个单位，该单位在保持病例管理人员和质量管理人员各自完整性的同时，让每个团队能更好地了解他们的角色是如何相互关联的。
