Dougherty C M, Spertus J A, Dewhurst T A, Nichol W P
University of Washington School of Nursing, Seattle, Washington 98195, USA.
Nurs Clin North Am. 2000 Dec;35(4):993-1003.
Case management has been an effective treatment model for maintaining costs while preserving quality of care for vulnerable populations who are frequent care users. Nursing case management has been effective in improving health outcomes in chronically ill populations. Specifically, nurse practitioner care has been as effective, and in some areas, more effective in managing chronic health problems of patients than care provided by physicians. Cardiovascular disease is a chronic condition, often accompanied by long-term symptoms and disability, that is prevalent in the United States population. Outpatient nursing case management for chronic health problems associated with cardiovascular disease is posited as a model for a heavily used system that maintains quality of care in this group.
病例管理一直是一种有效的治疗模式，既能控制成本，又能为频繁就医的弱势群体维持护理质量。护理病例管理在改善慢性病患者的健康结局方面很有效。具体而言，执业护士的护理在管理患者的慢性健康问题方面与医生提供的护理同样有效，在某些领域甚至更有效。心血管疾病是一种慢性病，常伴有长期症状和残疾，在美国人群中很普遍。针对与心血管疾病相关的慢性健康问题的门诊护理病例管理被视为一种在该群体中维持护理质量的高使用量系统的模式。
