Applebaum R A, McGinnis R
J Case Manag. 1992 Spring;1(1):9-13.
Case managed community-based long-term care has now become an established component of the service delivery system in the United States. As case management has developed, it has gone through an evolutionary process. In the initial phase of case management, considerable attention was placed on gaining access to resources by the case manager. This article addresses issues of assuring the quality of case-managed care. It focuses on the current concerns and potential problems associated with evaluating the effectiveness of services arranged by case managers, and describes a model, developed in Ohio, to ensure the quality of care. In addition, it discusses the continued challenges for and costs of quality assurance and notes the difficulty of obtaining empirical data in the effort to assure quality.
病例管理的社区长期护理现已成为美国服务提供系统的既定组成部分。随着病例管理的发展，它经历了一个演变过程。在病例管理的初始阶段，病例管理者相当关注获取资源。本文探讨了确保病例管理护理质量的问题。它关注与评估病例管理者安排的服务有效性相关的当前关注点和潜在问题，并描述了在俄亥俄州开发的一个确保护理质量的模型。此外，它讨论了质量保证的持续挑战和成本，并指出在确保质量的努力中获取实证数据的困难。
