Holloway F, McLean E K, Robertson J A
Camberwell Health Authority, St Giles Hospital, London.
Br J Psychiatry. 1991 Jul;159:142-8. doi: 10.1192/bjp.159.1.142.
"This paper discusses the advantages and disadvantages of case management systems for the co-ordination of care of people with long-term mental illness living in the community. Many of the principles are equally applicable to other client groups with long-term needs, e.g. elderly people or people with learning difficulties. Some of the historical background to the emergence of case management concepts is discussed, culminating in the recent White Paper on Community Care. The underlying concept of case management is examined, together with a number of fundamental questions concerning who should act as case managers, what kinds of training they will require, problems of inter- and intra-agency co-operation, and the empirical evidence regarding its effectiveness. It is concluded that case management could be an important element in a comprehensive range of mental health services, but it is not a substitute for basic community provisions."
本文探讨了病例管理系统在协调社区中患有长期精神疾病患者护理方面的优缺点。许多原则同样适用于其他有长期需求的客户群体，如老年人或有学习困难的人。文中讨论了病例管理概念出现的一些历史背景，最终以最近的社区护理白皮书为终点。研究了病例管理的基本概念，以及一些基本问题，包括谁应担任病例管理人员、他们需要何种培训、机构间和机构内合作的问题，以及关于其有效性的实证证据。结论是，病例管理可能是一系列全面心理健康服务中的一个重要元素，但它不能替代基本的社区服务。
