Auckland Samantha
NHS Leeds Community Healthcare.
Br J Community Nurs. 2012 Oct;17(10):493-7. doi: 10.12968/bjcn.2012.17.10.493.
In early 2005, the Department of Health published its strategy for addressing the health and social care needs of people with long-term conditions (2005a; b). Community matrons were recruited to deliver this strategy. Since this time, there has been some debate around the optimum caseload number for community matrons to function effectively (Abell et al, 2010). One study by Sargent et al (2008) concluded that community matrons were struggling to achieve and maintain 50 patients on their caseload, due to nine areas that impact on caseload manageability. This literature review concluded there is a wide variation regarding the optimum caseload number ranging from 14 patients in intensive case management to 80-100 families per full-time health visitor. A number of authors do not specify caseload numbers due to the complexity of the task. However, what clearly emerges is that the factors that impact on case management appear to correlate with the issues identified by Sargent et al (2008).
2005年初，卫生部公布了应对慢性病患者健康和社会护理需求的战略（2005a；b）。社区护士长受聘来实施这一战略。自那时以来，围绕社区护士长有效履行职责的最佳工作量人数一直存在一些争论（阿贝尔等人，2010年）。萨金特等人（2008年）的一项研究得出结论，由于有九个影响工作量可管理性的领域，社区护士长难以实现并维持其工作量中的50名患者。这篇文献综述得出结论，最佳工作量人数差异很大，从强化病例管理中的14名患者到每名全职健康访视员负责80 - 100个家庭不等。由于任务的复杂性，一些作者没有具体说明工作量人数。然而，显而易见的是，影响病例管理的因素似乎与萨金特等人（2008年）所确定的问题相关。
