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人群健康管理:走向成熟。

Population Health Management: Coming of Age.

作者信息

Zander Karen

机构信息

Karen Zander, MS, RN, CMAC, FAAN, is President and CEO of The Center for Case Management. Her pioneering work with clinical case management and CareMap systems, begun at New England Medical Center Hospitals (Now Tufts Medical Center) in Boston more than 30 years ago, is internationally recognized. Hospitals and Health Networks named her a "Cutting Edge" leader. She is the author of many articles about case management and editor of The New Definition newsletter. Ms Zander has also written several case management texts: (1) Competency Evaluation Tools for Case Management Professionals, (2) Emergency Department Case Management: The Compendium of Best Practices second edition with K. Walsh, and Hospital Case Management Models: Evidence Connecting the Bedside to the Boardroom and a second edition: Case Management Models: Best Practices for Health Systems and ACOs, also from HCPro. Ms Zander holds a BSN from Illinois Wesleyan University, an MS in Psychiatric-Mental Health Nursing from Boston University, postgraduate credits from Massachusetts Institute of Technology, and a Doctorate in Humane Letters (DHL), honoris causa, from Illinois, Wesleyan University. She has been on the Partners Care at Home Patient/Family Advisory Board for 3 years, and has been a cellist in the New Philharmonia Orchestra for over 25 years.

出版信息

Prof Case Manag. 2019 Jan/Feb;24(1):26-38. doi: 10.1097/NCM.0000000000000265.

DOI:10.1097/NCM.0000000000000265
PMID:30489472
Abstract

PURPOSE

Population health is finally catching up with itself. Before it was known as disease management, it began at New England Medical Center in Boston, MA (now Tufts Medical Center), more than 30 years ago.

IMPLICATIONS FOR CASE MANAGEMENT PRACTICE

Take-away ideas: (1) population health management is about segmenting and targeting specific patient populations for interventions that are evidence based; (2) there are currently many examples of population health management; (3) population health management will not work without social workers and nurse navigators/care coordinators working side by side.

PRIMARY PRACTICE SETTING

All health care settings.

摘要

目的

人群健康终于开始自我完善。30多年前,在马萨诸塞州波士顿的新英格兰医疗中心(现为塔夫茨医疗中心),它就已起步,当时还不叫疾病管理。

对病例管理实践的启示

要点如下:(1)人群健康管理是针对特定患者群体进行细分并实施循证干预措施;(2)目前有许多人群健康管理的实例;(3)没有社会工作者和护士导航员/护理协调员并肩协作,人群健康管理就无法发挥作用。

主要实践场所

所有医疗保健场所。

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