Englert Robyn, Dell'Acqua Renee, Fitzmaurice Shannon, Yablonsky Abigail Marter
Naval Health Research Center, San Diego, CA, USA.
Leidos, San Diego, CA.
Glob Pediatr Health. 2019 Aug 28;6:2333794X19869784. doi: 10.1177/2333794X19869784. eCollection 2019.
Optimizing case management (CM) services increases service member readiness at home and abroad. However, little research has been conducted on the experiences of case managers providing services to military families within the Military Health System. Semistructured qualitative interviews were conducted to explore the professional experiences of case managers to identify factors that may affect care to military families. A total of 53 case managers from military medical treatment facilities (MTFs) varying in size, location, and branch of service were interviewed by telephone to explore their perspectives. Qualitative content analysis was performed. Case managers serve a variety of functions, but specific roles vary between MTFs. Factors that affect CM services for military families were identified: (1) need for pediatric specialization, (2) heavy workload, (3) appropriate staff, (4) patient handoffs, and (5) the role of CM. Recommendations for improving CM services to facilitate the well-being of military families are discussed.
优化病例管理(CM)服务可提高国内外军人的战备状态。然而,针对军事卫生系统中为军属提供服务的病例管理人员的经验,所开展的研究甚少。我们进行了半结构化定性访谈,以探究病例管理人员的专业经验,从而确定可能影响军属护理的因素。通过电话采访了来自不同规模、地点和军种的军事医疗设施(MTF)的53名病例管理人员,以了解他们的观点。进行了定性内容分析。病例管理人员履行多种职能,但不同MTF的具体职责有所不同。确定了影响军属CM服务的因素:(1)儿科专业化需求;(2)工作量大;(3)合适的工作人员;(4)患者交接;(5)CM的作用。文中讨论了改善CM服务以促进军属福祉的建议。