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理解专业个案管理员日益增长的作用和价值:来自个案管理员认证委员会的一项全国性研究:第1部分。

Understanding the Increasing Role and Value of the Professional Case Manager: A National Study From the Commission for Case Manager Certification: Part 1.

作者信息

Tahan Hussein M, Kurland MaryBeth, Baker Michelle

机构信息

Hussein M. Tahan, PhD, RN, FAAN, is a case management consultant, expert, author, and researcher. Dr. Tahan has nearly 30 years of experience in hospital management and operations and professional case management practice; is a member of the editorial advisory board of Professional Case Management; is an author of multiple textbooks, including the CMSA's Core Curriculum for Case Management and Case Management: A Practical Guide for Education and Practice; is the chief knowledge editor of the Case Management Body of Knowledge online portal sponsored by the Commission for Case Manager Certification; and the recipient of CMSA's 2016 Lifetime Achievement Award for his contributions to the field of case management.

MaryBeth Kurland, CAE, is CEO of the Commission for Case Manager Certification, the first and largest nationally accredited organization that certifies more than 46,000 professional case managers and 2,600 disability management specialists. The commission is a nonprofit, volunteer organization that oversees the process of Case Manager Certification with its CCM credential and the process of disability management specialist certification with its CDMS credential.

出版信息

Prof Case Manag. 2020 May/Jun;25(3):133-165. doi: 10.1097/NCM.0000000000000429.

Abstract

PURPOSE

The purpose of the national role and function study was to identify the essential activities and necessary knowledge areas for effective professional case management practice from the perspective of those currently functioning in such roles in various care settings and across diverse professional disciplines.

PRIMARY PRACTICE SETTINGS

The national study covered the diverse case management practices and/or work settings across the full continuum of health and human services.

METHODOLOGY AND SAMPLE

This cross-sectional descriptive study used the practice analysis method and online survey research design. It employed a purposive sample of case managers, in which an open participation link was e-mailed to nearly 60,000 case managers, both certified and not yet certified. A total of 5,416 responses were received, of which 2,810 were found to be acceptable for consideration in the study. A representative group of individuals engaged in case management completed the survey in sufficient numbers to meet the requirements for conducting meaningful statistical analyses including subgroup comparisons.

RESULTS

The study identified the common activities (6 domains) and knowledge areas (5 domains) necessary for competent and effective performance by professional case managers, as highlighted in this article, which is the first of a 2-part series on the 2019 role and function study. The results informed the needed update of the test specifications for the Certified Case Manager (CCM) certification examination, as will be delineated in Part II of this article series. The update was necessary because case management practice has continued to evolve and to ensure the examination reflects current practices.

IMPLICATIONS FOR CASE MANAGEMENT PRACTICE

The study identified essential activities and knowledge topics at both the micro- and macro levels that define competent and effective professional case management practice, also referred to as the substantive evidence of practice. It helps keep the CCM credentialing examination evidence-based and maintain its validity for evaluating the competency of professional case managers. In addition, the findings document how the practice has evolved over the past 5 years since the conduct of the last national study. Moreover, findings inform the development of programs and curricula for the training and advancement of case managers. The study instrument also is beneficial for further research into professional case management practice-most importantly linking the roles and functions of case managers to client care outcomes.

摘要

目的

国家角色与职能研究的目的是,从目前在各种护理环境中担任此类角色且跨越不同专业学科的人员的角度,确定有效开展专业病例管理实践所需的基本活动和必要知识领域。

主要实践环境

国家研究涵盖了健康与人类服务全连续过程中的各种病例管理实践和/或工作环境。

方法与样本

这项横断面描述性研究采用了实践分析方法和在线调查研究设计。它采用了有目的抽样的病例管理人员样本,通过电子邮件向近60000名已获得认证和尚未获得认证的病例管理人员发送了开放参与链接。共收到5416份回复,其中2810份被认为可用于该研究的考量。一组从事病例管理的具有代表性的人员完成了足够数量的调查,以满足进行有意义的统计分析(包括亚组比较)的要求。

结果

该研究确定了专业病例管理人员胜任且有效地履行职责所需的常见活动(6个领域)和知识领域(5个领域),如本文所强调的,本文是关于2019年角色与职能研究的两部分系列文章中的第一篇。研究结果为认证病例管理人员(CCM)认证考试的考试规范更新提供了依据,这将在本系列文章的第二部分中详细说明。之所以需要更新,是因为病例管理实践在不断发展,以确保考试反映当前的实践情况。

对病例管理实践的启示

该研究确定了微观和宏观层面的基本活动和知识主题,这些主题定义了胜任且有效的专业病例管理实践,也被称为实践的实质性证据。它有助于使CCM认证考试基于证据,并保持其在评估专业病例管理人员能力方面的有效性。此外,研究结果记录了自上次国家研究开展以来的过去5年中该实践是如何演变的。此外,研究结果为病例管理人员培训和职业发展项目及课程的开发提供了参考。该研究工具对于进一步研究专业病例管理实践也很有帮助——最重要的是将病例管理人员的角色和职能与客户护理结果联系起来。

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