Keisia Sobers-Butler, MS, BS, BSBS, RN, CMCN, is employed as the Senior Director of Population Health for the Driscoll Health System in Corpus Christi, Texas. She has 18 years of service in Pediatric Case Management. Keisia is Certified Person-Centered Thinking Trainer and Certified Managed Care Registered Nurse. Her education includes a master's degree in Nursing Education, and bachelor's degrees in Nursing and Business Administration. She is currently completing her doctorate in Nursing Leadership at The University of Texas at Tyler. In addition, Keisia serves on the Advisory Board for the Texas Council on Consumer Direction and the Policy Council for Children and Families appointed by the Health and Human Services Commissioner of Texas. Keisia is a mother, wife, friend, advocate, educator, and change agent who is committed to ensuring a proactive experience with patients. Keisia believes her personal and professional experiences afford her the opportunity to advocate that patients receive "better plans, not better paper."
Prof Case Manag. 2021;26(5):250-254. doi: 10.1097/NCM.0000000000000474.
To review current literature on texting as a sustainable intervention of case management in the outpatient setting.
Texting, as a case management intervention, provides the medically complex client with a pathway to achieve care plan goals. Texting increases adherence, communication, and self-management. It can increase client enrollment in disease management programs, while providing support, flexibility, convenience, cost savings, and increased participation.
In current practice, such as management of the coronavirus (COVID-19), other pandemics, or natural/environmental disasters, texting is a solution-focused intervention that can deliver and retrieve real-time information to a medically complex population. It can link patients to resources and increase outreach, efficiency, quality, and coordination of care. Texting can promote adherence to appointments, increase medication compliance and disease management interventions, and provide motivational change messages. However, there are legal and regulatory concerns that carry potential consequences and implications that should be approached judiciously (Mellette, 2015). Texting is not one size fits all; it can cause HIPAA breeches, hinder communication with certain populations, confuse health messaging, and replace human communication, thereby reducing staffing in practice.
回顾当前关于短信作为门诊病例管理可持续干预措施的文献。
短信作为一种病例管理干预措施，为医疗复杂的客户提供了实现护理计划目标的途径。短信可以提高患者的遵医嘱程度、增强医患之间的沟通和自我管理能力。它可以增加患者对疾病管理项目的参与度，同时提供支持、灵活性、便利性、成本节约和更高的参与度。
在当前实践中，如管理冠状病毒（COVID-19）、其他大流行病或自然/环境灾害，短信是一种以解决方案为导向的干预措施，可以向医疗复杂的人群提供和检索实时信息。它可以将患者与资源联系起来，提高服务范围、效率、质量和护理协调。短信可以促进患者按时就诊，提高药物依从性和疾病管理干预措施，并提供动机改变信息。然而，短信也存在法律和监管方面的问题，这些问题可能会带来潜在的后果和影响，因此应该谨慎处理（Mellette，2015）。短信并不是一刀切的解决方案；它可能会导致 HIPAA 违规，阻碍与某些人群的沟通，混淆健康信息传递，并替代人际沟通，从而减少实践中的人员配备。
