Macko P, Dunn S, Blech M, Ashby F, Schwab T
J Case Manag. 1995 Fall;4(3):102-6.
Four social health maintenance organizations (social HMOs) implemented care coordination programs in 1985 to integrate acute and long-term care for aged Medicare beneficiaries. The team approach to care coordination has been the key concept of the model at all four sites. Team members include the primary care physician, the care coordinator, inpatient and medical office staff, geriatric nurse practitioners, home care nurses and social workers, contracted community-based care staff, and, at three of the sites, volunteers. This article describes how care coordinators work with the health care teams in the social HMOs.
1985年，四家社会健康维护组织（社会健康维护组织）实施了护理协调项目，以整合针对老年医疗保险受益人的急性和长期护理。团队护理协调方法一直是所有四个站点模式的关键理念。团队成员包括初级保健医生、护理协调员、住院和医疗办公室工作人员、老年护理从业者、家庭护理护士和社会工作者、签约的社区护理人员，以及在其中三个站点的志愿者。本文描述了护理协调员如何在社会健康维护组织中与医疗团队合作。
