Collier P, Early A
J Case Manag. 1995 Summer;4(2):66-70.
Providing high-quality, comprehensive care for elderly Americans is becoming increasingly challenging because of the aging of society, the shortage of primary care physicians, and rising health care costs. These trends are encouraging health care delivery systems to adopt alternative models of patient care. This article reports on one such model, the complementary practice model, which incorporates a team approach to geriatric case management. The complementary practice model targets the frail elderly who are near the end of life, or are at highest risk for either hospitalization or cognitive decline. It includes a diverse, multidisciplinary team to provide patient care by involving the patient, family, physician, nurse practitioner, social worker, and registered nurse as core team members. This team approach assesses and identifies patients' problems, utilizes the expertise of multiple health care disciplines, and encourages patients and families to be active participants in developing and implementing the case management plan.
由于社会老龄化、初级保健医生短缺和医疗保健成本上升，为美国老年人提供高质量、全面的护理正变得越来越具有挑战性。这些趋势促使医疗保健提供系统采用替代的患者护理模式。本文报道了一种这样的模式，即互补实践模式，该模式采用团队方法进行老年病例管理。互补实践模式针对的是接近生命末期、住院或认知能力下降风险最高的体弱老年人。它包括一个多元化的多学科团队，通过让患者、家属、医生、执业护士、社会工作者和注册护士作为核心团队成员来提供患者护理。这种团队方法评估和识别患者的问题，利用多个医疗保健学科的专业知识，并鼓励患者和家属积极参与制定和实施病例管理计划。
