Kurtin S E
University Medical Center, Tucson, AZ 85724, USA.
Semin Nurse Manag. 1995 Jun;3(2):100-6.
Managing care effectively requires a coalition of services that are sensitive to individual needs, promote effective resource use, support physician practice, and ensure coordination of services across the continuum. Several clinical tools exist to establish structures, systems, and processes that integrate management of expected and unexpected patient and family needs across the life span and throughout the health care continuum. System evaluation; unrelenting communication; continuous improvement; case management; empowerment; standards-based clinical practice; and satisfaction of the patient, family, and care provider are some of the tools available to develop systems that effectively manage health and illness. This article provides some examples of several of these "tools," the process of development and implementation, and evaluation strategies.
有效管理护理需要一系列对个体需求敏感、促进资源有效利用、支持医生执业并确保整个连续过程中服务协调的服务联盟。有几种临床工具可用于建立结构、系统和流程,以整合对患者和家庭在整个生命周期以及整个医疗保健连续过程中预期和意外需求的管理。系统评估、持续沟通、持续改进、病例管理、赋权、基于标准的临床实践以及患者、家庭和护理提供者的满意度是开发有效管理健康和疾病系统的一些可用工具。本文提供了其中几种“工具”的一些示例、开发和实施过程以及评估策略。