Kegel L M
Crit Care Nurse. 1996 Apr;16(2):97-104, 106-8, 110-2.
Case management is an innovative way to simultaneously modify healthcare delivery, uphold standards of care, and reduce healthcare costs. The case manager oversees the patient's condition, progress, and consumption of resources. Information is constantly analyzed and used to regulate treatment plans in accordance with the critical pathways. The goal of this regulation is to produce outcomes that serve the patient and the healthcare system. The complexity of individualized patient care can require an unlimited number of pathways if all variances are considered. If all variances are not considered, then the quality of care is hindered, rehospitalization occurs, and the goals of the critical pathways are not achieved. Therefore, effective use of case management and critical pathways involves flexible guidelines, maintains focus on outcomes, enhances efficiency, increases cost-effectiveness, and retains a high quality of patient care.
病例管理是一种创新方法，可同时改善医疗服务提供、维持护理标准并降低医疗成本。病例管理员负责监督患者的病情、进展及资源消耗情况。信息会持续得到分析，并用于根据关键路径调整治疗方案。这种调整的目的是产生有利于患者和医疗系统的结果。如果考虑到所有差异，个体化患者护理的复杂性可能需要无数条路径。若不考虑所有差异，那么护理质量就会受到影响，患者会再次住院，关键路径的目标也无法实现。因此，有效运用病例管理和关键路径需要灵活的指导方针，保持对结果的关注，提高效率，增强成本效益，并维持高质量的患者护理。
