Applebaum R, Mayberry P
Department of Sociology, Scripps Gerontology Center, Miami University, Oxford, OH 45056, USA.
Gerontologist. 1996 Oct;36(5):701-5. doi: 10.1093/geront/36.5.701.
Case management has increased substantially and is now an integral component of the home care system in the United States. Although case management has been implemented in home care programs since the 1970s, the core components of the intervention have remained unchanged. Standardization of practice can be important; however, it is also necessary for care paradigms to be modified as the health and long-term care systems change. This article presents alternative approaches to delivering case management now being tested in two home care programs funded through community property tax levies.
病例管理已大幅增加，如今在美国居家护理系统中已成为不可或缺的组成部分。尽管自20世纪70年代以来病例管理就已在居家护理项目中实施，但其干预的核心组成部分一直未变。实践的标准化可能很重要；然而，随着医疗和长期护理系统的变化，护理模式也有必要进行调整。本文介绍了在两个通过社区财产税征收获得资金的居家护理项目中正在测试的病例管理实施的替代方法。
