Tahan H A
Cardiac Care Center, Mount Sinai Medical Center, New York, New York, USA.
Nurs Case Manag. 1996 Jul-Aug;1(3):112-21.
The use of case management plans has contained cost and improved quality of care successfully. However, the process of developing these plans remains a great challenge for healthcare executives. In this article, the author presents the answer to this challenge by discussing a 10-step format process that administrators of patient care services and case managers can adapt to their institutions. It also can be used by interdisciplinary team members as a practical guide to develop a specific case management plan. This process is applicable to any care setting (acute, ambulatory, long term, and home care), diagnosis, or procedure. It is particularly important for those organizations that currently do not have a deliberate and systematic process to develop case management plans and are struggling with how to improve the efficiency and productivity of interdisciplinary teams charged with developing case management plans.
使用病例管理计划已成功控制了成本并提高了护理质量。然而，制定这些计划的过程对医疗保健管理人员来说仍然是一个巨大的挑战。在本文中，作者通过讨论一个10步格式的过程，给出了应对这一挑战的答案，患者护理服务管理人员和病例管理人员可以根据其所在机构进行调整。跨学科团队成员也可以将其用作制定特定病例管理计划的实用指南。此过程适用于任何护理环境（急症、门诊、长期和家庭护理）、诊断或程序。对于那些目前没有制定病例管理计划的审慎且系统的流程，并且正在为如何提高负责制定病例管理计划的跨学科团队的效率和生产力而苦苦挣扎的组织来说，这一点尤为重要。
