Phillips-Harris C
Department of Family Practice, University of California, Davis, USA.
Geriatrics. 1998 Feb;53(2):62-4, 67-8; quiz 69.
Case management has evolved beyond the functions of discharge planning and utilization review to a role of managing the delivery of services for populations across settings. The two forces driving this change are the growth of Medicare managed care and the increasing numbers of frail older patients with chronic disease. Necessary components of case management include a system of risk identification; an ability to link information, physicians and other providers; an interdisciplinary team approach; and the ability to follow identified older patients over time. In high intensity/low volume models, each case manager works directly with a small number of patients for a given episode of care or over time.
病例管理已从出院计划和利用审查的功能演变为管理跨环境人群服务提供的角色。推动这一变化的两个因素是医疗保险管理式医疗的增长以及患有慢性病的体弱老年患者数量的增加。病例管理的必要组成部分包括风险识别系统；连接信息、医生和其他提供者的能力；跨学科团队方法；以及随着时间推移跟踪已识别老年患者的能力。在高强度/低容量模式中，每个病例经理在给定的护理期间或一段时间内直接与少数患者合作。
