Cook T H
Vanderbilt University, School of Nursing, Nashville, TN, USA.
J Nurs Adm. 1998 Apr;28(4):36-46. doi: 10.1097/00005110-199804000-00009.
Production processes and service delivery in acute care hospitals can be fragmented. Inpatient case management has the potential to improve both processes and outcomes of hospital care. The author reports on 18 research studies that used inpatient case management as the treatment variable. These outcome studies, using case management, did not provide the evidence needed to address deficiencies in inpatient settings. However, these studies do provide clear direction for nurse administrators and nurse researchers to take concerning the next steps needed to address this critical issue.
急症医院的生产流程和服务提供可能是分散的。住院病例管理有潜力改善医院护理的流程和结果。作者报告了18项将住院病例管理作为治疗变量的研究。这些使用病例管理的结果研究,并未提供解决住院环境中不足之处所需的证据。然而,这些研究确实为护士管理人员和护士研究人员在解决这一关键问题所需的后续步骤方面提供了明确的方向。