Smith J E
University of Alberta.
Can J Nurs Adm. 1998 May-Jun;11(2):93-109.
The achievement of an integrated system of care is one of the major goals of Canadian health care restructuring. Although many of the structural barriers to service integration have been removed, integration of care for individuals with long-term, complex health and human needs has not yet been achieved. Case management is now being considered in many countries as a method of integrating and coordinating health and social service systems. Central to the effectiveness of case management is the role of the case manager. The case manager provides clients with continuity, consistency, and coordination of care across all clinical settings and boundaries. Comprehensive case management practice requires professionals with the knowledge and skills to work within existing bureaucratic and organizational service systems. This article is a summary of the literature on long-term care case management, with a focus on Canadian studies.
实现综合护理体系是加拿大医疗保健结构调整的主要目标之一。尽管服务整合的许多结构性障碍已被消除，但针对有长期、复杂健康和人类需求的个人的护理整合尚未实现。目前，许多国家都在考虑将病例管理作为整合和协调健康与社会服务系统的一种方法。病例管理有效性的核心是病例管理者的角色。病例管理者为客户提供贯穿所有临床环境和界限的护理连续性、一致性和协调性。全面的病例管理实践需要专业人员具备在现有的官僚和组织服务系统内工作的知识和技能。本文是关于长期护理病例管理文献的综述，重点关注加拿大的研究。
