MacKenzie A, Lee D T, Dudley-Brown S, Chin T M
Department of Nursing, Chinese University of Hong Kong, Republic of China.
J Nurs Manag. 1998 Sep;6(5):293-301. doi: 10.1046/j.1365-2834.1998.00072.x.
This paper is based on research into case management that aimed to evaluate the processes of the introduction of case management for elderly people into the community nursing services in Hong Kong.
The Hospital Authority in Hong Kong introduced a pilot Case Management scheme into the Community Nursing Services. A research project was therefore developed to evaluate this case management model.
The processes were measured through information gained from group interviews, daily diaries and weekly activity sheets.
The roles and work practices of the Care Coordinators and Case Managers are described and the benefits of case management to patients, carers and nurses are highlighted. Difficulties are also discussed and good practices are identified.
Staff in the hospital and community need time to get used to the model of case management and to the accompanying documentation. The role of the case manager needs to be clearly dilineated.
本文基于对个案管理的研究，旨在评估香港将老年人个案管理引入社区护理服务的过程。
香港医院管理局在社区护理服务中引入了一项试点个案管理计划。因此开展了一项研究项目来评估这种个案管理模式。
通过小组访谈、日常日记和每周活动表获取的信息来衡量这些过程。
描述了护理协调员和个案经理的角色及工作实践，并强调了个案管理对患者、护理人员和护士的益处。还讨论了困难并确定了良好做法。
医院和社区的工作人员需要时间来适应个案管理模式及其相关文件。个案经理的角色需要明确界定。
