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Related Experiment Videos

Case management in the GI Clinic.

Paulette A Smith1

  • 1Exempla Lutheran Medical Center, GI Lab, 8300 W. 38th Avenue, Wheat Ridge, CO 80033, USA. psmithcgrn@aol.com

Gastroenterology Nursing : the Official Journal of the Society of Gastroenterology Nurses and Associates
|February 21, 2002
PubMed
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Nursing case management evolved from community service to acute care coordination. This shift, driven by healthcare policy changes, aimed to improve patient care and reduce hospital costs.

Area of Science:

  • Nursing
  • Healthcare Administration
  • Public Health

Background:

  • Nursing case management originated in the 1800s to aid poor and immigrant populations.
  • Government mandates in the 1950s and 1972 expanded community-based care for mental health and elderly populations.

Observation:

  • Historically a community service, nursing case management transitioned to acute care settings in the 1980s.
  • Medicare's prospective payment system, based on diagnosis-related groups, incentivized this transition.

Findings:

  • Hospitals adopted nurse case managers to coordinate patient care.
  • The implementation aimed to streamline processes and reduce healthcare expenditures.

Implications:

  • This strategic shift highlights the adaptability of nursing roles in response to healthcare system changes.

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  • Nursing case management continues to be a vital strategy for cost containment and care coordination in modern healthcare.