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Case management: ambiguous at best.

G L Brault, L D Kissinger

    Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
    |July 1, 1991
    PubMed
    Summary
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    This article explores various case management models, focusing on nursing case management and the nurse practitioner role. It examines their functions, providers, and ethical considerations within healthcare delivery systems.

    Area of Science:

    • Healthcare Management
    • Nursing Practice
    • Health Services Research

    Background:

    • Case management is a crucial healthcare strategy for coordinating patient care.
    • Understanding diverse case management models is essential for effective healthcare delivery.
    • The role of advanced practice nurses in case management requires further elucidation.

    Purpose of the Study:

    • To define case management and delineate the functions and providers of various models.
    • To compare the Nursing Case Management delivery system with other established models.
    • To discuss the potential contributions of nurse practitioners and associated ethical challenges in case management.

    Main Methods:

    • Literature review and comparative analysis of existing case management models.

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  • Exploration of the functional roles within different case management frameworks.
  • Examination of ethical considerations pertinent to various case management approaches.

    • Main Results:

    • Nursing Case Management is presented as a distinct model with specific provider roles and functions.
    • Comparison highlights the unique attributes and operational differences between Nursing Case Management and other models.
    • The potential for nurse practitioners in case management is identified, alongside significant ethical pitfalls.

    Conclusions:

    • Case management models vary significantly in their structure, function, and provider roles.
    • Nursing Case Management offers a specialized approach, with nurse practitioners poised to play a key role.
    • Addressing ethical dilemmas is paramount for the successful implementation of any case management model.