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Case management.
1Department of Health, Andrew Johnson Tower, 710 James Robertson Parkway, Nashville, TN 37243, USA.
The Nursing Clinics of North America
|February 15, 2015
Summary
Healthcare case management is evolving due to policy changes, aiming to improve patient access and care coordination. This article explores its current issues, standards, and a pediatric chronic disease case study.
Area of Science:
- Health Services Research
- Healthcare Management
Background:
- The US healthcare system faces rapid transformation driven by political and professional forces.
- Case management historically aimed to improve healthcare access and system integration for patients.
Purpose of the Study:
- To define case management and examine its evolving role within the US healthcare landscape.
- To discuss current challenges, standards of practice, and illustrate application through a pediatric chronic disease case study.
Main Methods:
- Literature review on case management definitions and historical context.
- Analysis of current issues and standards of practice.
- Presentation of a case study on pediatric chronic disease management.
Main Results:
- Case management is crucial for healthcare delivery system defragmentation and enhancing patient access.
- The Affordable Care Act is expanding the role of case management in healthcare improvement.
- Effective case management strategies are vital for complex pediatric chronic conditions.
Conclusions:
- Case management is adapting to healthcare reform, with an expanding role in improving care.
- Adherence to standards of practice is essential for effective case management.
- Case management provides a framework for addressing challenges in pediatric chronic disease care.
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