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Advanced practice in case management: An essential element in the new complex chronicity care model
Angélica Miguélez-Chamorro1, María Isabel Casado-Mora2, María Consuelo Company-Sancho3
1Servicio de Salud de las Islas Baleares, España.
Enfermeria Clinica (English Edition)
|September 17, 2018
Summary
Complex chronic diseases require individualized care. Implementing case management nurses is vital for quality, cost-effective healthcare, but requires regulatory support in Spain.
Area of Science:
- Healthcare Management
- Chronic Disease Care
- Nursing Practice
Background:
- Rising prevalence of complex chronic diseases, an aging population, and multimorbidity challenge current healthcare models.
- Existing care systems struggle to meet the needs of vulnerable individuals with progressive chronic conditions, necessitating individualized and coordinated support.
- The need for a new care paradigm is evident to ensure quality, sustainable, and person-centered care for complex chronic diseases across all life stages.
Purpose of the Study:
- To highlight the need for a new care paradigm for complex chronic diseases.
- To advocate for the institutionalization and regulation of case management nurses (advanced practice nurses) in Spain.
- To emphasize the benefits of case management in improving quality, safety, and cost-effectiveness.
Main Methods:
- Review of existing studies on case management effectiveness.
- Analysis of the current state of case management implementation in Spain.
- Identification of regulatory and institutional gaps.
Main Results:
- Case management demonstrates significant value in enhancing quality, safety, and cost-effectiveness of care.
- Implementation of case management in Spain is inconsistent and lacks standardized regulations.
- There is a lack of formal recognition and defined professional roles for case management nurses.
Conclusions:
- A new care paradigm is essential to address the growing burden of complex chronic diseases.
- Regulatory frameworks and institutional support are crucial for the successful integration of case management nurses in Spain.
- Formalizing the role of case management nurses, with clear competencies, is necessary to improve care for chronic conditions, mirroring international best practices.
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