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Planning and providing care at the end of life

HOSPITAL PRACTICE 2000年第10期35卷 61-+页

作者： Morrison, RS CUNY Mt Sinai Sch Med Dept Geriatr & Adult Dev Hertzberg Palliat Care Inst New York NY 10029 USA

Palliative and curative care are not mutually exclusive approaches to patients at the end of life. Rather, the two need to be integrated to form a plan that focuses on the overall quality of life. Providing such care ... 详细信息

关键词：镇痛药/治疗应用临床工作能力/标准需求估价疼痛/药物疗法疼痛/预防和控制姑息疗法/方法姑息疗法/心理学病人医疗护理计划/组织和管理诊疗准则(主题) 卫生保健质量生活质量临终医护/方法临终医护/心理学美国人类

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Comprehensive management of type 2 diabetes

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HOSPITAL PRACTICE 2000年第9期35卷 33-+页

作者： McCulloch, DK Mazzaferri, EL Univ Washington Sch Med Seattle WA 98195 USA

Knowing which tests and treatment each patient needs is only one aspect of successful management of type 2 diabetes. It is equally important: to know which treatment the patient is willing to undertake, and to have in... 详细信息

关键词：算法社区卫生计划综合保健/方法糖尿病 2型/并发症糖尿病 2型/代谢糖尿病 2型/心理学糖尿病 2型/治疗糖尿病膳食血红蛋白A 糖基化/代谢降血糖药/治疗应用管理信息系统病史记录病人医疗护理计划/组织和管理病人依从/心理学初级卫生保健/方法危险因素老年人女(雌)性人类男(雄)性中年人

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Clinical decision support systems in state hospitals.

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New directions for mental health services 1999年第84期1999卷 99-112页

作者： Buican, B. Spaulding, W.D. Gordon, B. Hindman, T. Department of Psychology University of Nebraska-Lincoln United States

Computerized data management technology for clinical decision making is a key to optimizing the performance of programs serving the most severely disabled and treatment-resistant patients.

关键词：费用效益分析决策支持系统临床医院信息系统医院精神病医院州立精神障碍/治疗需求估价病人医疗护理计划/组织和管理治疗计算机辅助人类

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Private practitioners' documentation of outpatient psychiatric treatment: Questioning managed care

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JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH 1999年第2期26卷 151-170页

作者： Keefe, RH Hall, ML Syracuse Univ Sch Social Work Syracuse NY 13244 USA Sages Coll Publ Adm Program Albany NY USA

This study investigates how social workers, psychologists, and psychiatrists document the treatment they provide clients to managed behavioral health care organizations. The rosters of the Register of Clinical Social Workers, the American Psychological Association, and the American Psychiatric Association yielded a sample of 168 private practicing social workers, 158 psychologists, and 258 psychiatrists from across the nation. Results indicated that practitioners differed based on age, amount of time spent in private practice, racial self-identification percentage of time with clients diminished due to communicating with managed behavioral health care organizations, and documentation of clients' prognoses, Some practitioners believe it is necessary to report treatment needs in ways to assure certification rather than in ways that accurately depict clients' clinical profiles. The ramifications for clinicians' evaluation of their own practices, reimbursement for their services, and meeting clients' needs while working under managed behavioral health care guidelines are discussed.

关键词：方差分析医务工作者的态度置信区间文献工作/标准文献工作/统计学和数值数据卫生保健调查管理医疗规划/标准病案/标准精神卫生服务/标准病人医疗护理计划/组织和管理病人医疗护理计划/标准私营部门心理疗法/标准抽样研究社会工作精神病/标准美国成年人老年人女(雌)性人类男(雄)性中年人

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OBJECTIVES FOR A SYSTEM OF HEALTH-CARE DELIVERY FOR HIV INFECTED PEOPLE

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SOCIO-ECONOMIC PLANNING SCIENCES 1989年第4期23卷 181-193页

作者： HANKINS, RW FOS, PJ TULANE UNIV SCH PUBL HLTH & TROP MEDDEPT HLTH SYST MANAGEMENT1430 TULANE AVENEW ORLEANSLA 70112 USA

This paper assumes that the effectiveness and efficiency of an integrated community system of care for HIV infected people may depend to a large extent on common perceptions of the objectives of such a system among three sets of actors--the patient, the professional care manager, and the continual care giver. It discusses a decision analytic inquiry into that concurrence on objectives. The conclusion is that within the community studied there is strong evidence of a significant lack of such common purpose.

关键词：获得性免疫缺陷综合征/心理学获得性免疫缺陷综合征/治疗综合保健/组织和管理目的团体处理 HIV感染/心理学 HIV感染/治疗路易斯安那组织目标病人医疗护理计划/组织和管理病人参与规划技术社会经济因素美国人类

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On the road to collaborative treatment planning: Consumer and provider perspectives

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JOURNAL OF BEHAVIORAL HEALTH SERVICES & RESEARCH 1999年第2期26卷 211-218页

作者： Chinman, MJ Allende, M Weingarten, R Steiner, J Tworkowski, S Davidson, L Yale Sch Med Consultat Ctr New Haven CT 06511 USA Connecticut Mental Hlth Ctr New Haven CT USA

Although consumers have made significant gains in having their voices heard in several areas within mental health, they have made less progress in being able to collaborate with their own treaters in setting treatment goals. On the basis of several years of groundwork by staff at the Connecticut Mental Health Center (CMHC), the Patient Care Committee conducted a needs assessment of providers and consumers to assess bath groups' current involvement, interest in, and attitudes toward collaborative treatment planning. The results indicate that providers tend to place much of the responsibility for the difficulties in implementing collaborative treatment planning on consumers. Also, providers tend to underestimate consumers' interest in participating in this process. Implications of these findings for the development of an agency-wide training to enhance the collaborative nature of treatment planning are discussed.

关键词：医务工作者的态度康涅狄格卫生保健调查精神卫生服务需求估价病人医疗护理计划/组织和管理病人参与职业病人关系成年人老年人女(雌)性人类男(雄)性中年人

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Organizing and delivering case management services: Lessons from the national long term care channeling demonstration

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Home Health Care Services Quarterly 1988年第1期9卷 7-27页

作者： Christianson, Jon B. Applebaum, Robert Carcagno, George Phillips, Barbara University of Minnesota Minneapolis MN 55455 420 Delaware Street SE Box 729 United States Miami University United States Mathematica Policy Research United States

This article discusses issues relating to the design and internal administration of a case management agency for community based home care for the elderly. Included in the article are issues relating to screening procedures, assessment and case management activities, cost controls, automated management information systems, and personnel matters. The analysis is based on the experience of the National Long Term Care Demonstration (“Channeling”) which established and evaluated ten case management projects nationwide under federal funding. © 1988 by The Haworth Press, Inc.

关键词：社区卫生服务/组织和管理评价研究家庭医疗保健服务/组织和管理长期医疗/组织和管理模型理论病人医疗护理计划/组织和管理试点项目美国老年人人类

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Rural case management: A pilot study

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Home Health Care Services Quarterly 1994年第4期14卷 69-85页

作者： Beaulieu, Joyce E. Hickman, Margaret University of Kentucky First International Conference on Long Term Care Case Management Kentucky 40019 United States

No abstract available for this article.

关键词：肯塔基长期医疗/组织和管理长期医疗/统计学和数值数据病人医疗护理计划/组织和管理试点项目方案评价农村卫生人类男(雄)性

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Case management: Opportunities for service providers

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Home Health Care Services Quarterly 1993年第1期14卷 5-40页

作者： Williams, Judith K. Planning at the Miami Jewish Home and Hospital for the Aged United States

The notion of using case managers to coordinate care and services to the elderly has become increasingly popular. Case management appears to be seen by some as the route to reform and rationalization of the financing and provision of services. Little systematic research can be cited in making claims for its organization, efficacy or efficiency, yet opinions in this regard abound. Research and demonstration projects provide some insights but few conclusions to support the rhetoric of case management. Case management principles are enunciated and program options flow from them. A case is made for flexibility of organization and sensibility of provision. © 1993 Taylor & Francis Group, LLC.

关键词：利害冲突卫生政策/立法和法学卫生服务研究家庭医疗保健服务/组织和管理长期医疗/组织和管理管理医疗规划/组织和管理纽约病人医疗护理计划/组织和管理病人医疗护理计划/标准规划制订/方法规划制订/标准偿还途径/组织和管理州卫生计划/立法和法学美国老年人人类

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FACTORS AFFECTING AGENCY CAPACITY FOR INTERORGANIZATIONAL COORDINATION

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ADMINISTRATION IN SOCIAL WORK 1990年第4期14卷 73-85页

作者： MERRITT, J NEUGEBOREN, B RUTGERS STATE UNIV SCH SOCIAL WORK536 GEORGE STNEW BRUNSWICKNJ 08903 USA

No abstract available for this article.

关键词：社区精神卫生服务/组织和管理医院外治疗/组织和管理效率机构间关系病人医疗护理计划/组织和管理公共卫生管理社会工作精神病/组织和管理美国

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