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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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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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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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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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MANAGING THE MAZE - CASE-MANAGEMENT AND SERVICE DELIVERY

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ADMINISTRATION IN SOCIAL WORK 1992年第1期16卷 1-9页

作者： DINERMAN, M RUTGERS STATE UNIV SCH SOCIAL WORK536 GEORGE STNEW BRUNSWICKNJ 08903 USA

The author discusses case management as the most recent social work effort to make manageable the pluralistic and proliferating array of human services. She notes that social work now claims case management as part of its long defined territory. The ability to make this function work is based upon an educational curriculum which prepares the professional in both direct interventive skills and management capability. Problematically, social work education usually provides the student with only one or the other sets of professional preparation. The importance of the power dimension must be acknowledged and honed if the case manager is to be successful working within a chaotic social service delivery system.

关键词：机构间关系组织文化病人医疗护理计划/组织和管理规划技术权力(心理学) 职业自主权社会工作/组织和管理社会工作/发展趋势美国人类

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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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KEYWORKERS FOR ELDERLY PEOPLE IN THE COMMUNITY - CASE MANAGERS AND CARE COORDINATORS

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JOURNAL OF SOCIAL POLICY 1990年第3期19卷 331-360页

作者： DANT, T GEARING, B OPEN UNIV DEPT HLTH & SOCIAL WELFMILTON KEYNES MK7 6AABUCKSENGLAND

In the United Kingdom a range of services for elderly people in the community has developed that is delivered by a variety of professionals and administered within different organisations. This has resulted in a problem of co-ordinating services to meet the individual needs of the most frail elderly people. In the United States ‘case management’ has been introduced as a way of improving the co-ordination of care. Despite structural differences in the provision of health and social services between the United States and the United Kingdom, the concept of case management has influenced the design of a number of innovatory schemes in the United Kingdom, including the Gloucester Care for Elderly People at Home project (CEPH). These innovatory schemes have demonstrated the need for a ‘keyworker’ and clarified the tasks that are involved in taking responsibility for co-ordinating services to meet the needs of elderly people at risk of failing to cope at home. There is, however, a danger of proliferating the complexity of service provision by creating a new breed of professional; an alternative might be to alter the responsibilities, attitudes and team orientation of existing professional workers so as to include taking on the key worker role for some of their clients.

关键词：大不列颠老年人保健服务/组织和管理家庭医疗保健服务/组织和管理模型理论病人医疗护理计划/组织和管理转诊和会诊公费医疗美国老年人人类

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Community Occupational Therapy Associates: a model for community occupational therapy

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Canadian Journal of Occupational Therapy 1975年第4期42卷 155-156页

作者： Campbell, W. Godfrey, M. Peace, S. Quinn, B. Rasminsky, K.

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A DEMONSTRATION PROGRAM FOR HOMELESS MALE ALCOHOL AND OTHER DRUG-ABUSERS

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JOURNAL OF MENTAL HEALTH ADMINISTRATION 1993年第2期20卷 113-125页

作者： ABEL, MH CUMMINGS, P SEVEN COUNTIES SERV INC LOUISVILLEKY

The National Institute on Alcohol Abuse and Alcoholism, in consultation with the National Institute on Drug Abuse, awarded nine demonstration grants in 1988 for community-based programs addressing issues of the homeless alcohol and other drug (AOD) abusers. Project Connect in Louisville, Kentucky, was one of the nine demonstration grants. The three-year project was designed to address a multitude of needs of the homeless male AOD abuser, including housing, medical, employment/economic, and social support, in addition to treatment for AOD abuse. The present article details the evolution and implementation of Project Connect and describes characteristics of the target population. In addition, the article presents issues and problems that surfaced during program implementation in order to assist other communities that are considering similar programs for their homeless populations.

关键词：酒精中毒/康复社区卫生中心/组织和管理共病现象无家可归者肯塔基病人医疗护理计划/组织和管理试点项目规划制订/方法物质滥用治疗中心/组织和管理物质相关性障碍/康复成年人人类男(雄)性

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