ABSTRACT
Trata-se de um artigo de revisão e tem como objetivo apresentar uma nova modalidade de prestacão de servico de saúde conhecido como gerenciamento de caso. Nessa modalidade, destacam-se aspectos básicos, tais como: metodologia de atencão; histórico; objetivos; locais e áreas de prática. Considera-se sua utilizacão na realidade brasileira.
Subject(s)
Case Management , Brazil , Comprehensive Health Care/methods , Comprehensive Health Care/trends , Health Planning , Delivery of Health Care/trends , Managed Care ProgramsABSTRACT
Case Management is a term that is present in almost every American health care situation. It is mostly used to coordinate community services with satisfactory results for the patient within a certain period of time, with limited resources. Through time, it has been used for different purposes. The goal of this study was to show the historical evolution of case management as expressed by the American nursing literature, in the 80's and 90's, according to its use, meaning, and application, and following a theoretical framework for concept analysis. The data was extracted from two journals: "Nursing Management" and "Journal of Nursing Administration". The publications showed case management portrayed as a process that serves a common goal; where quality and cost of care were the prevalent and influential elements along time, and its practice focusing in a given population defined as of high risk and high cost for health care
Subject(s)
Patient Care Management/history , Health Policy, Planning and Management/history , Patient-Centered Care/history , Nursing Care , Practice ManagementABSTRACT
El estudio presenta la gerencia de caso como una modalidad de prestación de servicios que surgió en los ambientes de salud americanos y que consiste en la designación de un profesional o equipo de salud responsable por la atención del paciente, durante todo el proceso clínico, coordinando la atención a través de todos los servicios e instituciones que integran el sistema. En la enfermería, esta modalidad fue aceptada para aumentar el compromiso del profesional en la estandarización de las prácticas. Conceptos centrales incluyen análisis, toma de decisiones clínicas y resolución de problemas