Professional Case Management最新文献

Purpose of study: This study explored the roles, training, and qualifications of case managers in level A of Taiwan's long-term care (LTC) system, established within the Ten-Year LTC Plan 2.0, to identify their challenges and provide recommendations for enhancing their performance.

Primary practice setting: This study focuses on community integrated service centers in Taiwan, which serve as key hubs for delivering LTC services to Taiwan's aging population.

Methodology and sample: A narrative review approach was implemented, with an extensive analysis of the literature in terms of the functions and training requirements of and the professional challenges faced by case managers in the LTC sector. This review included articles published between 2016 and 2024 in both English and Chinese.

Results: Case managers play a key role in linking LTC resources and coordinating care for older clients. However, they often face major challenges, including a high caseload, inadequate training opportunities, and a desire to quit, which adversely affect service quality and outcomes.

Professional case managers (PCMs) play pivotal roles in the evolution of primary care as highlighted by the paper "Preparing for New Primary Care Models: The Role of Professional Case Management." PCMs are influential in value-based primary care and are important members of interprofessional teams striving to achieve key care outcomes such as those emphasized in the Making Care Primary Model.

Case management's interdisciplinary workforce is among the profession's superpowers. Use of the interprofessional team is intrinsic to workforce success, especially in demonstrating positive clinical, fiscal, and operational outcomes. However ongoing challenges within the industry contribute to case management's superpower being often viewed as its kryptonite. Amid the solid foundation imposed by standards of practice, research, and interprofessional education to validate the importance of interprofessional collaboration, what must happen for case managers across disciplines to stand together rather than siloed and apart?

Purpose: Effective interprofessional (IP) collaboration is essential for managing complex patient cases. Collaborative clinical reasoning (CCR) is an approach where IP teams collectively analyze and address complex clinical cases, facilitating a shared understanding of patient management. While simulation and case-based learning are established methods for fostering IP collaboration, the process by which students develop a shared mental model for patient management after a simulated home visit and how this approach promotes the development of IP competencies is unknown. Understanding this process is critical for advancing IP competences that are fundamental to case management practice. The purpose of this study was to explore students' perceptions of the CCR processes used to develop an integrated care plan following a simulated home visit.

Primary practice settings: Home care and community-based practice settings.

Methodology and sample: A qualitative descriptive approach was employed to explore PT and nursing student teams' perceptions of the CCR processes used to develop an integrated care plan following a simulated home visit. Written responses to five reflection questions were analyzed using conventional content analysis among n = 87 physical therapy and nursing students.

Results: There were three overarching themes: clarifying roles; developing a mutual approach; embracing shared values. Students' perceptions reflected skills needed to develop IP competencies including CCR. More research is needed to explore how student teams resolve disputes and use interdisciplinary knowledge in the process of CCR.

Implications for case management practice: Findings highlight the importance of IP collaboration in clinical case management, emphasizing the need for case managers to facilitate clear role clarification, mutual approaches, and shared values among IP teams to enhance integrated care planning and improve patient outcomes. These insights can inform training and development programs for case managers on IP teams, promoting the adoption of CCR in practice.