Professional Case Management最新文献

{"title":"Preparing for New Primary Care Models: The Role of Professional Case Management.","authors":"Hussein M Tahan, Gerri Lamb, Ellen Fink-Samnick, Colleen Morley, Kathleen Moreo","doi":"10.1097/NCM.0000000000000813","DOIUrl":"10.1097/NCM.0000000000000813","url":null,"abstract":"<p><strong>Purpose and objectives: </strong>This paper aims to raise awareness of the case management community about innovative primary care models, like the Making Care Primary (MCP) which has potential to become the foundation for future primary care reform. It provides professional case managers (PCMs), case management leaders, and primary care providers with examples of evidence-based best practices to apply in primary care settings and programs.</p><p><strong>Primary practice settings: </strong>Primary care practices and organizations, ambulatory clinics, community-based primary care.</p><p><strong>Findings/conclusions: </strong>The authors share examples of findings from case management research published over the last 10 years as they pertain to the 3 main domains of MCP-care management, care integration, and community connections-to show the impact case management interventions may have on key outcomes in value-based primary care. The systematic, narrative, and scoping reviews summarized in this paper suggest a set of important case management structures, processes and outcomes relevant to care management, care integration, and community connections that help manage the diverse needs of patients. This evidence is also important in identifying essential case management interventions that ensure person-centered and holistic care and improve patient outcomes especially as they pertain to personal health and wellbeing.</p><p><strong>Implications for case management practice: </strong>The authors of this paper draw attention to the importance of PCMs and their roles in evolving primary care models in the context of teams and effective teamwork. The contributions of PCMs on primary care teams can be extensive and critical to the successful achievement of desirable primary care outcomes for individuals with complex chronic illness and health-related social needs and thus to the overall success of value-based models of primary care. The evidence the authors summarize provide important guidance on best case management practices in primary care that contribute to better health outcomes.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"194-206"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144031987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor's Commentary: Evidence-Based Research: A Pillar of Professional Case Management.","authors":"Hussein M Tahan","doi":"10.1097/NCM.0000000000000822","DOIUrl":"10.1097/NCM.0000000000000822","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 5","pages":"220-223"},"PeriodicalIF":1.2,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preparing for New Primary Care Models: The Role of Professional Case Management.","authors":"","doi":"10.1097/NCM.0000000000000825","DOIUrl":"10.1097/NCM.0000000000000825","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 5","pages":"E13"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Roles, Training, and Qualifications of Case Managers at Community Integrated Service Centers in Taiwan.","authors":"","doi":"10.1097/NCM.0000000000000824","DOIUrl":"10.1097/NCM.0000000000000824","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 5","pages":"E14"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Roles, Training, and Qualifications of Case Managers at Community Integrated Service Centers in Taiwan: A Narrative Review.","authors":"Ya-Wen Kuo, Wen-Li Hou, Jiann-Der Lee, Ching-Min Chen","doi":"10.1097/NCM.0000000000000791","DOIUrl":"10.1097/NCM.0000000000000791","url":null,"abstract":"<p><strong>Purpose of study: </strong>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.</p><p><strong>Primary practice setting: </strong>This study focuses on community integrated service centers in Taiwan, which serve as key hubs for delivering LTC services to Taiwan's aging population.</p><p><strong>Methodology and sample: </strong>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.</p><p><strong>Results: </strong>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.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"207-217"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Law and Ethics: A Complex Relationship.","authors":"Lynn S Muller","doi":"10.1097/NCM.0000000000000820","DOIUrl":"10.1097/NCM.0000000000000820","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 5","pages":"227-228"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-Advocacy and Access: Goals for Case Managers and Disability Managers.","authors":"Patricia Patty Nunez","doi":"10.1097/NCM.0000000000000821","DOIUrl":"10.1097/NCM.0000000000000821","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 5","pages":"224-226"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interprofessional Partnership as a Pillar of Value-Based Care Delivery: Commentary on \"Preparing for New Primary Care Models: The Role of Professional Case Management\".","authors":"Heaven Provo, Lisa Simmons-Fields, Ellen Fink-Samnick","doi":"10.1097/NCM.0000000000000814","DOIUrl":"10.1097/NCM.0000000000000814","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"190-193"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144041505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is Case Management's Interprofessional Power Also Its Kryptonite?","authors":"Ellen Fink-Samnick","doi":"10.1097/NCM.0000000000000811","DOIUrl":"10.1097/NCM.0000000000000811","url":null,"abstract":"<p><p>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?</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 5","pages":"187-189"},"PeriodicalIF":0.9,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contracts Revisited.","authors":"Lynn S Muller","doi":"10.1097/NCM.0000000000000808","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000808","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 4","pages":"177-180"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}