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2019年新型冠状病毒病(COVID-19)危机中的基本病例管理实践:第2部分:临终关怀、工伤赔偿病例管理、法律和道德义务、远程实践及适应力

Essential Case Management Practices Amidst the Novel Coronavirus Disease 2019 (COVID-19) Crisis: Part 2: End-of-Life Care, Workers' Compensation Case Management, Legal and Ethical Obligations, Remote Practice, and Resilience.

作者信息

Tahan Hussein M

机构信息

Hussein M. Tahan, PhD, RN, FAAN, is a case management consultant, expert, author, and researcher. Dr. Tahan has nearly 30 years of experience in hospital management and operations and professional case management practice; is a member of the editorial advisory board of Professional Case Management; author of multiple textbooks, including the CMSA's Core Curriculum for Case Management and Case Management: A Practical Guide for Education and Practice; is the chief knowledge editor of the Case Management Body of Knowledge online portal sponsored by the Commission for Case Manager Certification; and the recipient of CMSA's 2016 Lifetime Achievement Award for his contributions to the field of case management.

出版信息

Prof Case Manag. 2020 Sep/Oct;25(5):267-284. doi: 10.1097/NCM.0000000000000455.

Abstract

OBJECTIVES

This is the second of a 2-part article that discusses essential case management practices and strategies amidst the novel coronavirus disease 2019 (COVID-19). The series showcases the potential professional case managers have in support of managing during a crisis such as a global pandemic. Part II continues to describe reenvisioned roles and responsibilities of case managers and their leaders to meet the needs of patients/support systems during the crisis. It focuses on the increased need for end-of-life care, impact on workers' compensation case management practice, and the self-care needs of the professional case manager.

PRIMARY PRACTICE SETTINGS

Applicable to the various case management practice settings across the continuum of health and human services, with special focus on acute care.

FINDINGS/CONCLUSIONS: The COVID-19 global pandemic has resulted in a crisis case managers and other health care professionals never faced something like it before. At the same time, it has provided opportunities for innovation and creativity including use of digital and telecommunication technology in new ways to ensure the continued delivery of health and human services to those who need them regardless of location. It has also resulted in the development of necessary and impactful partnerships within and across different health care organizations and diverse professional disciplines. Most importantly, this pandemic has required special attention to the increased need of patients for timely palliative and end-of-life care. In addition, it has prompted a focus on the safety, health, and well-being of case managers and other health care professionals, resulting in expanded workers' compensation case management practice coupled with the need for self-care and resilience.

IMPLICATIONS FOR CASE MANAGEMENT PRACTICE

Professional case managers are integral members of interprofessional health care teams. Their roles and responsibilities are even more necessary during the uncertainty of a global pandemic such as COVID-19. So far, the experience of this crisis has resulted in a deliberate need to ensure the safety of both, those who are the recipients of health care services and those who are responsible for the provision of care. Self-care and resilience of health care professionals and case managers, especially due to the complex dynamics of the COVID-19 pandemic, have advanced a desirable and necessary view of remote/virtual practice and as a strategy for enhancing the person's health and well-being. This pandemic has forced the development of impactful partnerships and collaborations among the diverse contexts of health care organizations and support service providers. These contexts of care delivery have also emphasized the necessary legal and ethical practice of case managers and the other involved parties. Experts agree that the innovative care delivery methods practiced during the pandemic will undoubtedly remain as desirable beyond the current crisis period.

摘要

目标

本文是一篇分两部分的文章中的第二篇,讨论了2019年新型冠状病毒病(COVID - 19)期间的基本病例管理实践和策略。该系列展示了专业病例管理人员在支持应对全球大流行等危机期间管理工作方面的潜力。第二部分继续描述病例管理人员及其领导者为满足危机期间患者/支持系统的需求而重新设想的角色和职责。它重点关注临终关怀需求的增加、对工伤赔偿病例管理实践的影响以及专业病例管理人员的自我护理需求。

主要实践环境

适用于健康和人类服务连续体中的各种病例管理实践环境,特别关注急性护理。

研究结果/结论:COVID - 19全球大流行导致了一场病例管理人员和其他医疗保健专业人员前所未有的危机。与此同时,它也提供了创新和创造的机会,包括以新方式使用数字和电信技术,以确保无论身处何地,都能持续为有需要的人提供健康和人类服务。它还促成了不同医疗保健组织内部和之间以及不同专业学科之间建立必要且有影响力的伙伴关系。最重要的是,这场大流行要求特别关注患者对及时姑息治疗和临终关怀日益增长的需求。此外,它促使人们关注病例管理人员和其他医疗保健专业人员的安全、健康和福祉,导致工伤赔偿病例管理实践的扩展以及自我护理和恢复力的需求。

对病例管理实践的启示

专业病例管理人员是跨专业医疗团队不可或缺的成员。在COVID - 19这样的全球大流行的不确定性期间,他们的角色和职责更加必要。到目前为止,这场危机的经验导致人们刻意需要确保接受医疗服务的人和提供护理的人的安全。医疗保健专业人员和病例管理人员的自我护理和恢复力,特别是由于COVID - 19大流行的复杂动态,推动了对远程/虚拟实践的一种理想且必要的看法,并将其作为增强个人健康和福祉的一种策略。这场大流行迫使在不同的医疗保健组织和支持服务提供者背景之间建立有影响力的伙伴关系和合作。这些护理提供背景也强调了病例管理人员和其他相关方必要的法律和道德实践。专家们一致认为,大流行期间实践的创新护理提供方法无疑在当前危机时期之后仍将是可取的。

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