TY - JOUR
T1 - Case management hospitalario (manejo de casos)
T2 - Una forma alternativa de manejar pacientes de alto riesgo de estadías hospitalarias prolongadas, de reingreso, o con múltiples requerimientos al momento del alta
AU - Eymin, Gonzalo
AU - Zuleta, Jessica
N1 - Copyright:
Copyright 2014 Elsevier B.V., All rights reserved.
PY - 2013/11
Y1 - 2013/11
N2 - Due to demographic changes, rising health expenditures, and the reimbursement mechanisms of insurers in the past 30 years, physicians and nurses have had to change the way services are delivered. Concepts such as cost effectiveness and patient safety have also led to the emergence of case management. Case management, usually led by nurses, is responsible for early recognition of patients at high risk for prolonged hospitalization, readmission, a high level of consumption of healthcare resources, and mobilizing strategies to discharge patients as soon as possible in a safe manner with appropriate medical follow-up. Additionally, the case management teams are responsible for patient education in a systematic way, for proper codification of diagnoses, and for ensuring proper documentation at the moment of discharge. Case management has proven to reduce the length of hospital stays and readmissions. It also facilitates the care of patients who are overwhelmed by the increasingly complex hospital procedures that they must endure. This is an exhaustive review of the literature about hospital-based case management, its origins, characteristics, types, and how it has produced a positive impact on patient safety and metrics within hospitals.
AB - Due to demographic changes, rising health expenditures, and the reimbursement mechanisms of insurers in the past 30 years, physicians and nurses have had to change the way services are delivered. Concepts such as cost effectiveness and patient safety have also led to the emergence of case management. Case management, usually led by nurses, is responsible for early recognition of patients at high risk for prolonged hospitalization, readmission, a high level of consumption of healthcare resources, and mobilizing strategies to discharge patients as soon as possible in a safe manner with appropriate medical follow-up. Additionally, the case management teams are responsible for patient education in a systematic way, for proper codification of diagnoses, and for ensuring proper documentation at the moment of discharge. Case management has proven to reduce the length of hospital stays and readmissions. It also facilitates the care of patients who are overwhelmed by the increasingly complex hospital procedures that they must endure. This is an exhaustive review of the literature about hospital-based case management, its origins, characteristics, types, and how it has produced a positive impact on patient safety and metrics within hospitals.
KW - Case management
KW - Inpatients
KW - Length of stay
KW - Patient readmission
KW - Patient satisfaction
UR - http://www.scopus.com/inward/record.url?scp=84896465685&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84896465685&partnerID=8YFLogxK
U2 - 10.4067/S0034-98872013001100010
DO - 10.4067/S0034-98872013001100010
M3 - Review article
C2 - 24718470
AN - SCOPUS:84896465685
VL - 141
SP - 1434
EP - 1440
JO - Revista Medica de Chile
JF - Revista Medica de Chile
SN - 0034-9887
IS - 11
ER -