Case management hospitalario (manejo de casos): Una forma alternativa de manejar pacientes de alto riesgo de estadías hospitalarias prolongadas, de reingreso, o con múltiples requerimientos al momento del alta

Translated title of the contribution: Hospital case management

Gonzalo Eymin, Jessica Zuleta

Research output: Contribution to journalArticle

Abstract

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.

Original languageSpanish
Pages (from-to)1434-1440
Number of pages7
JournalRevista Medica de Chile
Volume141
Issue number11
DOIs
StatePublished - Jan 1 2013

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Case Management
Patient Safety
Reimbursement Mechanisms
Length of Stay
Nurses
Patient Readmission
Insurance Carriers
Patient Discharge
Patient Education
Health Expenditures
Documentation
Cost-Benefit Analysis
Patient Care
Hospitalization
Demography
Delivery of Health Care
Physicians

Keywords

  • Case management
  • Inpatients
  • Length of stay
  • Patient readmission
  • Patient satisfaction

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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