下列何者描述了醫院中個案管理師的角色？
Which of the following describes the role of a Case Manager in a hospital setting?
- AFacilitating discharge planning and resource coordination✓ 正解促進出院計畫與資源協調
- BPrescribing medications for patient recovery為病人恢復開立藥物處方
- CPerforming surgical procedures執行手術程序
- DProviding direct bedside nursing care提供床邊直接護理
個案管理師（Case Manager）的核心職能是負責病人在醫療體系內的「連貫性照顧」（Continuity of Care）。他們並非直接執行臨床護理工作的護理師，而是擔任跨專業團隊的協調者。其主要任務包括評估病人的出院需求、協調保險給付、連結社區資源、安排後續居家護理或長照機構，並促進跨科別溝通，以確保病人能在最合適的層級接受治療，減少不必要的住院天數與醫療支出。
The core function of a case manager is to ensure continuity of care for the patient across the healthcare system. They are not nurses providing direct clinical care, but rather serve as coordinators across the interdisciplinary team. Their primary responsibilities include assessing discharge needs, coordinating insurance reimbursement, linking community resources, arranging follow-up home care or long-term care placement, and facilitating interdisciplinary communication to ensure the patient receives care at the most appropriate level, reducing unnecessary hospital days and healthcare costs.
在美國醫院，Case Manager 通常由護理師或社會工作者（Social Worker）擔任，重點在於醫療保險（如 Medicare/Medicaid）的運用與出院計畫（Discharge Planning）。台灣醫院的個案管理師多為特定疾病（如癌症個管師）為主，側重於個案追蹤與衛教，與美國的「行政資源協調」導向略有不同。