下列哪項正確描述了醫院內「個案管理師」(Case Manager)的角色?
Which of the following describes the purpose of a case manager in a hospital?
- ACoordinating care and resources across the continuum✓ 正解協調整個照護過程中的照護與資源
- BPerforming surgical procedures執行外科手術
- COrdering medications for the patient為患者開立藥物
- DProviding bedside nursing care提供床邊護理
個案管理師(Case Manager, CM)在醫院體系中主要負責「資源整合」與「出院計畫」(Discharge planning)。他們負責協調跨科別與跨醫療體系的資源,確保病人住院期間的照護計畫順暢,並在出院時連結居家照護、復健或長期照護機構。他們不負責第一線的臨床直接護理,而是站在總體照護規劃的角度。
The case manager (CM) in the hospital system is primarily responsible for resource integration and discharge planning. The CM coordinates resources across specialties and across healthcare systems, ensures that the care plan during hospitalization runs smoothly, and links the patient to home care, rehabilitation, or long-term care facilities at discharge. The CM is not responsible for direct frontline clinical care, but rather operates from the standpoint of overall care planning.
在美國,個案管理師通常由護理師或社會工作者擔任,且非常強調保險(Insurance)與給付標準(DRGs)的協調,這與台灣健保給付制度下的個案管理師重點略有不同。