关键词: New Zealand case management case managers complexity coordinated care integrated care interprofessional practice navigation social ecology maps whānau ora

Mesh : Humans Case Management New Zealand Delivery of Health Care Social Work Case Managers

来  源:   DOI:10.3390/ijerph20010784

Abstract:
Community-based case managers in health have been compared to glue which holds the dynamic needs of clients to a disjointed range of health and social services. However, case manager roles are difficult to understand due to poorly defined roles, confusing terminology, and low visibility in New Zealand.
This review aims to map the landscape of case management work to advance workforce planning by clarifying the jobs, roles, and relationships of case managers in Aotearoa New Zealand (NZ).
Our scoping and mapping review includes peer-reviewed articles, grey literature sources, and interview data from 15 case managers. Data was charted iteratively until convergent patterns emerged and distinctive roles identified.
A rich and diverse body of literature describing and evaluating case management work in NZ (n = 148) is uncovered with at least 38 different job titles recorded. 18 distinctive roles are further analyzed with sufficient data to explore the research question. Social ecology maps highlight diverse interprofessional and intersectoral relationships.
Significant innovation and adaptations are evident in this field, particularly in the last five years. Case managers also known as health navigators, play a pivotal but often undervalued role in NZ health care, through their interprofessional and intersectoral relationships. Their work is often unrecognised which impedes workforce development and the promotion of person-centered and integrated health care.
摘要:
背景:基于社区的健康案例管理者已被比作胶水,它将客户的动态需求与一系列脱节的健康和社会服务进行了比较。然而,由于角色定义不清,案例经理角色很难理解,令人困惑的术语,在新西兰能见度低。
目的:本综述旨在绘制案件管理工作的图景,通过澄清工作来推进劳动力规划,角色,以及新西兰奥特罗阿(NZ)案例经理的关系。
方法:我们的范围界定和映射审查包括同行评审的文章,灰色文献来源,以及来自15名病例经理的访谈数据。数据被迭代绘制,直到出现收敛模式并确定独特的角色。
结果:发现了描述和评估新西兰(n=148)案例管理工作的丰富多样的文献,记录了至少38种不同的职称。进一步分析了18个不同的角色,并提供了足够的数据来探索研究问题。社会生态学地图突出了不同的专业间和部门间关系。
结论:在这一领域有明显的创新和适应,特别是在过去的五年里。案件管理员也被称为健康导航员,在新西兰医疗保健中发挥着举足轻重但往往被低估的作用,通过他们的跨专业和部门间关系。他们的工作往往得不到认可,这阻碍了劳动力的发展和促进以人为本的综合医疗保健。
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