Administrative characteristics of comprehensive prenatal case management programs
Administrative characteristics of comprehensive prenatal case management programs
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DOI：
10.1046/j.1525-1446.2003.20503.x
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发表时间：
2003-09-01
影响因子：
2.1
通讯作者：
Kane, DJ
中科院分区：
文献类型：
--
作者：
Issel, LM;Anderson, RA;Kane, DJ
本研究的目的是探讨全面的产前病例管理计划的组织，程序和过程的特点。使用了66个政府机构项目调查的数据。组织能力的衡量标准是组织变革的程度和机构间协议的程度。项目数据包括项目的年龄和规模、进行案例管理的原因以及资金的多样性。过程数据是八种类型的干预措施。最高评级的原因有个案管理是为了改善客户的结果。最大的组织变化是在组织结构领域，其次是财务状况和提供的服务种类。与其他机构的合同很少。机构间联系较多的机构报告说，案件管理部门的变化和中层管理人员的更替率较高。老项目的员工更少。大约49%的客户联系人没有向医疗补助收费。较大的程序有显着较少的时间分配给情感支持和coaching.Data上的组织特征，程序和过程变量提供全面的案例管理的见解。这些变量之间的关系强调了在项目和组织特质的背景下研究客户结果的重要性。未来的研究全面产前病例管理应集中在跨层次的问题。
The purpose of this study was to examine comprehensive prenatal case management programs in terms of organizational, program, and process characteristics. Data from 66 program surveys of government agencies were used. Organizational capacity was measured as extent of organizational change and extent of interagency agreements. Program data included age and size of the program, reasons for having case management, and funding diversity. Process data were eight types of interventions.The most highly rated reason for having case management was to improve client outcomes. The greatest organizational change was in the area of the organizational structure, followed by financial status and types of services provided. Contracts with other agencies were rare. Agencies with more interagency contacts reported higher levels of change in the case management department and turnover among mid-level managers. Older programs had fewer employees. Approximately 49% of client contacts were not billed to Medicaid. Larger programs had significantly less time allocated to emotional support and coaching.Data on organizational characteristics, program, and process variables provide insights into comprehensive case management. Relationships among these variables underscore the importance of studying client outcomes within the context of program and organizational idiosyncrasies. Future studies of comprehensive prenatal case management should focus on cross-level questions.