A RESEARCH OF ELEMENTS ON THE METHOD OF COMMUNITY-BASED CASE MANAGEMENT

本研究的目的是探讨社区个案管理方法的要素，以确保居家护理的质量，并为社区中所有需要护理服务的个人提供护理服务。研究设计以社区公共卫生护理实践为基础，共分5项研究进行。通过本研究，确定了社区病例管理方法的以下要素。(1)掌握人群进行病例管理：如公共卫生护士定期对老年人健康状况进行调查。(2)公共卫生护士为社区、个人和家庭提供病例管理系统，提高个人和家庭的自我护理能力。例如，公共卫生护士会见申请利用卫生服务的个人。(3)为所有目标人群提供卫生保健服务：例如，公共卫生护士掌握不使用卫生保健服务或不连续使用卫生保健服务的人群，并对他们进行护理。(4)包括医疗服务系统在内的案例管理系统(5)包括福利服务系统在内的案例管理系统

The purpose of this research was to investigate elements on the method of community-based case management, to assure quality of the nursing care for client and families at home and to provide the nursing care service for all individuals who needs the service in community.The research design was based on public health nursing practice in community, and conducted from 5 researches.Through this research it was identified that following elements on the method of community-based case management.(1) to get hold of the population for case management : For example, public health nurses conduct survey of the aged health state regularly.(2) case management system which public health nurses provide to community and Individual and families to improve the self-care ability of the individuals and familiies. For example, public health nurses meet the individual who make the application for utilization the health service.(3) to provide the health care service for all target population : For example, public health nurses get hold of the population who are non-user or discontinuous user of health care service, and take care them.(4) case management system including medical service system(5) case management system including welfare service system