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首页> 外文期刊>Western journal of nursing research >Barriers in Case Managers’ Roles: A Qualitative Systematic Review
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Barriers in Case Managers’ Roles: A Qualitative Systematic Review

机译：案例管理人员角色的障碍：定性系统审查

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摘要

The challenges faced by case managers when implementing case management have received little focus. Several qualitative studies have been published that may be able to shed light on those challenges. This study is a systematic review of qualitative literature to identify barriers case managers have when implementing case management. Five electronic bibliographic databases were systematically searched, and 10 qualitative studies were identified for inclusion in the review which were published from 2007 to 2016. Through thematic synthesis of findings, five themes were identified as barriers to case management implementation: unclear scope of practice, diverse and complex case management activities, insufficient training, poor collaboration with other health-care providers, and client relationship challenges. This review study suggested that standardized evidence-based practical protocols and certification programs may help overcome case managers’ barriers and improve case management practices. Health policymakers, case management associations, and health-care management researchers should develop educational and practical supports for case managers.
机译：在实施案例管理时，案例管理人员面临的挑战已收到几乎没有焦点。发表了几项定性研究，可能能够在这些挑战上阐明。本研究是对定性文献的系统审查，以确定在实施案件管理时识别障碍案例管理人员。系统地搜查了五个电子书目数据库，并确定了10项定性研究，以便纳入从2007年至2016年发布的审查。通过专题综合调查结果，将五个主题被确定为案例管理实施的障碍：实践范围不明确，不同复杂案例管理活动，培训不足，与其他医疗保健提供者的合作差，以及客户关系挑战。该综述研究表明，基于标准化的证据实践协议和认证计划可能有助于克服案例管理人员的障碍和改善案例管理实践。卫生政策制定者，案例管理协会和医疗保健管理人员应为案例管理人员制定教育和实践支持。

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