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Managed Care
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Managed Care
Practice Strategies for Nursing


January 1999 | 304 pages | SAGE Publications, Inc

Of all the recent changes in health care, none have more dramatically affected both patients and care providers than managed care. Not only has it altered the way we pay for health care but also it has compelled a change in the way we approach health care, focusing increasingly on preventive care to reduce costs. In Managed Care, Dr. Margaret M. Conger and her colleagues examine the impact of managed care on nursing as a profession and nurses as individual caregivers. Organized into three sections, Managed Care looks at the nature of managed care, nursing strategies in acute care hospitals, and nursing strategies in community settings. Section I examines the evolution of managed care, definitions, and issues informing this method of service delivery, and nursing involvement in quality of care and case management. In Section II, the authors look at acute care settings, discussing the use of nurse extenders, advanced practice nursing, case management, automated clinical pathways, and outcome research. Section III addresses the community settings and explores case management, advanced practice roles in community health clinics, and collaboration in primary care settings.

Managed Care will serve as an excellent course text on nursing and managed care, as well as being a useful introduction and shelf reference for professional nurses at all levels.


 
PART ONE: MANAGED CARE ENVIRONMENT
PREFACE: INTRODUCTION TO MANAGED CARE STRATEGIES  
Margaret M Conger and JoAnne Woodall
Health Care Reform
An Opportunity for Nursing  
Margaret M Conger
Managed Care Organizational Structures
Margaret M Conger
Managed Care Organizational Strategies Used to Achieve Organizational Goals
Margaret M Conger
Nursing Involvement in Quality of Care Issues
Margaret M Conger
Nursing Case Management
A Managed Care Organizational Strategy  
 
PART TWO: NURSING STRATEGIES IN ACUTE-CARE HOSPITALS
Margaret M Conger
Use of Nurse Extenders
Margaret M Conger
Advanced Practice Nurses
Acute Care Settings  
Margaret M Conger and JoAnne Woodall
Nurse Case Management
Acute-Care Hospital Practice  
Lisa Brugh
Automated Clinical Pathways in the Patient Record
Legal Implications  
Pamela Keberlein
Clinical Pathway Outcome Research
 
PART THREE: NURSING STRATEGIES IN COMMUNITY SETTINGS
Margaret M Conger
Nurse Case Management in Community Settings
Margaret M Conger
Population-Based Nurse Case Management
Margaret M Conger and Carol E Craig
Advanced Practice Nurses as Case Managers
Carol E Craig, Kathy Ingleses and Margaret M Conger
Advanced Practice Roles in Community Settings
Community Health Clinics  
Carol E Craig and Margaret M Conger
Advanced Nurse Collaborative Practice in a Primary Care Setting

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ISBN: 9780761909651
$65.00

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