Shifting the healthcare paradigm: the case manager's opportunity and responsibility.
Recent shifts in the healthcare system reflect a shift in thinking from sickness to wellness. This article reviews the paradigm shift, incentive system, and issues related to cost and quality. The role of case management in facilitating this transition is discussed. The article concludes with a discussion of the challenge to use nursing's unique disciplinary perspective that is focused on health to develop new approaches and strategies and the opportunities for case management to expand its scope of practice.
Thurkettle
Mary Ann
MA
School of Nursing, Duquesne University, 631 College Hall, 600 Forbes Avenue, Pittsburgh, PA 15282, USA. thurkettlem@duq.edu
Noji
Ariko
A
D019090:Case Management; D003695:Delivery of Health Care / Q000458:organization & administration*; D006293:Health Promotion; D006801:Humans; D012941:Social Responsibility; D014481:United States