title: Shifting the healthcare paradigm: the case manager's opportunity and responsibility.
abstract: 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.
authors.affiliation: School of Nursing, Duquesne University, 631 College Hall, 600 Forbes Avenue, Pittsburgh, PA 15282, USA. thurkettlem@duq.edu
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Thurkettle
authors.forename: Ariko
authors.initials: A
authors.lastname: Noji
mesh_terms: D019090:Case Management; D003695:Delivery of Health Care / Q000458:organization & administration*; D006293:Health Promotion; D006801:Humans; D012941:Social Responsibility; D014481:United States