發展門診氣喘兒童個案管理模式

Developing a Hospital-Based Asthma Case Management Program

個案管理模式是未來慢性疾病醫療照護的主要趨勢；國內健保局於2001年將氣喘納入五大慢性疾病的管理照護，但有關以醫院為基礎之氣喘個案管理相關報告仍付闕如，因此本文嘗試發展「門診氣喘兒童個案管理」模式，並介紹此模式管理流程－－收案、監測、執行、評值與追蹤等五個步驟，作為個案管理者照護之標準以及慢性氣喘兒童照護之參考。

The case management model, on the basis of current trends, is likely to be the main model for caring for chronic disease in the future. Since 2001, asthma care has been covered under chronic disease-management by Taiwan's Health Insurance Bureau. But there is no report describing a hospital-based asthma case management program. The purposes of this essay were to develop a hospital-based asthma case management model and introduce the procedures for this model: recruitment, monitoring, implementation, evaluation and follow-up. This model can be used as the standard case management model for caring for children with chronic asthma.