遠距健康照護在個案管理的運用

Application of Telehealth in Case Management

近幾年臨床護理實務工作有非常大改變，此與科技產品的研發日新月異很有關係。另一方面，由於醫療費用的高漲、老年人口的增加、慢性病患者的無所不在，促使發展許多個案管理的照護模式。故本文旨在介紹個案管理與遠距健康照護的現況與趨勢，並提出護理人員所面臨的挑戰與可能的因應建議。資訊科技發展的洪流，不是我們可以視而不見的，而是如何協助或引導新儀器的發展，符合病人的需要，以協助護理人員發展個別化與人性化的照護計劃，並使護理專業能更有效率與效能的提供專業服務。護理個管師在遠距健康照護的年代更須加強臨床評估能力、批判思考、科學驗證的精神與技能、溝通與協商能力、合作與衝突解決的能力，不僅能獨立作業的能力，更能有團隊合作的能力。個管師是護理專業運用遠距健康照護的前哨人員，具有無限發展潛力。

Nursing clinical practice has changed dramatically in recent years due to advances in medical science. Increasing medical costs and the rising prevalence of chronic diseases in growing elderly populations have encouraged the development of various new case management care models. The purpose of this study was to introduce the current status and future development of case management and telehealth care as well as to challenge and guide nurses. Rather than turning a blind eye to new developments in information technology, we must use such to help nurses develop individualized and humanized care plans. New technologies can also assist nurses to deliver efficient and effective professional nursing care. Nurse case managers must increase competencies in assessment, critical thinking, evidencepractice, communication and negotiation, cooperation and problem solving. Case managers must practice independently while cooperating with other team members. The case manager is also a vanguard in the application of telehealth care in the nursing profession. Such professionals have a strong potential role to play in the future development of the nursing profession.