3 years ago

Institutionalisation of the case management nurse in Spain. Comparative analysis of health systems of the Spanish autonomous communities

María López Vallejo, Jesús Puente Alcaraz

Publication date: Available online 19 February 2018

Source: Enfermería Clínica (English Edition)

Author(s): María López Vallejo, Jesús Puente Alcaraz

Abstract

Care of chronicity is a pressing issue for health systems because of its high prevalence and the organisational challenges that it generates. Different countries solve the complexity of the care of chronicity through case management by the nursing profession, obtaining good results.

This paper analyses the status of institutionalisation of the case management nurse in Spain through the design of a reference standard to compare between the autonomous communities in their approach to chronicity. Thus, we sought to monitor the degree of progress of the institutional structure of the policies for the care of chronicity in our country through this healthcare professional. Our results showed that no autonomous community has reached the maximum standard of implementation and that the situation is very heterogeneous, confirming a weak and erratic degree of institutionalisation of the case management nurse in Spain despite the formal recognition of their role in patient care.

Resumen

La atención a la cronicidad es una necesidad acuciante para los sistemas de salud por su elevada prevalencia y los retos organizativos que su atención genera. Diferentes países resuelven la complejidad de la atención a la cronicidad mediante la gestión de casos a través de la profesión enfermera, con buenos resultados.

En este trabajo se analiza el estado de institucionalización de la figura profesional de la enfermera gestora de casos en España mediante el diseño de un estándar de referencia para la comparación entre comunidades autónomas del abordaje de la cronicidad. Se pretende de esta manera monitorear el grado de avance de la estructura institucional de las políticas de atención a la cronicidad en nuestro país mediante esta figura asistencial.

Entre los resultados encontramos que ninguna comunidad autónoma ha alcanzado el estándar máximo de implantación y que la situación es muy heterogénea, en la que se constata un débil y errático grado de institucionalización de la enfermera gestora de casos en España a pesar del reconocimiento formal a su papel en la atención al paciente crónico.

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