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Doody's Review ServiceReviewer: Francine Sparby, RN, MS (University of Colorado Health Sciences Center)
Description: The editors of this book take medical care management, case management, and managed care into the next millennium. They describe the missing components in our current system, the most important of which is more emphasis on best practices in prevention and alternative care in a complete comprehensive delivery system.
Purpose: The purpose, as described in the preface, is to provide a comprehensive but reasonable overview of many best practices in medical or clinical care management as they are applied in managed healthcare. The intent is to also demonstrate a wide range of activities within the field of best practices of professionals at the highest level, concentrating on taking the patient through the continuum of healthcare instead managing an episode of treatment. Based on the review, I find that the editors do meet their objectives. This is a needed book because the editors provide us with valuable information for managing the patient over the continuum of healthcare that is not currently provided for in most instances today.
Audience: The book is written for most clinical practitioners, students, and residents. The editors target those directly providing healthcare services and the professionals managing the patients. The editors are credible authorities in the subject matter. The contributors also have a rich history of experience, research, and publications in the subject matter.
Features: The editors focus on the demonstration of best practices in the "how" of clinical management in a managed care setting with very specific disease illustrations and activities. Through these illustrations and activities they concentrate more on an advanced, complete, integrated delivery system with a positive preventive approach through extensive screens, care management integration, and data outcome management. They describe the "how" in comprehensive algorithms and high-risk screens. I found the best subject areas in the book to be the complementary and alternative medicine structure for integration that concentrates on prevention and holistic managed care.
Assessment: The editors describe a very comprehensive approach to care management, incorporating very practical tools and processes to help manage the whole patient across the continuum with a very proactive, preventative, and holistic emphasis.