Study On The Application Of Case Management In Practice "Three Noes" Patients

With the continuous development of market economy, the continuous influx ofWorkers urban population mobility increased, Hospital of the "Three Noes" patients isalso increasing. When they come to the hospital emergency room aroundunaccompanied, no home address, but also can not afford to pay their medicalexpenses. Although the funds allocated to the civil affairs departments havespecialized hospitals each year, but can hardly satisfy the "three no" actual needs ofthe patient, the hospital still bear most of the costs."Three Noes" arrears problemgreatly improves the patient’s hospital operating costs, resulting in the maintenance ofthe normal operation of the hospital funding is occupied. Because of the special natureof their disease patients more excluded by some aid agencies, have stuck to thehospital. This not only makes the hospital facing arrears problems, but also bear themedical resources of the occupied unreasonable pressure. Over time, the enthusiasmof the medical staff work is severely restricted. When the lack of governmentinvestment, the hospital admitted capacity is very limited, disadvantaged "ThreeNoes" patients can get very little support, and how the "Three Noes" Patientimplement management has become a major problem for each hospital.Expand a "Three Noes" patient population and related issues will need to be givenspecial attention, especially in medical costs, rehabilitation, life care, physicalplacement and other issues, because it is too difficult, has long plagued the hospitaland the community. As the "Three Noes" diverse needs of patients, difficulties facedcomplicated to obtain and use resources are very limited, the traditional single modeof social work hard to resolve the multiple problems facing the main case. And casemanagement as a working model of an integrated service, suitable for solving avariety of cases the main problem, one that can help the case of the main effective useof social resources, on the other hand social workers by linking resources, integratedinto the main case transmission social services. Uphold the social work case management "helping people help themselves," the basic principles, with particularemphasis on the various services team composed of professionals in order to expandthe case of the main information to improve its methods to solve problems andenhance their access to and use of resources. Therefore, case management applied tothe "Three Noes" patients is a certain necessity and feasibility.According to their own intervention study on the "Three Noes" Patient X’sHospital in Z City, the work process, finishing with workers in other areas of medicalintervention "Three Noes" written records of patients, and summarizes the author andco-workers, supervisors help investigate the "Three noes "to solve the multipleproblems of the patient after doing some experience to share, we want to intervene incase management" Three Noes "patients can learn something.