近年個案管理制度已逐漸應用在國内之醫療環 境，雖然名稱相同，但是在不同醫療體系下， 制度的内容卻有很大的出入’本文藉由Walker及 Avant所提出的概念分析步驟’協助相關醫療人 員了解個案管理的本質，達到個案管理的目標。 經由分析發現，個案管理係指協助個案在特殊情 況或問題下，應用管理策略有效達到組織目標。 定義性特徵為一、個案具有複雜性高的問題。 二、醫療專業人員共同合作解決個案的問題，達 到兼具品質及符合成本效益之醫療目的。三、需 要管理者以管理的過程整合片段、重複、不協調 的資源，統合後提供個案使用。四、促進個案自 我提升，有效率的使用照護系統。

While the case management approach has been increasingly applied to healthcare worldwide in recent years, significant differences in application exist among discrete medical systems. This paper applies a methodology outlined by Walker and Avant to analyze the case management concept. This methodology is designed to assist medical staff to understand a concept in order to better achieve concept goals. The case management approach works to leverage organizational strategies to resolve case-specific circumstances and issues in order to accomplish organizational goals. Defining attributes of case management include: (1) highly complex cases; (2) the use of multidisciplinary professional teams to resolve case problems in the most cost-effective manner; (3) the use of case managers to manage the effective integration and operation of the multidisciplinary team; and (4) helping cases improve and make effective use of medical system resources.