Applying of the Case Management Model in the Personal Health Care Institutions in the Context of the New Public Governance

Alvydas Raipa, Daiva Čepuraitė


Analyzing the evolution of modern public management decomposing stage, it can be stated that the global change management presuppose the modernization reform is not easily identified on the organization‘s internal and external activities of diversity factors. The management of change, modernization reforms innovative nature, as a procedural phenomenon has a certain vector is limited to certain actions amplitude that exist more organizations in the internal environment. Such as internal change management capability modeling factors in addressing the twenty-first century public sector change modeling issues permits at least partial plan strategic change management cycles, anticipate potential risks, identification of internal conflicts and innovative provisions in organizations. Health care quality is determined not only resources, technical institutions access (provided a variety of services, level of medical technology, medical equipment capability), and flexible modern management principles can be applied in the health care work management.Vilnius Centro Outptient Clinic introduced a case management model that is unique because it is designed based on the characteristics of the two models - the primary health care model and the agent model. Health care model for the health service demand increase, preventive activities of doctors‘ offices to develop and service access barriers reduction.


new public governance, health care institutions, case study, complexic view, public governance evolution, health care system.

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"Public Policy and Administration" ISSN online 2029-2872 / ISSN print 1648-2603