个案管理、保健管理和保健协调是近四十多年来英、美等国护理界先后采用的服务模式。本文论述它们的发展演变、服务模式、实施要求和功能作用,并探讨其对我国护理的启示。 Case management, health management and health care coordination are the service models successively adopted by the nursing communities in Britain, the United States and other countries in the recent forty years. This article discusses their development and evolution, service mode, implementation requirements and functional roles, and discusses its implications for China’s nursing.