Miller E D
New York Harbor Healthcare System, New York, NY, USA.
Nurs Clin North Am. 2000 Jun;35(2):519-25.
A historic change to improve outcomes of a long-standing problem in completing veterans' compensation and pension examinations has resulted in increased access to care, higher client satisfaction, and increased system efficiencies. This article describes the change from medical care as the exclusive responsibility of physicians to an innovative use of nurse practitioners in a system that exists in a highly structured, centrally coordinated patient care practice.
一项历史性变革旨在改善长期存在的退伍军人伤残抚恤金评定问题的结果,已带来了更多的医疗服务机会、更高的客户满意度以及系统效率的提升。本文描述了从将医疗护理完全视为医生的职责,转变为在一个高度结构化、集中协调的患者护理实践体系中创新性地使用执业护士的过程。