Schroeder C A, Trehearne B, Ward D
University of Washington, School of Nursing, Seattle, USA.
Nurs Econ. 2000 Jan-Feb;18(1):14-9.
New expanded roles in nursing are developing in response to the health system switch from private, episodic care of individuals to health maintenance organizations (HMO's) focusing on disease prevention and promotion of health for populations of persons with chronic illness. This evaluation project explored the role of the nurse clinician in population and case management at a large HMO in the Northwest United States. In Part I of this two-part series, a literature review, is presented on chronic illness, ambulatory nursing, expanded role nursing, and nursing in HMOs. The development of the expanded role nurse clinician at the managed care organization is also described. Results could be used by HMOs to attract and retain nurses, improve care processes, and decrease costs in ambulatory care.
随着医疗系统从针对个人的私人、阶段性护理转向专注于疾病预防和促进慢性病患者群体健康的健康维护组织（HMO），护理领域正在出现新的扩展角色。这个评估项目探讨了美国西北部一家大型HMO中护士临床医生在人群和病例管理中的作用。在这个两部分系列的第一部分中，呈现了一篇关于慢性病、门诊护理、扩展角色护理以及HMO中的护理的文献综述。还描述了在该管理式医疗组织中扩展角色护士临床医生的发展情况。HMO可以利用这些结果来吸引和留住护士、改善护理流程并降低门诊护理成本。
