Jitramontree N
University of Iowa, Iowa City, USA.
Home Healthc Nurse. 2000 Feb;18(2):116-22; quiz 122-3. doi: 10.1097/00004045-200002000-00011.
This article presents an overview of changes in Medicare's payment system and their effect on home healthcare from a nursing standpoint, and makes policy recommendations for nurses. Home health care utilization, the Balanced Budget Act 1997, the effect of changes in Medicare reimbursement (on beneficiaries and providers), and transition to the new PPS system are discussed. Suggested strategies agencies can use, and how home care nurses can get involved in policy recommendations are presented.
本文从护理角度概述了医疗保险支付系统的变化及其对家庭医疗保健的影响,并为护士提出了政策建议。文中讨论了家庭医疗保健的使用情况、1997年的《平衡预算法案》、医疗保险报销变化(对受益人和提供者)的影响以及向新的按病种付费(PPS)系统的过渡。还介绍了机构可以采用的建议策略,以及家庭护理护士如何参与政策建议。