Lookinland Sandra, Tiedeman Mary E, Crosson Amy E T
School of Nursing, San Diego State University, CA 92182, USA.
J Nurs Adm. 2005 Feb;35(2):74-80. doi: 10.1097/00005110-200502000-00006.
Healthcare delivery systems in the United States are changing rapidly in response to socioeconomic forces. In the new competitive healthcare market, work has been redesigned, with hospitals changing their skill mix to include unlicensed assisitive personnel. Having previously described the more traditional models of care delivery, (JONA, June 2004), the authors will now discuss a variety of nontraditional practice models that have been developed to address the changing needs of healthcare. These models and their driving forces are described. Indicators of success, including quality, cost, and satisfaction, are also examined.
美国的医疗保健提供系统正迅速变化以应对社会经济力量。在新的竞争性医疗保健市场中，工作已被重新设计，医院改变其技能组合以纳入无执照辅助人员。作者此前已描述过更传统的护理提供模式（《护理管理杂志》，2004年6月），现在将讨论为满足不断变化的医疗保健需求而开发的各种非传统实践模式。将描述这些模式及其驱动力。还将审视成功的指标，包括质量、成本和满意度。
