Rivers Patrick A, Tsai Kai-Li, Munchus George
Health Management Program, College of Applied Sciences and Arts, Southern Illinois University, Carbondale, IL, USA.
J Health Care Finance. 2005 Spring;31(3):52-64.
This article examines the multiple factors leading to the nursing shortage and the financial impact of the nursing shortage on hospitals and health care providers, the government, society and educational institutions. Nursing shortages have occurred in this country throughout history, however, the current shortage is especially grappling due to the financial condition of the health care system, Health Insurance Portability and Accountability Act, the Balanced Budget Act, the compounding conditions that have led up to the shortage and the forecasted health care needs. Many solutions have been proposed to improve the nursing shortage. This article provides recommendations to problem solving methods and discusses some current policy alternatives, including recently enacted "nurse-patient ratio" regulation, demonstrated by California state policy and the "Magnet Certification" program developed by American Nursing Credential Center (ANCC). This article further examines the financial impacts on nursing shortage problem.
本文探讨了导致护士短缺的多种因素以及护士短缺对医院、医疗服务提供者、政府、社会和教育机构的财务影响。在我国历史上一直存在护士短缺的情况，然而，由于医疗保健系统的财务状况、《健康保险流通与责任法案》、《平衡预算法案》、导致短缺的复杂情况以及预测的医疗保健需求，当前的短缺问题尤为棘手。已经提出了许多解决方案来改善护士短缺的状况。本文提供了解决问题方法的建议，并讨论了一些当前的政策选择，包括最近颁布的“护士与患者比例”规定（以加利福尼亚州政策为例）以及美国护理认证中心（ANCC）制定的“磁石认证”计划。本文进一步研究了护士短缺问题的财务影响。
