Hansen-Turton Tine, Ryan Sandra, Miller Ken, Counts Mona, Nash David B
National Nursing Centers Consortium, Philadelphia, Pennsylvania 19102, USA.
Dis Manag. 2007 Apr;10(2):61-73. doi: 10.1089/dis.2006.636.
The need for accessible, affordable, quality health care in the United States has never been greater. In response to this need, convenient care clinics (CCCs) are being launched across the country to help provide care to meet the basic health needs of the public. In CCCs, highly qualified health care providers diagnose and treat common health problems, triage patients to the appropriate level of care, advocate for a medical home for all patients, and reduce unnecessary visits to emergency rooms and Urgent Care Clinics. CCCs have been called a "disruptive innovation" because they are consumer driven. They serve as a response to many patients who are unhappy with the current conventional health care delivery system--a system that is challenged to provide access to basic health care services when people need it the most. CCCs are based in retail stores and pharmacies. They are primarily staffed by nurse practitioners (NPs). Some CCCs are staffed by physician assistants (PAs) and physicians. The authors acknowledge the important roles of both PAs and physicians in CCCs; however, this paper primarily provides education about the role of NPs in CCCs. CCCs have evolved at a time when our health care system is floundering, and the need for accessible, affordable health care is at its greatest. The CCC model provides an accessible, affordable entry point into the health care system for those who previously were restricted access.
在美国，对可及、可负担得起的优质医疗保健的需求从未如此迫切。为满足这一需求，便捷护理诊所（CCCs）正在全国范围内设立，以帮助提供医疗服务，满足公众的基本健康需求。在便捷护理诊所中，高素质的医疗服务提供者诊断和治疗常见健康问题，将患者分诊到适当的护理级别，为所有患者倡导医疗之家，并减少不必要的急诊室和紧急护理诊所就诊。便捷护理诊所被称为“颠覆性创新”，因为它们是由消费者驱动的。它们是对许多对当前传统医疗服务提供系统不满意的患者的一种回应——在人们最需要的时候，这个系统在提供基本医疗服务方面面临挑战。便捷护理诊所设在零售店和药店。它们主要由执业护士（NPs）提供人员配备。一些便捷护理诊所由医师助理（PAs）和医生提供人员配备。作者承认医师助理和医生在便捷护理诊所中都发挥着重要作用；然而，本文主要介绍执业护士在便捷护理诊所中的作用。便捷护理诊所在我们的医疗保健系统陷入困境、对可及且可负担得起的医疗保健需求最为迫切的时候应运而生。便捷护理诊所模式为那些以前难以获得医疗服务的人提供了一个可及、可负担得起的进入医疗保健系统的切入点。
