Bauer Jeffrey C
Affiliated Computer Services, Inc.
J Am Acad Nurse Pract. 2010 Apr;22(4):228-31. doi: 10.1111/j.1745-7599.2010.00498.x.
Healthcare reform in 2009 was motivated by an imperative to reduce the relentless increase in spending on medical care. Many efforts to solve the problem focused on applying proven principles of evidence-based practice and cost-effectiveness to find the least-expensive way to produce a specific clinical service of acceptable quality. This paper combines economic analysis and reviews published literature to show how the goals of healthcare reform can be accomplished by allowing independently licensed nurse practitioners to provide their wide range of services directly to patients in a variety of clinical settings. The paper presents extensive, consistent evidence that nurse practitioners provide care of equal or better quality at lower cost than comparable services provided by other qualified health professionals.
2009年的医疗改革旨在应对医疗支出持续增长的迫切需求。许多解决该问题的努力都集中在应用循证实践和成本效益的成熟原则上，以找到提供具有可接受质量的特定临床服务的最便宜方式。本文结合经济分析并回顾已发表的文献，以表明通过允许独立执业的执业护士在各种临床环境中直接为患者提供广泛的服务，可以实现医疗改革的目标。本文提供了大量一致的证据，表明执业护士以低于其他合格医疗专业人员提供的可比服务的成本，提供同等质量或更高质量的护理。
