Research Triangle Institute, in Waltham, Massachusetts, USA.
Health Aff (Millwood). 2010 Aug;29(8):1469-75. doi: 10.1377/hlthaff.2008.0966.
In 2001 the Centers for Medicare and Medicaid Services (CMS) allowed states to opt out of the requirement for reimbursement that a surgeon or anesthesiologist oversee the provision of anesthesia by certified registered nurse anesthetists. By 2005, fourteen states had exercised this option. An analysis of Medicare data for 1999-2005 finds no evidence that opting out of the oversight requirement resulted in increased inpatient deaths or complications. Based on our findings, we recommend that CMS allow certified registered nurse anesthetists in every state to work without the supervision of a surgeon or anesthesiologist.
2001 年，医疗保险和医疗补助服务中心（CMS）允许各州选择不要求外科医生或麻醉师监督认证注册护士麻醉师提供麻醉服务。到 2005 年，已有 14 个州行使了这一选择权。对 1999 年至 2005 年的 Medicare 数据进行的分析并未发现选择不遵守监督要求会导致住院患者死亡或并发症增加的证据。基于我们的研究结果，我们建议 CMS 允许每个州的认证注册护士麻醉师在没有外科医生或麻醉师监督的情况下工作。
