Robinson Karen M
University of Louisville School of Nursing, 555 S Floyd St., Louisville, KY 40292, USA.
Policy Polit Nurs Pract. 2010 Nov;11(4):266-74. doi: 10.1177/1527154410396572.
Care coordination is one of the priorities to transform the health care system (Institute of Medicine). Nurses have taken on the central role in care coordination for decades, and are now being recognized for expertise in care coordination. Attention has focused on nursing models that use care coordination and report outcomes. Nursing care coordination models emphasize patient education, engagement of patients and families in prevention, self-care, and adoption of health information technology to improve access to information. Policy recommendations needed to enhance care coordination include the following: (a) facilitate better information transfer with wider use of information technology, (b) include Nurse Practitioners (NPs) as equal practitioners in reimbursement, (c) create incentives to improve coordination of care, (d) reward the use of evidence-based practices, and (e) advocate for better care coordination models that include interdisciplinary teams and greater health system integration.
护理协调是医疗保健系统转型的重点之一（医学研究所）。几十年来，护士在护理协调中发挥着核心作用，目前其在护理协调方面的专业知识也得到了认可。人们的注意力集中在采用护理协调并报告结果的护理模式上。护理协调模式强调患者教育、让患者及其家属参与预防、自我护理以及采用健康信息技术以改善信息获取。加强护理协调所需的政策建议如下：(a) 通过更广泛地使用信息技术促进更好的信息传递；(b) 将执业护士（NPs）作为同等的从业者纳入报销范围；(c) 建立激励机制以改善护理协调；(d) 奖励循证实践的使用；(e) 倡导更好的护理协调模式，包括跨学科团队和更强的卫生系统整合。
