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研究支持取消注册护士麻醉师监管规定,以最大限度地增加麻醉医护人员数量并确保患者能够获得医疗服务。

Studies support removing CRNA supervision rule to maximize anesthesia workforce and ensure patient access to care.

作者信息

Jordan Lorraine

出版信息

AANA J. 2011 Apr;79(2):101-4.

PMID:21560971
Abstract

Recent research reaffirms that Certified Registered Nurse Anesthetists (CRNAs) are critical to the delivery of anesthesia in the United States and argues persuasively for the removal of barriers-including supervision requirements--that prevent CRNAs and other advanced practice registered nurses (APRNs) from practicing to the full extent of their education and training. As we as a nation strive to make healthcare accessible, ever safer, and affordable, the health system must use anesthesia professionals as efficiently as possible. Repealing the federal Medicare physician supervision requirement for nurse anesthetists is an important step toward achieving this goal.

摘要

近期研究再次证实,注册护士麻醉师(CRNAs)在美国麻醉服务提供中至关重要,并极具说服力地主张消除包括监管要求在内的障碍,这些障碍阻碍了注册护士麻醉师和其他高级实践注册护士(APRNs)充分发挥其教育和培训水平进行执业。当我们作为一个国家努力使医疗保健更易获得、更安全且更经济实惠时,卫生系统必须尽可能高效地利用麻醉专业人员。废除联邦医疗保险对护士麻醉师的医生监督要求是朝着实现这一目标迈出的重要一步。

相似文献

1
Studies support removing CRNA supervision rule to maximize anesthesia workforce and ensure patient access to care.研究支持取消注册护士麻醉师监管规定,以最大限度地增加麻醉医护人员数量并确保患者能够获得医疗服务。
AANA J. 2011 Apr;79(2):101-4.
2
Achieving the opt out for Medicare physician supervision for nurse anesthetists.实现麻醉护士在医疗保险方面无需医生监督的目标。
AANA J. 2010 Apr;78(2):96-100.
3
Credentialing of certified registered nurse anesthetists.认证注册麻醉护士的资格认定。
Adv Pract Nurs Q. 1998 Winter;4(3):54-62.
4
Medicare and Medicaid programs; hospital conditions of participation: anesthesia services. Health Care Financing Administration (HCFA), HHS. Final rule.医疗保险和医疗补助计划;医院参与条件:麻醉服务。医疗保健财务管理局(HCFA),卫生与公众服务部。最终规则。
Fed Regist. 2001 Jan 18;66(12):4674-87.
5
Medicare program: hospital outpatient prospective payment system and CY 2011 payment rates; ambulatory surgical center payment system and CY 2011 payment rates; payments to hospitals for graduate medical education costs; physician self-referral rules and related changes to provider agreement regulations; payment for certified registered nurse anesthetist services furnished in rural hospitals and critical access hospitals. Final rule with comment period; final rules; and interim final rule with comment period.医疗保险计划:医院门诊前瞻性支付系统及2011财年支付费率;门诊手术中心支付系统及2011财年支付费率;向医院支付研究生医学教育费用;医生自我转诊规则及对提供者协议法规的相关更改;支付农村医院和急救医院提供的注册护士麻醉师服务费用。有意见征求期的最终规则;最终规则;以及有意见征求期的暂行最终规则。
Fed Regist. 2010 Nov 24;75(226):71799-2580.
6
Examining collaborative relationships between anesthesiologists and certified registered nurse anesthetists in nurse anesthesia educational programs.考察麻醉医师与麻醉护士教育项目中认证注册麻醉护士之间的合作关系。
AANA J. 1994 Apr;62(2):139-48.
7
Medicare and Medicaid programs; hospital Conditions of Participation: anesthesia services. Final rule.医疗保险和医疗补助计划;医院参与条件:麻醉服务。最终规则。
Fed Regist. 2001 Nov 13;66(219):56762-9.
8
AANA testifies before PPRC on federal healthcare reform.美国麻醉护士协会就联邦医疗改革向总统医疗保健改革顾问委员会作证。
AANA J. 1993 Dec;61(6):549-63.
9
No harm found when nurse anesthetists work without supervision by physicians.当护士麻醉师在没有医生监督的情况下工作时,没有发现危害。
Health Aff (Millwood). 2010 Aug;29(8):1469-75. doi: 10.1377/hlthaff.2008.0966.
10
The practice and distribution of Certified Registered Nurse Anesthetists in federally designated nurse shortage areas.联邦指定护士短缺地区注册护士麻醉师的执业与分布情况
CRNA. 1997 May;8(2):55-61.

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