Rishel Cindy J
College of Nursing, University of Arizona in Tucson.
Oncol Nurs Forum. 2014 May;41(3):324-6. doi: 10.1188/14.ONF.324-326.
Have you given serious thought to your individual ability to affect the high cost of health care? If so, you may have determined that the opportunity to have any meaningful effect on cost of services for patients with cancer is limited. You may believe that budgets are the responsibility of nursing leadership. Indeed, the development of the unit or department budget is an activity that many of us have no direct (or even indirect) role in completing. Once the budget is finalized, we are frequently given directives to control our costs and improve the financial bottom line for our employers. One could argue that this is a particularly difficult missive for oncology nurses with the soaring costs of chemotherapy and biotherapy drugs, the expenses incurred to provide supportive care needed by patients with cancer, and the need to provide services to the increasing number of cancer survivors.
你是否认真思考过自己个人对医疗保健高昂成本的影响能力？如果是这样，你可能已经确定，对癌症患者的服务成本产生任何有意义影响的机会是有限的。你可能认为预算是护理领导层的责任。的确，制定科室或部门预算是一项我们许多人在完成过程中没有直接（甚至间接）作用的活动。一旦预算最终确定，我们经常会接到指令，要控制成本并为雇主改善财务状况。有人可能会说，对于肿瘤护士来说，这是一项特别艰巨的任务，因为化疗和生物治疗药物成本飙升、为癌症患者提供所需支持性护理产生的费用，以及为越来越多的癌症幸存者提供服务的需求。
