Pittman Patricia, Salmon Marla E
Associate Professor, Department of Health Policy and Management, Milken Institute School of Public Health, The George Washington University, Washington, DC.
Professor, Department of Psychosocial and Community Health Nursing, School of Nursing, University of Washington, Seattle, WA; Professor, Department of Global Health, School of Public Heath, University of Washington, Seattle, WA.
Nurs Outlook. 2016 Jan-Feb;64(1):24-32. doi: 10.1016/j.outlook.2015.09.002. Epub 2015 Sep 21.
Health system transformations in the United States are creating new opportunities for nursing innovation, although financial sustainability has limited the expansion of nurse managed clinics.
We explore case studies of nursing enterprises in the developing world and discuss their potential for informing related work in the United States.
Cases were selected from the Center for Health Market Innovations.
We describe a professional association network of clinics in Tanzania, a social franchise in Kenya, and a cooperative in the Philippines. All programs empowered nurses to own, lead, and advance their professional influence. They had a social mission of improving access to care for disadvantaged populations, while increasing employment and autonomy of women. They also provided a shared platform for branding, purchasing, and quality assurance.
Organization sponsors in these models may be relevant to different actors in the United States. Each demonstrates the importance of a collective approach to advancing nursing enterprises.
美国的卫生系统变革为护理创新创造了新机会，尽管财务可持续性限制了护士管理诊所的扩张。
我们探讨发展中国家护理企业的案例研究，并讨论它们为美国相关工作提供信息的潜力。
案例选自卫生市场创新中心。
我们描述了坦桑尼亚诊所的专业协会网络、肯尼亚的社会特许经营以及菲律宾的合作社。所有项目都赋予护士所有权、领导权并提升其专业影响力。它们有一项社会使命，即改善弱势群体获得护理的机会，同时增加女性的就业和自主权。它们还为品牌推广、采购和质量保证提供了一个共享平台。
这些模式中的组织赞助者可能与美国的不同行为者相关。每个案例都展示了推进护理企业集体方法的重要性。
