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在医疗保健改革时代培养执业护士在为弱势群体提供初级保健方面的作用。

Cultivating the Role of Nurse Practitioners in Providing Primary Care to Vulnerable Populations in an Era of Health-Care Reform.

作者信息

Xue Ying, Intrator Orna

机构信息

University of Rochester School of Nursing, Rochester, NY, USA

Department of Public Health Sciences, University of Rochester Medical Center, Rochester, NY, USA Canandaigua VA Medical Center, Canandaigua, NY, USA.

出版信息

Policy Polit Nurs Pract. 2016 Feb;17(1):24-31. doi: 10.1177/1527154416645539. Epub 2016 May 9.

Abstract

The evolving role of nurse practitioners (NPs) as primary care providers, especially for vulnerable populations, is central to the debate regarding strategies to address the growing need for primary care services. The current article provides policy recommendations for leveraging and expanding the historic role of NPs in caring for vulnerable populations, by focusing on three key policy levers: NP scope-of-practice regulation, distribution of the NP workforce, and NP education. These policy levers must go hand in hand to build a sufficient and equitably distributed NP workforce, to help meet the escalating need for primary care in an era of health-care reform.

摘要

执业护士(NPs)作为初级保健提供者,尤其是为弱势群体提供服务时所发挥的不断演变的作用,是关于应对日益增长的初级保健服务需求的策略辩论的核心。本文通过关注三个关键政策杠杆,即NP的执业范围监管、NP劳动力的分布以及NP教育,为利用和扩大NPs在照顾弱势群体方面的历史作用提供政策建议。这些政策杠杆必须协同发挥作用,以建立一支充足且分布公平的NP劳动力队伍,从而在医疗改革时代帮助满足不断增长的初级保健需求。

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