Caraher M T
Bridgeview Clinic, MacNeal Hospital, Berwyn, Ill.
Nurse Pract. 1988 Apr;13(4):50, 52, 54.
Lack of third-party reimbursement is one of the major impediments to the use of nurse practitioner services. Although NPs have been successful in obtaining third-party reimbursement under some health care plans, barriers still exist, such as opposition by medical societies, procedural problems and restrictive interpretations of state licensure laws. Consumer education about available health care and legislative involvement of NPs are two ways to attain third-party reimbursement for NPs. However, NPs first must have a clear understanding of third-party reimbursement, including how it is mandated and which providers and services are covered, before they can educate the consumer and become involved with legislation.
缺乏第三方报销是使用执业护士服务的主要障碍之一。尽管执业护士在一些医疗保健计划下成功获得了第三方报销，但障碍仍然存在，比如医学协会的反对、程序问题以及对州执照法的限制性解释。对消费者进行有关可用医疗保健的教育以及执业护士参与立法是实现执业护士第三方报销的两种途径。然而，执业护士首先必须清楚了解第三方报销，包括其如何被规定以及哪些提供者和服务在报销范围内，然后才能对消费者进行教育并参与立法。
