Kelly K
Am J Law Med. 1985;11(2):195-225.
Until recently, physicians have been the primary health care providers in the United States. In response to the rising health care costs and public demand of the past decade, allied health care providers have challenged this orthodox structure of health care delivery. Among these allied health care providers are nurse practitioners, who have attempted to expand traditional roles of the registered nurse. This article focuses on the legal issues raised by several major obstacles to the expansion of nurse practitioner services: licensing restrictions, third party reimbursement policies, and denial of access to medical facilities and physician back-up services. The successful judicial challenges to discriminatory practices against other allied health care providers will be explored as a solution to the nurse practitioners' dilemma.
直到最近，医生一直是美国主要的医疗保健提供者。为应对过去十年不断上涨的医疗保健成本和公众需求，联合医疗保健提供者对这种传统的医疗保健服务结构提出了挑战。这些联合医疗保健提供者中包括执业护士，他们试图扩大注册护士的传统角色。本文重点关注执业护士服务扩展的几个主要障碍所引发的法律问题：许可限制、第三方报销政策以及无法获得医疗设施和医生后备服务。将探讨针对其他联合医疗保健提供者的歧视性做法的成功司法挑战，作为解决执业护士困境的一种方法。
