Porter H B
Faculty of Nursing, University of Western Ontario, London, Canada.
J Nurs Adm. 1995 Feb;25(2):15-22. doi: 10.1097/00005110-199502000-00004.
The continuous rise in healthcare expenditures concerns providers, recipients, and payers alike, all of whom seek to explain, justify, or contain these costs. Although nurses are major healthcare providers in ambulatory oncology settings, the efficiency or productivity of nursing, expressed as frequency and cost of services (resource utilization), has not been addressed. Part 1 presented findings from a retrospective comparative study that delineated two different models of oncology nursing practice, the Nurse Complement Model and the Nurse Substitute Model of practice. Part 2 discusses these differences in the economic effectiveness of ambulatory oncology nursing in terms of health resource utilization.
医疗保健支出的持续增长令医疗服务提供者、接受者和支付方都感到担忧，他们都试图解释、证明或控制这些成本。尽管护士是门诊肿瘤护理环境中的主要医疗服务提供者，但护理的效率或生产力，以服务频率和成本（资源利用）来衡量，尚未得到探讨。第1部分介绍了一项回顾性比较研究的结果，该研究描绘了两种不同的肿瘤护理实践模式，即护士补充模式和护士替代模式。第2部分从卫生资源利用的角度讨论了门诊肿瘤护理经济有效性的这些差异。
