Safriet B J
Yale Law School, New Haven, CT 06520-8215.
Inquiry. 1994 Fall;31(3):310-7.
Any meaningful reform of health care delivery will have to overcome current barriers to effective utilization of nonphysician providers. These barriers include cultural and professional realities, as well as a number of explicit legal impediments. Medical practice acts remain overly broad and indeterminate, with concomitant and unnecessary restrictions in the licensure and practice acts of nonphysician providers. If we are to achieve our goal of offering high-quality care, at an affordable cost, to everyone who needs it, we must ensure that all health care providers are able to practice within the full scope of their professional competencies.
任何有意义的医疗服务改革都必须克服当前阻碍非医师医疗服务提供者有效利用的障碍。这些障碍包括文化和专业现实，以及一些明确的法律障碍。医疗执业法仍然过于宽泛和不确定，同时对非医师医疗服务提供者的执照颁发和执业行为存在不必要的限制。如果我们要实现以可承受的成本为每个有需要的人提供高质量医疗服务的目标，就必须确保所有医疗服务提供者都能够在其专业能力的全部范围内执业。
