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限制执业护士贸易的法律途径:不同的报销模式。

Legal approaches to the restraint of trade of nurse practitioners: disparate reimbursement patterns.

作者信息

Timmons G, Ridenour N

出版信息

J Am Acad Nurse Pract. 1994 Feb;6(2):55-9. doi: 10.1111/j.1745-7599.1994.tb00918.x.

DOI:10.1111/j.1745-7599.1994.tb00918.x
PMID:8003356
Abstract

Nurse practitioners (NPs) can face, and have faced, several challenges in the health care environment. As with the denial of hospital admitting or staff privileges, the granting of inequitable reimbursement levels by state administrative bodies, physicians, insurers, and other members of the health care community may limit NP practice. Several strategies are discussed that will demonstrate how nurse practitioners can use legal and administrative mechanisms (e.g., antitrust laws) to eliminate restraints of trade and assure the availability of more equitable direct reimbursement patterns.

摘要

执业护士在医疗环境中可能面临,并且已经面临了若干挑战。与医院收治或员工特权被拒绝的情况一样,州行政机构、医生、保险公司及医疗界其他成员给予不公平的报销水平可能会限制执业护士的执业。文中讨论了几种策略,这些策略将展示执业护士如何利用法律和行政机制(如反垄断法)来消除贸易限制,并确保更公平的直接报销模式的可行性。

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