Griffith H M, Robinson K R
Office of Disease Prevention and Health Promotion, U.S. Public Health Service, Fargo, ND.
Image J Nurs Sch. 1993 Fall;25(3):178-86. doi: 10.1111/j.1547-5069.1993.tb00778.x.
In this exploratory study, a random sample of nurses from nine nursing specialties was surveyed to identify which Current Procedural Terminology (CPT) coded procedures they perform and how frequently they perform them. CPT codes are used universally to file claims for physician payment. The sample included 74 school nurses, 67 enterostomal nurses, 53 family nurse practitioners, 43 critical care nurses, 43 oncology nurses, 40 rehabilitation nurses, 39 orthopaedic nurses, 34 nephrology nurses and 25 nurse-midwives. Specific questionnaires were developed for each specialty with codes identified by expert panels. The number of CPT codes ranged from 233 for family nurse practitioners to 58 for school nurses. The mean number of coded services performed by individual respondents ranged from 79 (FNP) to 18 (school nurses); individual respondents performed 0-162 codes. Supervision by physicians was very infrequent. Charges to Medicare in 1988 for the coded services included in the survey were $22,793,427.34 (aggregate allowable charges). The study provides some documentation of the degree to which nurses perform the same services and procedures for which physicians are being paid. If policy makers are serious about reaching innovative solutions to the problems of quality, access and cost, everything must be "on the table," including the contributions of nurses.
在这项探索性研究中，对来自九个护理专业的护士随机抽样进行调查，以确定她们执行哪些现行程序术语（CPT）编码程序以及执行的频率。CPT编码被普遍用于提交医生付费申请。样本包括74名学校护士、67名造口术护士、53名家庭护士执业医师、43名重症监护护士、43名肿瘤护士、40名康复护士、39名骨科护士、34名肾病护士和25名助产护士。针对每个专业制定了特定问卷，由专家小组确定编码。CPT编码数量从家庭护士执业医师的233个到学校护士的58个不等。个体受访者执行的编码服务平均数量从79项（家庭护士执业医师）到18项（学校护士）不等；个体受访者执行0 - 162个编码。医生的监督非常少见。1988年调查中包含的编码服务向医疗保险收取的费用为22,793,427.34美元（总计允许费用）。该研究提供了一些关于护士执行与医生所获报酬相同的服务和程序的程度的记录。如果政策制定者认真考虑为质量、可及性和成本问题找到创新解决方案，那么一切都必须“摆到桌面上”，包括护士的贡献。
