Schraeder C, Shelton P, Britt T, Buttitta K
J Case Manag. 1996 Summer;5(2):58-64.
This article describes the Community Nursing Organization, a federal health care model designed to provide specific ambulatory and outpatient services to medicare beneficiaries via a nurse managed delivery system under capitated financing. A primary nurse provider, working with the elderly client, family, physician, health care service providers, and community organizations, assesses the need for care and arranges for appropriate services. This nurse must also authorize payment of those services covered by the Community Nursing Organization (CNO). A 3-year demonstration project is currently under way. Findings at 1 year indicate that the system may have a positive effect on client health status.
本文介绍了社区护理组织，这是一种联邦医疗保健模式，旨在通过按人头付费融资下的护士管理服务系统，为医疗保险受益人提供特定的门诊和出诊服务。一名初级护士提供者与老年客户、其家人、医生、医疗服务提供者及社区组织合作，评估护理需求并安排适当的服务。该护士还必须批准支付社区护理组织（CNO）所涵盖的那些服务费用。目前正在进行一个为期3年的示范项目。1年时的研究结果表明，该系统可能对客户健康状况产生积极影响。
