Micheli A J, Smith C E
Perioperative Programs and Allied Services, Children's Hospital, Boston, Massachusetts 02115, USA.
Nurs Clin North Am. 1997 Mar;32(1):201-13.
The present climate in health care, including a tendency toward more managed care and capitation systems, has caused hospital administrators and perioperative managers to reexamine traditional work systems and their associated costs. Some decisions around work redesign may be financially driven or based on the decreased availability of qualified professionals in the job market. The use of an increased number of unlicensed assistive personnel (UAP) in hospital settings has become a common redesign strategy to address both issues. In the perioperative setting, some traditional roles are well established for UAP. Today, changes associated with downsizing, cost containment, and increasing technology have opened up new opportunities to explore ways to integrate UAP roles into the perioperative setting.
当前医疗保健领域的形势，包括向更多管理式医疗和按人头付费系统发展的趋势，已促使医院管理人员和围手术期管理人员重新审视传统工作系统及其相关成本。围绕工作重新设计的一些决策可能是出于财务驱动，或是基于就业市场中合格专业人员供应的减少。在医院环境中增加使用无执照辅助人员（UAP）已成为解决这两个问题的常见重新设计策略。在围手术期环境中，UAP的一些传统角色已确立。如今，与裁员、成本控制和技术不断进步相关的变化，为探索将UAP角色融入围手术期环境的方法带来了新机遇。
