Lange A, Cheek J
School of Nursing City East Campus, Faculty of Nursing, University of South Australia, Adelaide, Australia.
Int J Nurs Pract. 1997 Mar;3(1):2-9.
The Australian healthcare system, and those of many other Western countries are experiencing significant shifts in the development of health policy. Many of these shifts are directly related to economic factors that have contributed to the spiralling costs of health care. The trends in health policy appear to be embracing a 'market driven' approach to the distribution of resources and health services. Technology and medical developments have contributed to these current economic trends. Over the past 20 years nurses have been faced with significant shifts in the direction of health policy to the extent that many policies have significantly impacted upon their practice without their apparent contribution. Several theoretical positions exist about nurses' lack of policy participation. This paper examines some of the current health policy changes in Australia that are perceived to have had the greatest impact on the nursing practice, and identifies some of the barriers to the nursing profession's participation in the formulation of health policy.
澳大利亚的医疗体系以及许多其他西方国家的医疗体系，在卫生政策的发展方面正经历重大转变。其中许多转变与导致医疗费用不断攀升的经济因素直接相关。卫生政策的趋势似乎正在采用一种“市场驱动”的资源和卫生服务分配方式。技术和医学发展促成了当前的这些经济趋势。在过去20年里，护士们面临着卫生政策方向的重大转变，以至于许多政策在没有她们明显参与的情况下对她们的实践产生了重大影响。关于护士缺乏政策参与存在几种理论观点。本文探讨了澳大利亚目前一些被认为对护理实践影响最大的卫生政策变化，并指出了护理专业参与卫生政策制定的一些障碍。
