Cooper S R
C&G Associates, Brentwood, TN, USA.
Semin Nurse Manag. 1997 Sep;5(3):129-32.
Health care systems are facing rapid changes, moving from a fee-for-service environment to managed care. These changes are impacting nursing, eliminating current jobs and creating new opportunities in the field of managed care. Nurses must take a critical look at their current positions and determine what their contributions will be to improving the system of care. It is imperative that nurses move to leadership positions in managed care to represent the needs of patients and providers at the boardroom table. The purpose of this article is to give an insider's view of traditional and nontraditional roles for nurses within managed care organizations, and to challenge nurses to seize the opportunity to participate in designing the health care delivery system of the future.
医疗保健系统正面临快速变革，从按服务收费的环境转向管理式医疗。这些变革正在影响护理行业，消除现有工作岗位，并在管理式医疗领域创造新机会。护士必须认真审视自己目前的职位，并确定自己对改善护理体系将做出哪些贡献。护士必须在管理式医疗中担任领导职务，以便在董事会层面代表患者和提供者的需求。本文旨在深入介绍管理式医疗组织中护士的传统和非传统角色，并激励护士抓住机会参与设计未来的医疗保健服务体系。
