Boon L
Patient Services, Shuswap Lake General Hospital, Salmon Arm, B.C.
Can Nurse. 1998 Mar;94(3):27-32.
Canadian health care is facing enormous pressures. The provinces are having difficulties coping as declining federal support for health care results in reduced transfer payments and as lower tax revenues impair governments' ability to control deficits. To survive the necessary budget cuts, facilities are restructuring and trying new systems of management, such as multiskilling, outcome measurement and total quality management. These measures are saving the required dollars, but they have put caring at great risk.
加拿大的医疗保健正面临巨大压力。由于联邦政府对医疗保健的支持减少导致转移支付减少，以及税收收入降低削弱了政府控制赤字的能力，各省在应对方面遇到困难。为了在必要的预算削减中生存下来，医疗机构正在进行重组，并尝试新的管理系统，如多技能培训、成果评估和全面质量管理。这些措施节省了所需资金，但却使护理工作面临巨大风险。
