Dumpe M L, Herman J, Young S W
School of Health Professions, Armstrong Atlantic State University, Savannah, GA, USA.
Nurs Econ. 1998 Jul-Aug;16(4):170-9, 188.
The ability to discern the interacting factors that affect supply and demand for nurses could help nurse educators and nurse leaders allocate resources to meet these needs. Forecasting models must take into account the interactions of three crucial groups of health care providers--physicians, nurse practitioners, and physician's assistants. Buerhaus has noted that market size, wages, preferences for nursing services, and availability of substitutes influence the demand for nursing services. Changes in nurse supply resulting from Medicare reimbursement for nursing services have not been studied, though it could safely be projected that such reimbursement will increase nurse supply. Nurses with baccalaureate degrees and advanced practice preparation will be in the greatest demand in ambulatory care, managed care, public health, and home care settings, raising concerns again that the educational mix is in need of adjustment upwards.
识别影响护士供需的相互作用因素的能力，有助于护士教育工作者和护士领导者分配资源以满足这些需求。预测模型必须考虑三类关键医疗服务提供者——医生、执业护士和医师助理之间的相互作用。布尔豪斯指出，市场规模、工资、对护理服务的偏好以及替代品的可获得性会影响对护理服务的需求。虽然可以合理推测医疗保险对护理服务的报销会增加护士供给，但尚未对这种报销导致的护士供给变化进行研究。在门诊护理、管理式护理、公共卫生和家庭护理环境中，对拥有学士学位和高级执业准备的护士需求最大，这再次引发了对教育结构需要向上调整的担忧。
