Williamson S H, Hutcherson C
National Council of State Boards of Nurses, Chicago, Illinois, USA.
Adv Pract Nurs Q. 1998 Winter;4(3):86-93.
Mutual recognition offers a regulatory solution for dealing more effectively with the changes that have occurred, and continue to occur, in health care. To meet the demands of the integrated delivery system, the challenges of technological advances, and the public need for access to nursing care, nursing regulators have explored ways to make state boundaries more permeable while maintaining critical standards for consumer protection. This article discusses the evolution of regulation, the dilemma caused by the changing practice environment, why mutual recognition was chosen as the model for regulatory reform, and how mutual recognition will work from the perspective of the National Council of State Boards of Nursing.
相互认可提供了一种监管解决方案,以便更有效地应对医疗保健领域已经发生且仍在发生的变化。为了满足综合医疗服务体系的需求、技术进步带来的挑战以及公众对获得护理服务的需求,护理监管机构一直在探索如何在保持关键的消费者保护标准的同时,使州界更具渗透性。本文从美国国家州护士委员会的角度,探讨了监管的演变、不断变化的执业环境所造成的困境、为何选择相互认可作为监管改革的模式,以及相互认可将如何发挥作用。