A bold new vision for America's health care system
A bold new vision for America's health care system
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DOI：
10.1016/j.outlook.2014.11.017
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发表时间：
2015-01-01
期刊：
影响因子：
4.3
通讯作者：
Reinhard, Susan C.
中科院分区：
文献类型：
--
作者：
Hassmiller, Susan B.;Reinhard, Susan C.
《护理的未来：引领变革，促进健康》1 为美国新型医疗保健系统提供了大胆的愿景。该报告重新定义了护理领域，并断言护士应该成为医疗改革的全面合作伙伴。它承认护士作为急症护理和初级保健提供者所做出的宝贵贡献，并设想护士在公共卫生、教育、研究、商业、治理和公共政策中发挥关键作用。该报告向全国 300 万护士（专业医疗保健劳动力中最大的一部分）提出挑战，要求他们学习更多知识并发挥更多领导作用，并敦促决策者创造环境，帮助护士在所有这些角色中取得成功。国际移民组织的报告发布之际，美国正通过前所未有的国家改革重塑其医疗保健体系，引起了广泛而深刻的兴趣。它很快成为人们访问 IOM 网站的主要原因，并且自发布以来一直是 IOM 阅读次数最多的报告。它引发了包括政策制定者在内的广泛利益相关者之间的对话，不仅推动了渐进式变革，而且推动了美国新医疗保健服务体系的发展，该体系有望在降低成本的同时改善医疗服务的获取和质量。 2010 年 10 月上旬该报告发布后不到两个月，罗伯特·伍德·约翰逊基金会 (RWJF) 和美国退休人员协会 (AARP) 联手发起了影响深远、多方面的“护理的未来：行动运动”，以实施 IOM 的建议。 RWJF 总裁兼首席执行官 Risa Lavizzo-Mourey 医学博士指出了该活动的重要性，该活动是在华盛顿特区举行的全国护理促进健康峰会上宣布的，并宣布这是“护理新未来的第一天”。国际移民组织的报告声称，护理行业的转型将改善医疗保健系统——一个更容易获得、负担得起、以患者和家庭为中心，同时安全、有效和高效的系统。美国最大的健康慈善机构 RWJF 和美国最大的消费者组织之一美国退休人员协会 (AARP) 之间的联合倡议旨在帮助实现这一愿景。此后的四年里，行动运动帮助《护理的未来》报告成为变革的真正催化剂。从一开始，人们就设想该运动的工作将在州一级进行，由行动联盟进行。这些州联盟迅速增加——从运动发起时的几个到今天的 51 个。他们在全国范围内产生了影响。
The Future of Nursing: Leading Change, Advancing Health, 1 offers a bold vision for a new kind of health care system in America. The report redefines the field of nursing and asserts that nurses should be full partners in reforming health care. It recognizes the invaluable contributions nurses make as both acute care and primary care providers and envisions pivotal roles for nurses in public health, education, research, business, governance, and public policy. The report challenges the nation’s 3 million nurses, the largest segment of the professional health care workforce, to learn more and lead more—and it urges decision makers to create circumstances that will help nurses to succeed in all of these roles. Issued at a time when the United States was reinventing its health care system through unprecedented national reform, the IOM report generated both broad and deep interest. It quickly became the primary reason people visited the IOM Web site, and it has been the IOM’s most-read report since its release. It has generated conversation among a wide array of stakeholders, including policymakers, and has set in motion not just incremental changes but significant momentum toward a new US health care delivery system—one that offers the promise of improving access and quality while lowering costs. Less than two months after the report’s release in early October 2010, the Robert Wood Johnson Foundation (RWJF) and AARP teamed up to launch the far-reaching, multifaceted Future of Nursing: Campaign for Action to implement the IOM’s recommendations. Risa Lavizzo-Mourey, MD, the president and chief executive officer of the RWJF, noted the importance of the campaign, which was announced during the National Summit on Advancing Health Through Nursing in Washington, DC, by declaring it “the first day of a new future for nursing.” The IOM report asserted that a transformed nursing profession would lead to an improved health care system—one that was more accessible, affordable, and patient-and family-centered, and, at the same time, safe, effective, and efficient. The joint initiative between the RWJF, the nation’s largest philanthropy devoted to health, and AARP, one of the nation’s largest consumer organizations, was intended to help make this vision a reality. In the four years since, the Campaign for Action has helped to make the Future of Nursing report a genuine catalyst for change. From the start, it was envisioned that the work of the campaign would take place at the state level, carried out by action coalitions. These state coalitions quickly multiplied—from just a handful at the time of the campaign’s launch to 51 today. They have had a nationwide impact.