The curious case of Cuba.
Humans; United States; Health Status; Outcome Assessment (Health Care); Cuba; Health Services Accessibility; Community Health Services/standards; Family Practice/education/standards; Health Planning Guidelines; Health Policy; National Health Programs/economics/*organization & administration/trends; State Medicine/organization & administration; Universal Health Insurance/economics/standards; Delivery of Health Care; Integrated/*organization & administration; HEALTH status indicators; MEDICAL education; QUALITY assurance; CUBA; HEALTH services accessibility; COMMUNITY health services; COST control; HEALTH risk assessment; NURSE & physician; ORGANIZATIONAL change; PREVENTIVE health services; PUBLIC sector; Preventive Health Care; Community Health Services; Nurse-Physician Relations; Public Sector; Cost Control; Organizational Change; Community Assessment – Utilization; Health Care Delivery – History – Cuba; Health Personnel – Education; Health Status Indicators – Utilization; MEDICAL care – Cuba; MEDICAL care – History; National Health Programs – Trends – Cuba; NATIONAL health services – Cuba; Quality Improvement – Methods
As health professionals in the United States consider how to focus health care and coverage to ensure better, more equitable patient and population health outcomes, the experience of Cuba's National Health System over the last 5 decades may provide useful insights. Although mutual awareness has been limited by long-term political hostilities between the United States and Cuban governments, the history and details of the Cuban health system indicate that their health system merits attention as an example of a national integrated approach resulting in improved health status. More extensive analysis of the principles, practices, and outcomes in Cuba is warranted to inform health system transformation in the United States, despite differences in political-social systems and available resources.
Keck C William; Reed Gail A
American Journal of Public Health
2012
2012-08
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.2105/AJPH.2012.300822" target="_blank" rel="noreferrer noopener">10.2105/AJPH.2012.300822</a>
Supervision Requirements: Criteria for the Nurse and Auxiliary Staff When Providing Patient Care Visits.
*Wound Healing; Ambulatory Care/*methods/standards; Clinical Supervision; Guideline Adherence/standards; Health; House Calls; Humans; Incident Reports; Insurance; Nurse-Physician Relations; Ostomy and Continence Nursing; Patient Care Planning/*standards; Physician's Role; Quality of Nursing Care – Evaluation; Reimbursement; Supervisors and Supervision; United States; Workforce; Wound
Physician or advanced care clinicians' (advanced practice nurses, physician assistants) orders are routinely carried out by nursing staff, with the goals of implementing treatment plans and improving patient outcomes. In the outpatient setting, nurses must consider the regulations imposed by the Centers for Medicare & Medicaid Services when initiating care and billing for services. Nurses, advanced practice nurses, and other clinicians may deliver care ordered by physicians without the physician being physically present in the room. Such services are considered to be "incident to" the physician's care, and there are requirements of supervision that must be met pertaining to the specific care setting. These guidelines and the implications for WOC nurses are the focus of this article.
Vargo Deanna; Vargo Paige
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
2016
2016-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/WON.0000000000000209" target="_blank" rel="noreferrer noopener">10.1097/WON.0000000000000209</a>