Affiliation:
1. The George Washington University, Washington, DC, USA,
Abstract
Reports of suboptimal health care quality and rising expenditures have led payers to institute policies intended to improve outcomes and lower costs. Referred to as value-driven health care, these policies have multiplied in recent years. Despite their appeal, nursing-the nation’s single largest provider of health care-has largely been excluded from these policy directions. This article describes the nature of the evidence substantiating nursing’s contribution to quality and cost and explores the reasons-scientific, economic, societal, and political-that these contributions have been largely ignored in the formulation of federal policy. Recommendations are made to strengthen the nurse-value case and convince health care stakeholders, including policy makers, that the relationship is established, enduring, and sufficient for national action.
Subject
General Medicine,Issues, ethics and legal aspects,Leadership and Management
Cited by
12 articles.
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