...Dorothy Robyn; Jack Hadley This article considers a number of issues which might arise in formulating policy for new health occupations. Its particular focus is on nurse practitioners and physicians' assistants and their treatment under potential national health insurance arrangements...

...Sara Wriston This article addresses problems related to nurse practitioner reimbursement and the Rural Health Clinic Services Act of 1977. An overview of payor policies prior to the passage of P.L. 95-210 is presented, followed by a discussion of some of the difficulties in implementing the statute...

...’ an important answer to the problem” (109). Linda Aiken also argues for improving systems that, she sees, make it more difficult for nurses to do a good job. She asks directly whether sys- tems that standardize decision making to reduce nurse discretion would improve quality, given that quality tends...

...Lucie Michel Abstract This article showcases the realities and challenges of teamwork in American hospitals based on the in situ comparison with France. Drawing on observation of nurse-physician interactions in hospitals in the two nations, this article highlights a troubling conflict between...

... economic and political factors, is associated with adopting wage pass-through (WPT) policies, which direct a portion of Medicaid reimbursement or its increase toward nursing home staff in an effort to reduce staff turnover, thereby increasing efficiency and the quality of care provided. Contrary...

...Charlene Harrington; Julie Stockton; Sarah Hooper Abstract This article examines the effects of state regulation and civil class action litigation on corporate compliance with nurse staffing and quality standards, corporate strategies to manage staffing and quality, and corporate financial status...

...William J. Scanlon Nursing homes represent the fastest growing component of health care expenditures, over half of which come from public funds. This paper reviews research on nursing home utilization with regard to several policy issues concerning the subsidization of long-term care by Medicaid...

...Judith Feder; William Scanlon Washington Report The Shortage of Nursing Home Beds Judith Feder and WiUiam Scanlon* After years of decrying excess, policymakers have turned their attention to a shortage in the health care sector...

...Andrew K. Dolan Several recent legal developments have been analyzed which call into question the appropriateness of state nursing associations as collective bargaining agents for working nurses. A federal case ruled that because some state nursing associations are dominated by supervisors...

...Suzanne B. Cashman; Frances Kathleen Lopez Bushnell; Hugh S. Fulmer The American Public Health Association defines public health nursing as the“practice of promoting and protecting the health of populations using knowledge from nursing, social, and public health sciences.” In 1993,celebrating...

...Richard C. McKibbin This paper seeks to determine the extent to which the Nursing Student Loan program (NSL) has accomplished its primary objectives of increasing the supply and effecting a more equitable geographic distribution of nurses. The history and provisions of the program are discussed...

...Andrew K. Dolan In 1974 the New York State Nurses Association passed a resolution requiring the bachelors in nursing degree as a condition for Registered Nurse licensure by the year 1985. This paper critically examines the rationale of this proposal as set out by the Association and other...

...John Holahan The paper uses data from nursing-home cost reports to analyze the effectiveness of different approaches to nursing-home reimbursement. Our research has produced considerable evidence on the effect of states' efforts to reduce the rate of increase in nursing-home costs. First, homes...

...Robert E. Schlenker Nursing home care is growing in importance as the population ages and as Medicare's prospective payment system encourages earlier discharges from acute care settings to nursing homes. Nursing home reimbursement policy is primarily a Medicaid issue, since Medicaid pays for about...

...Jacqueline S. Zinn This article identifies factors influencing the degree of competition in the nursing home market. Using data obtained from the 1987 Medicare and Medicaid Automated Certification Survey, the relationship between competition and structural and process measures of quality...

...Lois Friss As early as 1915, leaders in the nursing profession were concerned with the “image problem of nurses,” which they saw as needing improvement. Since then, countless studies, reports, and commissions have attempted to explain and solve perceived shortages of registered nurses, which have...

...Michael D. Rosko; Robert W. Broyles; William E. Aaronson This article evaluates the potential efficacy of implementing a prospective payment system based on case mix in the nursing home industry. The analysis of structural differences between the nursing home and hospital industries suggests...

...Christine E. Bishop The competitive model may fit the nursing home sector better than it fits other health care markets, but Medicaid subsidies and regulation have not allowed the market to work freely, and nursing home insurance may cause further divergence from a competitive ideal. Incentives...

...Debbie Ward Susan M. Reverby, Ordered to Care: The Dilemma of American Nursing, 1850–1945 (Cambridge: Cambridge University Press, 1987), 286 pp. Copyright © 1988 by Duke University Press 1988 Reviews Susan M. Reverby, Ordered to Care: The Dilemma of American Nursing, 1850- 1945...

...Margaret Levi Registered nurses have been attempting to achieve professional status for nearly a century. Historical investigation of their efforts in the United States and a case study of the 1976 Seattle Nurses' strike indicate major obstacles to the professionalizing project. The most important...