"Health care reform will change the role of nursing more dramatically than that of any other health care profession," says one nursing educator. Her statement is echoed by leaders of a variety of groups. The issue, everyone agrees, is how that role will change. And leaders of organized nursing and organized medicine find themselves scattered across a spectrum of opinion on that critical question.
Recent clinical studies have revealed startling differences in mortality for AIDS patients in low- versus high-experience hospitals. But how can low-experience hospitals learn from high-experience ones?
A major goal of managed competition--changing incentives to encourage better delivery--will rely heavily on capitated payment, experts agree. But can capitation be applied correctly under managed competition? Achieving savings without suffocating healthy competition will be a challenge, say observers.
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