Healthcare reform: Past and future Journal Article


Author: McDermott, K. C.
Article Title: Healthcare reform: Past and future
Abstract: PURPOSE: To review changes in the healthcare delivery system and project the challenges that practitioners and consumers will face in a reformed environment. DATA SOURCES: Professional journals and books, print media, and government releases. DATA SYNTHESIS: Analysis of projected reform plans, discussions of issues related to complex social, economic, and political factors, and considerations for practice changes for oncology nurses. CONCLUSIONS: The pending dominance of healthcare delivery through managed-care systems will challenge oncology care providers and consumers. IMPLICATIONS FOR NURSING PRACTICE: Oncology nurses must identify the opportunities, master the challenges, and adapt to the trends of the reformed healthcare system. The delivery of long-term care to senior citizens, patients with AIDS, and individuals from diverse cultures will shift to more community, ambulatory, and rural managed-care settings. Oncology nursing practice in these environments raises questions about prevention and screening, diagnosis, treatment, follow-up, alternative care, and research. Oncology nurses, especially advanced practice nurses, will play a pivotal role in reshaping the delivery of patient care and in designing the future of their profession.
Keywords: review; united states; nursing; organization and management; oncologic nursing; health care policy; health insurance; organization; forecasting; politics; health care delivery; socioeconomics; health care planning; socioeconomic factors; delivery of health care; organizational innovation; health care reform; lobbying; managed care programs; organizational objectives; health planning; nonbiological model; models, organizational; human
Journal Title: Oncology Nursing Forum
Volume: 21
Issue: 5
ISSN: 0190-535X
Publisher: Oncology Nursing Society (ONS)  
Date Published: 1994-06-01
Start Page: 827
End Page: 832
Language: English
PUBMED: 7937244
PROVIDER: scopus
DOI/URL:
Notes: Source: Scopus
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