Kimberly A. Cleveland, Tracey Motter, P. Rudsill, Laurie Benson
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引用次数: 0
Abstract
The Patient Protection and Affordable Care Act (ACA) (Patient Protection Affordable Care Act, 2010) remains law in the United States despite challenges and politically charged debate about its purpose in healthcare. Most agree the top three problematic areas in US healthcare are high cost, access, and equity (Kimberlin, 2022; National Academies of Sciences, Engineering and Medicine [NASEM], 2021; Ritz, 2016; Kaiser Family Foundation [KFF], 2013). The ACA aims to address these issues in complex and varied ways. Nurses can capitalize on the purpose of the ACA to leverage their power to improve quality, create efficient delivery systems, and pioneer innovations in healthcare while advocating for equity for patients (Cleveland et al., 2019). The purpose of this article is to discuss how nurses are powerfully addressing issues of cost, quality, and equitable care, pioneering the future of patient centered care, and preparing the workforce to meet the challenges brought about by the financial, political, and structural challenges 12 years after the ACA.
《患者保护和平价医疗法案》(Patient Protection and Affordable Care Act, 2010)在美国仍然是法律，尽管它在医疗保健领域的目的面临挑战和政治上充满争议。大多数人认为，美国医疗保健的三大问题领域是高成本、可及性和公平性(Kimberlin, 2022;美国国家科学院、工程院和医学院[NASEM]， 2021;丽兹,2016;凯泽家庭基金会[KFF]， 2013)。ACA旨在以复杂多样的方式解决这些问题。护士可以利用ACA的目的来利用他们的权力来提高质量，创建高效的交付系统，并在倡导患者公平的同时开拓医疗保健创新(Cleveland等人，2019)。本文的目的是讨论护士如何强有力地解决成本、质量和公平护理的问题，开创以患者为中心的护理的未来，并准备好劳动力迎接ACA实施12年后经济、政治和结构挑战带来的挑战。
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