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Related Experiment Videos

Payment for nursing services: issues in policy implementation.

M Frenn

    NLN Publications
    |January 1, 1989
    PubMed
    Summary

    Nurse payments in Wisconsin showed significant variation across specialties. Most nurses struggled financially, with client needs often exceeding insurance coverage and payments proving insufficient for a sustainable income.

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    Area of Science:

    • Nursing Practice
    • Healthcare Economics
    • Health Services Research

    Background:

    • Payment structures for nurses in Wisconsin exhibited considerable variability.
    • Direct nurse payments were uncommon, with third-party payers being the norm.
    • Existing payment models presented challenges for practitioners across various specialty groups.

    Purpose of the Study:

    • To investigate the intricacies of nurse compensation and payment collection in Wisconsin.
    • To identify disparities in payment across different nursing specialties and practitioners.
    • To understand the financial viability of nursing practice based on current payment systems.

    Main Methods:

    • Survey data from nursing practitioners in Wisconsin.
    • Analysis of payment experiences, including direct payments and third-party reimbursements.
    • Qualitative and quantitative assessment of financial sufficiency and client coverage.

    Main Results:

    • Significant variations in payment practices were observed among and within nursing specialty groups.
    • Client needs frequently surpassed insurance coverage, complicating payment collection.
    • Reimbursements were often inadequate for nurses to sustain themselves without supplementary income.
    • Record-keeping for client utilization and services was practiced by some nurses for potential future research.

    Conclusions:

    • The current payment landscape in Wisconsin poses financial challenges for many nurses.
    • Variability in payment structures necessitates a review of compensation models to ensure financial sustainability.
    • Further research utilizing collected data may inform policy and practice improvements for nurse compensation.

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