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New systems: the restructuring of cancer care delivery and economics
1Hollings Cancer Center, Charleston, SC.
Purpose/Objective:
To review and discuss the economic and care delivery implications of the healthcare reform currently being debated.
Data Sources:
Projections are based on synthesis of multiple scholarly, professional, and governmental sources of information.
Data Synthesis:
Future projections regarding the hallmarks of healthcare reform (e.g., universal access, fewer payors, rationing of care), changes in practice settings, and novel communications technologies are discussed.
Conclusions:
Opportunities for nurses resulting from these changes include roles as resource allocators, cost-benefit analysis, cancer system liaisons, satellite-program builders, and quality-assessment experts.
Implications For Nursing Practice:
Changes will challenge nurses to assume multiple responsibilities as clinicians, administrators, educators, and researchers who will need to integrate input from numerous sources to make decisions that take into account competing and contradictory factors.