The effect of ambulatory oncology nursing practice models on health resource utilization. Part 1, Collaboration or compliance?
The role of the nurse in ambulatory oncology care varies widely based on the setting and the philosophy of its practitioners and administrators. In an era of steadily decreasing monetary resources, assessing the effect of the activities of the ambulatory oncology nurse on economic outcomes related to cancer patients is imperative. A retrospective comparative study identified differences between two basic economic concepts--complement (compliance) and substitute (collaboration). Based on these concepts and the study results, Part 1 discusses two models of ambulatory oncology nursing practice delineated: the Nurse Complement Model, and the Nurse Substitute Model. Part 2 will present the direct but differing impact of these models on the effectiveness and efficiency of oncology patient care.
Porter
H B
HB
Faculty of Nursing, University of Western Ontario, London, Canada.
D000553:Ambulatory Care / Q000458:organization & administration*; D000554:Ambulatory Care Facilities; D000970:Antineoplastic Agents / Q000627:therapeutic use; D001943:Breast Neoplasms / Q000188:drug therapy / Q000451:nursing; D002170:Canada; D002173:Cancer Care Facilities; D005260:Female; D006801:Humans; D008495:Medical Oncology; D016294:Models, Nursing; D009859:Oncology Nursing / Q000458:organization & administration*; D016522:Oncology Service, Hospital; D010044:Outpatient Clinics, Hospital; D012189:Retrospective Studies
D000970:Antineoplastic Agents