title: Joint position statement: essential provisions for critical care in health system reform. Society of Critical Care Medicine. American Association of Critical Care Nurses.
abstract: OBJECTIVE
  Production of a statement defining the essential provisions of health system reform as determined by the Society of Critical Care Medicine (SCCM) and the American Association of Critical-Care Nurses (AACN). This document is the only nurse-physician joint statement to result from the 1994 health system reform debate.
  
  
  METHODS
  A joint SCCM-AACN working group developed the document. Working group members referenced position papers previously developed by SCCM and AACN.
  
  
  RESULTS
  Working group members refined drafts of the statement until a consensus was reached. Final versions of the paper were reviewed and endorsed by the SCCM Council and the AACN Board of Directors.
  
  
  CONCLUSIONS
  SCCM and AACN agreed that health system reform should ultimately achieve universal coverage, access, control cost, and should improve the quality of care. SCCM and AACN endorsed improved access to and coverage for preventive care services. Recognizing that critical illness and injury cannot be prevented entirely, SCCM and AACN agreed that a reformed system must foster improved care of the critically ill and injured as described below.
mesh_terms: D003363:Cost Control; D003422:Critical Care; D017048:Health Care Costs; D018166:Health Care Reform / Q000592:standards*; D006297:Health Services Accessibility; D016134:Organizational Policy; D011787:Quality of Health Care; D012955:Societies, Medical; D012956:Societies, Nursing; D014481:United States