Pressure ulcers in an age of managed care: a nursing perspective.
Successful competition for acquisition of capitated groups and maintenance of existing managed care contracts require demonstrations of cost controls, positive clinical outcomes, and customer satisfaction. In preparation for, and in response to managed care, healthcare providers must assure equality in their supply and demand equation if they are to survive and prosper. Iatrogenic pressure ulcers represent a major healthcare problem illustrative of this point. Successful pressure ulcer prevention and treatment programs in all practice settings demand: 1) administrative support, 2) access to staffing and supplies, 3) multidisciplinary ownership, 4) integration of science-based knowledge of risk factors, risk assessment tools, pathophysiology, and appropriate management into clinical practice, and 5) dissemination of knowledge.
Baharestani
M
M
Long Island Jewish Medical Center, New Hyde Park, New York, USA.
D000465:Algorithms; D003663:Decision Trees; D006801:Humans; D007587:Job Description; D008329:Managed Care Programs / Q000458:organization & administration*; D009730:Nursing Assessment; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration; D003668:Pressure Ulcer / Q000191:economics / Q000209:etiology / Q000451:nursing* / Q000517:prevention & control*; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D012307:Risk Factors