Survival of nurse-managed centers: the importance of cost analysis.
Despite the explosive growth in nurse-managed centers (NMC) in the past 20 years, most have been unable to achieve financial self-sufficiency, and many have closed. Combining costing techniques with outcome measures provides essential information needed by NMC for making operating decisions and for marketing NMC performance. These outcome data can be persuasive to policy makers and institutional decision makers and are crucial for NMC to improve their competitiveness in the health care market place.
Vincent
D
D
University of Colorado, Denver, USA. dmaluta@aol.com
Oakley
D
D
Pohl
J
J
Walker
D S
DS
D016550:Birthing Centers / Q000191:economics*; D003151:Community Health Centers / Q000191:economics*; D003361:Cost Allocation / Q000379:methods*; D017598:Efficiency, Organizational; D005375:Financial Audit / Q000379:methods*; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006302:Health Services Research; D006801:Humans; D008389:Marketing of Health Services; D009720:Nurse Clinicians / Q000191:economics*; D009721:Nurse Midwives / Q000191:economics*; D009722:Nurse Practitioners / Q000191:economics*; D015403:Nursing Evaluation Research; D017063:Outcome Assessment, Health Care; D015397:Program Evaluation; D019984:Quality Indicators, Health Care