Hogan Rita Furst Seifert Carol S . Moore Brian E . Simonson Cost Effectiveness Analysis of Anesthesia Providers
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چکیده
NURSING ECONOMIC$/May-June 2010/Vol. 28/No. 3 I N THE UNITED STATES, anesthesia services are administered predominately by two types of providers. Anesthesi olo gists are physicians who have completed medical school, a clinical base year residency, and 3 years as a resident in an anesthesia program. Certified registered nurse anesthetists (CRNAs) are advanced practice nurses who have earned a baccalaureate degree, practiced at least 1 year as an acute care nurse, and have successfully completed a graduate-level nurse anesthetist program. These graduate programs have an average duration of 28 months and may be as long as 36 months. Cur rently, there are approximately 40,000 practicing anesthesiologists in the United States (Health Resources and Services Administration, 2007) and over 36,000 CRNAs (American Association of Nurse Anesthetists [AANA], 2009). Both types of providers are critical to the safe, efficient provision of anesthesia services. Anesthesia services are provided by CRNAs and by anesthesiologists in a variety of different delivery models. The delivery models vary by the degree of autonomy in which CRNAs may deliver anesthesia, as well as economic considerations. At one end of the spectrum, the CRNA may provide and bill for anesthesia services. At the other end, anesthesiologists may be the only providers administering and billing for anesthesia services in a particular practice setting. Bet ween the two end points, CRNAs may work under varying degrees of supervision or medical direction. Delivery models may vary by EXECUTIVE SUMMARY
منابع مشابه
Cost effectiveness analysis of anesthesia providers.
Anesthesiologists and certified registered nurse anesthetists provide high-quality, efficacious anesthesia care to the U.S. population. This research and analyses indicate that CRNAs are less costly to train than anesthesiologists and have the potential for providing anesthesia care efficiently. Anesthesiologists and CRNAs can perform the same set of anesthesia services, including relatively ra...
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تاریخ انتشار 2010