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纽约州医学杂志邀请医学院、第三方付款人和政府部门的有关专家,并根据《美国21世纪的卫生保健制度》座谈会的发言,就美国2000年的卫生保健和有关费用问题,发表了系列文章,本文据根上述系列文章,归纳为卫生保健领域、老年慢性病、先进医疗技术和医疗费用的结算改革四个主题。一、卫生保健领域 1.医务工作人员作用的变化在五十年代,解释复杂的心电图描记波,住院医师得请示上级医师。如今许多医院的冠心病监护护士就能作出重要的鉴别诊断,常在医生到来以前就及时注射相应药物,以消除心律失常。这是尖端技术发展中,职责从一个专业转移给另一个专业的明显例
The New York State Medical Journal invited experts from the medical school, third-party payers, and government departments, and issued a series of questions on health care and related costs in the United States in 2000, in accordance with the “US Health Care System in the 21st Century” symposium. According to the above series of articles, this article summarizes the four themes for the settlement reform of the health care field, chronic diseases for the elderly, advanced medical technology, and medical expenses. First, the field of health care 1. Changes in the role of medical staff in the fifties, explaining the complex electrocardiographic wave, the resident physician may consult the superior physician. Many hospitals nowadays have coronary care nurses who can make important differential diagnoses. They often promptly inject appropriate drugs before the doctor arrives to eliminate arrhythmias. This is a clear example of the transfer of responsibility from one profession to another in the development of cutting-edge technology.