Accession Number : ADA325838

Title :   Nurse Care Managers in the Acute Care Setting: A Qualitative Descriptive Study.

Descriptive Note : Master's thesis,

Corporate Author : AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH

Personal Author(s) : Carmody, Colleen A.

PDF Url : ADA325838

Report Date : MAY 1997

Pagination or Media Count : 155

Abstract : The escalation of U. S. Health Care costs and the increasing fragmentation of the health care delivery system have created a national mandate for managed care systems that both reduce costs and improve quality health care (Bach, Smeltzer, & Baler, 1996). In 1988, 550 billion dollars were spent on health care in the United States (NLN, 1989). That is 11.5% of the gross national product for that year. Since 1980 costs have risen about 10.5% annually. Advances in technology, restructuring of payment strategies for health care, reduced lengths of hospital stay, an aging population, increasing numbers of chronically ill clients, and alternative sites for care are some of the factors contributing to dramatic changes in the health care system (Bower, 1988). The record does not permit us to say that Americans are receiving better health care as a result of our exorbitant health care expenditures (Maraldo & Fagin, 1992).

Descriptors :   *SETTING(ADJUSTING), *COSTS, *MANAGEMENT PERSONNEL, *MEDICAL SERVICES, *HEALTH CARE FACILITIES, *NURSES, UNITED STATES, AGING(MATERIALS), FRAGMENTATION, HEALTH, POPULATION, REDUCTION, QUALITY, LENGTH, HOSPITALS.

Subject Categories : Economics and Cost Analysis
      Personnel Management and Labor Relations
      Medicine and Medical Research
      Medical Facilities, Equipment and Supplies

Distribution Statement : APPROVED FOR PUBLIC RELEASE