PubMed · 10114645
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J Greene. 1991-10-28. Study: quality process aids integration.. https://pubmed.ncbi.nlm.nih.gov/10114645/
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With the recent increase in health care service delivery across state lines, national organizations have perceived the need for standardization of nursing practice. In 1995, the Pew Commission recommended that states standardize entry-into-practice requirements and adopt inter-state licensure by endorsement. Over the past two years, the National Council of Nursing has been in the process of developing approaches which would allow nursing licenses to be recognized across state lines. These recommendations and activities suggest that nursing regulation may be moving towards national standardization. This paper presents qualitative data from State Boards of Nursing in nine western states. A review of the priorities and activities of the nine boards indicates that the apparent movement towards standardization of nursing regulations is misleading. States continue to have distinctive approaches to nursing regulation based on unique political context and historical development of nursing regulatory agencies, population growth rates in the respective states, and access to rural health care. While managed care may be resulting in standardization of payment approaches and services purchased, it has not substantially impacted each state's unique nursing regulations and educational approaches.
AIM: To produce a list of New Zealand rural hospitals, including information on acute bed numbers, population served, average driving time to base hospital, and number and payment of rural hospital doctors. METHODS: Information about rural hospitals was obtained from local doctors and/or administrators, and reflected conditions at June 15, 1998. A 'rural hospital' was defined as a facility with no resident medical specialists, where acutely ill patients are admitted and cared for solely by generalist doctors, either general practitioners or medical officers of special scale. RESULTS: Varying definitions for acute 'facilities' and 'beds' made analysis difficult. There were a total of 36 'rural hospitals' in New Zealand at June 15, 1998 containing 293 acute beds and serving a population of about 340000. Patient care was provided by a total of 131 generalists (general practitioners or medical officers of special scale) equivalent to 40 full-time rural hospital doctors. CONCLUSIONS: Approximately 10% of the New Zealand population are served by rural hospitals. Discrepancies exist between the list of rural hospitals provided in this study and that provided by the Government's recent 'Hospital Services Plan'.