美国麻醉护士动态（翻译）

赵征华

In 2001 the Centers for Medicare and Medicaid Services (CMS) allowed states to opt out of the requirement for reimbursement that a surgeon or anesthesiologist oversee the provision of anesthesia by certified registered nurse anesthetists. By 2005, fourteen states had exercised this option. An analysis of Medicare data for 1999-2005 finds no evidence that opting out of the oversight requirement resulted in increased inpatient deaths or complications. Based on our findings, we recommend that CMS allow certified registered nurse anesthetists in every state to work without the supervision of a surgeon or anesthesiologist.

2001年，医疗和医疗帮助中心(CMS) 允许各州不执行对外科医生或麻醉医生监督注册麻醉护士行麻醉进行补偿的规定，到2005年14个国家已经实施此规定。从1999-2005的一些医疗保险数据分析发现没有证据因疏忽监督，增加了并发症，导致死亡或住院。根据我们的研究结果，我们建议每一个州认证的的注册麻醉护士的工作可以没有一个外科医师或麻醉医师的监督。

With California's July 2009 opt-out from the Medicare physician supervision requirement for nurse anesthetists, 15 states have now opted out since 2001. The work of the American Association of Nurse Anesthetists (AANA) that led to the supervision opt-out rule being implemented has a long history. Beginning in 1994, when the Health Care Financing Administration (HCFA) first proposed deferring to the states on the supervision issue, the AANA worked for 7 years with HCFA and members of Congress to lay the groundwork for the opt-out rule that ultimately enabled the California governor's recent action.

2009年7月随着加利福尼亚州决定退出麻醉医生监管麻醉护士的要求，15个州亦决定退出自2001年以来得此项规定。美国麻醉护士协会争取选择退出正在实施的监督管理规定的工作具有悠久的历史。从1994年开始，医疗融资署（HCFA）首先顺从监管问题的提议，美国麻醉护士协会在医疗卫生融资管理局和国会议会的工作奠定了退出麻醉医生监管麻醉护士规则的基础，最终使加州州长最近的付出行动。

翻译不当之处请各位同仁指正……

1001

整个文章的意识翻译的好象有点倒过来啦。

赵征华

回复 2# 1001


    很多关键部分我看都是双重否定，我也是有点糊涂，哪个地方不对请指正

1001

In 2001 the Centers for Medicare and Medicaid Services (CMS) allowed states to opt out of the requirement for reimbursement that a surgeon or anesthesiologist oversee the provision of anesthesia by certified registered nurse anesthetists.
2001年，医疗中心，医疗服务中心允许各国选择外科医生或麻醉医生监督注册麻醉护士的规定。

By 2005, fourteen states had exercised this option. An analysis of Medicare data for 1999-2005 finds no evidence that opting out of the oversight requirement resulted in increased inpatient deaths or complications.
到2005年14个国家已经实施此规定。从1999-2005的一些医疗保险数据分析发现证据疏忽监督，增加了并发症，导致死亡或住院。

Based on our findings, we recommend that CMS allow certified registered nurse anesthetists in every state to work without the supervision of a surgeon or anesthesiologist.
根据我们的研究结果，我们建议不允许每一个州认证的的注册麻醉护士的工作没有一个外科医师或麻醉医师的监督。

With California's July 2009 opt-out from the Medicare physician supervision requirement for nurse anesthetists, 15 states have now opted out since 2001.
2009年7月随着加利福尼亚州决定退出麻醉医生监管麻醉护士的要求，15个州亦决定退出自2001年以来得此项规定。

The work of the American Association of Nurse Anesthetists (AANA) that led to the supervision opt-out rule being implemented has a long history.
美国麻醉护士协会争取选择退出正在实施的监督管理规定的工作具有悠久的历史。

Beginning in 1994, when the Health Care Financing Administration (HCFA) first proposed deferring to the states on the supervision issue, the AANA worked for 7 years with HCFA and members of Congress to lay the groundwork for the opt-out rule that ultimately enabled the California governor's recent action.
从1994年开始，医疗融资署（HCFA）首先顺从监管问题的提议，美国麻醉护士协会在医疗卫生融资管理局和国会议会的工作奠定了退出麻醉医生监管麻醉护士规则的基础，最终使加州州长最近的付出行动。

把握几个关键词的翻译，可能会对文章大意加深理解。

赵征华

回复 4# 1001


    第一句话我还是不能翻译出来，能不能帮我分析一下，谢谢！

1001

In 2001 the Centers for Medicare and Medicaid Services (CMS) allowed states to opt out of the requirement for reimbursement that a surgeon or anesthesiologist oversee the provision of anesthesia by certified registered nurse anesthetists.
2001年，医疗和医疗帮助中心(CMS) 允许各州不执行对外科医生或麻醉医生监督注册麻醉护士行麻醉进行补偿的规定。

赵征华

回复 6# 1001


    谢谢，看到你的翻译，我猜知道我的翻译是多么的蹩脚……  呵呵

1001

对错无所谓，保持学英语的这份热情最重要。

赵征华

回复 8# 1001


  呵呵 谢谢鼓励！