Crustolo Anne Marie, Ackerman Sari, Kates Nick, Schamehorn Sherri
School of Nursing, McMaster University, Hamilton, Ont.
Can Fam Physician. 2005 Dec;51(12):1647-53.
Nutrition services can have an important role in prevention and management of many conditions seen by family physicians, but access to these services in primary care is limited.
To integrate specialized nutrition services into the offices of family physicians in Hamilton, Ont, in order to improve patient access to those services, to expand the range of problems seen in primary care, and to increase collaboration between family physicians and registered dietitians.
Registered dietitians were integrated into the offices of 80 family physicians. In collaboration with physicians, they assessed, treated, and consulted on a variety of nutrition-related problems. A central management team coordinated the dietitians' activities.
Registered dietitians can augment and complement family physicians' activities in preventing, assessing, and treating nutrition-related problems. This model of shared care can be applied to integrating other specialized services into primary care practices.
营养服务在家庭医生所诊治的许多疾病的预防和管理中可发挥重要作用，但初级保健中获得这些服务的机会有限。
将专业营养服务整合到安大略省汉密尔顿市家庭医生的诊所中，以改善患者获得这些服务的机会，扩大初级保健中所诊治问题的范围，并加强家庭医生与注册营养师之间的合作。
注册营养师被整合到80名家庭医生的诊所中。他们与医生合作，对各种营养相关问题进行评估、治疗和咨询。一个中央管理团队协调营养师的活动。
注册营养师可以增强并补充家庭医生在预防、评估和治疗营养相关问题方面的活动。这种共享护理模式可应用于将其他专业服务整合到初级保健实践中。
