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儿童健康助理的儿科诊疗业务

The pediatric practice of the child health associate.

作者信息

Fine L L

出版信息

Am J Dis Child. 1977 Jun;131(6):634-7. doi: 10.1001/archpedi.1977.02120190028005.

DOI:10.1001/archpedi.1977.02120190028005
PMID:17297
Abstract

Child health associates are individuals who have completed the three-year Child Health Associate Program at the University of Colorado School of Medicine and are certified by the Colorado State Board of Medical Examiners to practice pediatrics under physician supervision. To our knowledge, this study is the first to describe the practice profile of child health associates. We found them able to provide health care services without direct physician assistance to 91.4% (2,160 of 2,363) of pediatric patients in ambulatory settings. They saw the same variety of patients as primary physicians and identified a broad range of common pediatric problems. Each supervising physician spent an average time of 5.9 minutes with the child health associate in evaluating the 8.6% of patients who required consultation. The child health associate is fully able to serve as a primary health care practitioner for children.

摘要

儿童健康助理是那些已完成科罗拉多大学医学院为期三年的儿童健康助理项目,并获得科罗拉多州医学考试委员会认证,可在医生监督下从事儿科工作的人员。据我们所知,本研究是首次描述儿童健康助理的执业概况。我们发现,他们能够在无需医生直接协助的情况下,为门诊环境中91.4%(2363名中的2160名)的儿科患者提供医疗服务。他们诊治的患者种类与初级医生相同,并识别出广泛的常见儿科问题。每位监督医生在评估8.6%需要会诊的患者时,与儿童健康助理平均花费5.9分钟。儿童健康助理完全有能力担任儿童的初级保健从业者。

相似文献

1
The pediatric practice of the child health associate.儿童健康助理的儿科诊疗业务
Am J Dis Child. 1977 Jun;131(6):634-7. doi: 10.1001/archpedi.1977.02120190028005.
2
Evaluation of a child health associate program.
J Med Educ. 1977 May;52(5):413-5. doi: 10.1097/00001888-197705000-00006.
3
The child health associate: a nonphysician primary care practitioner for children.儿童健康助理:儿童的非医生初级保健从业者。
PA J. 1977 Fall;7(3):137-42.
4
The pediatric nurse-practitioner program: expanding the role of the nurse to provide increased health care for children.儿科执业护士项目:扩大护士角色以提供更多儿童医疗保健服务。
JAMA. 1968 Apr 22;204(4):298-302. doi: 10.1001/jama.204.4.298.
5
Pediatric nurse associates in a large official health agency: their education, training, productivity, and cost.大型官方卫生机构中的儿科护士助理:他们的教育、培训、生产力和成本。
Am J Public Health. 1977 Sep;67(9):855-8. doi: 10.2105/ajph.67.9.855.
6
Assessment and evaluation of child health associates.
Pediatrics. 1981 Jan;67(1):47-52.
7
A successful new primary health care provider in the newborn nursery.新生儿重症监护室里一位成功的新初级保健提供者。
Clin Pediatr (Phila). 1975 Sep;14(9):845-8. doi: 10.1177/000992287501400911.
8
Costs of educating child health associates.儿童健康助理的教育成本。
Annu Conf Res Med Educ. 1977;16:251-5.
9
The pediatric nurse practitioner: origins and challenges.儿科执业护士:起源与挑战。
Med Care. 1978 Dec;16(12):1019-26. doi: 10.1097/00005650-197812000-00005.
10
Medex: a time-motion study.Medex:一项时间动作研究。
Pediatrics. 1975 Aug;56(2):255-61.

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Cost effectiveness of screening children in health centers.在健康中心对儿童进行筛查的成本效益。
Public Health Rep. 1979 Jul-Aug;94(4):362-5.