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澳大利亚消费者愿意接受执业护士提供哪些初级卫生保健服务?一项全国性调查。

What primary health-care services are Australian consumers willing to accept from nurse practitioners? A National Survey.

作者信息

Parker Rhian, Forrest Laura, McCracken James, McRae Ian, Cox Darlene

机构信息

Australian Primary Care Research Institute, Australian National University, Acton, ACT, Australia.

出版信息

Health Expect. 2014 Oct;17(5):733-40. doi: 10.1111/j.1369-7625.2012.00800.x. Epub 2012 Jul 11.

Abstract

BACKGROUND

Nurses are becoming increasingly important as providers of primary health care in Australia. In November 2010, Medicare provider rights and Pharmaceutical Benefits Scheme rights for nurse practitioners, working in private practice and in collaboration with a medical practitioner, were introduced in Australia. Although international evidence suggests that nurse practitioners would be appropriate and acceptable providers of care at the first point of contact, such as primary health care, there is little Australian evidence about what care consumers are willing to accept from nurse practitioners.

OBJECTIVES

To ascertain what care Australian health-care consumers would accept from nurse practitioners in this setting.

PARTICIPANTS

Australian adults over 18 years of age.

METHODS

National Survey delivered online. Information about the survey was disseminated through a media campaign, stakeholder engagement and through the health-care consumer networks nationally.

RESULTS

The total number of respondents that started the survey was n = 1883. Ninety-five percentage (n = 1784) of respondents completed the survey. The majority of respondents were women, aged 25-54 years, had completed tertiary education and had an annual household income of more than A$80,000. The majority of the respondents (n = 1562, 87%) said they would be prepared to see a nurse practitioner for some of their primary health-care needs.

CONCLUSIONS

The findings of this study suggest consumers are accepting of a range of activities undertaken by nurse practitioners in primary health care and this has relevance for primary health-care workforce mix and organization, particularly for areas that are underserved by medical practitioners.

摘要

背景

在澳大利亚,护士作为初级卫生保健提供者的角色愈发重要。2010年11月,澳大利亚引入了医疗保险提供者权利以及针对在私人诊所工作并与医生合作的执业护士的药品福利计划权利。尽管国际证据表明,执业护士在诸如初级卫生保健等首次接触点提供护理是合适且可接受的,但澳大利亚几乎没有关于消费者愿意接受执业护士提供何种护理的证据。

目的

确定在这种情况下澳大利亚卫生保健消费者愿意接受执业护士提供何种护理。

参与者

18岁以上的澳大利亚成年人。

方法

通过在线进行全国性调查。调查信息通过媒体宣传、与利益相关者互动以及全国性的卫生保健消费者网络进行传播。

结果

开始调查的受访者总数为n = 1883人。95%(n = 1784)的受访者完成了调查。大多数受访者为女性,年龄在25 - 54岁之间,拥有高等教育学历,家庭年收入超过8万澳元。大多数受访者(n = 1562,87%)表示他们愿意因一些初级卫生保健需求去看执业护士。

结论

本研究结果表明,消费者接受执业护士在初级卫生保健中开展的一系列活动,这与初级卫生保健劳动力构成和组织相关,特别是在医生服务不足的地区。

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