Aguirre-Boza Francisca, Achondo Bernardita
Facultad de Enfermería y Obstetricia, Universidad de los Andes, Santiago, Chile,
Rev Med Chil. 2016 Oct;144(10):1319-1321. doi: 10.4067/S0034-98872016001000011.
To move towards universal access to health, the Pan American Health Organization recommends strengthening primary health care (PHC). One of the strategies is to increase the number qualified professionals, both medical and non-medical, working in PHC. In Chile there is a lack of professionals in this level of care, hampering the provision of health. Physicians still prefer secondary and tertiary levels of health. International experience has shown that advanced practice nurses (APN), specialists in PHC are cost-effective professionals able to deliver a complete and quality care to patients. Strong evidence demonstrates the benefits that APN could provide to the population, delivering nursing care that incorporates medical tasks, for example in patients with chronic diseases, allowing greater availability of medical hours for patients requiring more complex management. The success in the implementation of this new role requires the support of the health team, especially PHC physicians, endorsing and promoting the benefits of the APN for the population.
为了实现全民健康覆盖，泛美卫生组织建议加强初级卫生保健（PHC）。其中一项策略是增加在初级卫生保健领域工作的合格专业人员数量，包括医学和非医学专业人员。在智利，这一级别的医疗护理缺乏专业人员，阻碍了医疗服务的提供。医生仍然更倾向于二级和三级医疗保健。国际经验表明，高级实践护士（APN），即初级卫生保健专家，是具有成本效益的专业人员，能够为患者提供全面和高质量的护理。有力证据表明，高级实践护士可以为民众带来益处，提供包含医疗任务的护理服务，例如为慢性病患者提供护理，从而为需要更复杂管理的患者腾出更多医疗时间。成功实施这一新角色需要卫生团队的支持，特别是初级卫生保健医生，认可并推广高级实践护士为民众带来的益处。
