Jefferson N, Sleight G, Macfarlane A
Br Med J (Clin Res Ed). 1987 Feb 14;294(6569):423-4. doi: 10.1136/bmj.294.6569.423.
Over 16 months 148 children were referred by health visitors and general practitioners to a specially trained nurse for failing to complete courses of immunisation. A further 91 children of travellers' families were identified as needing immunisation. The nurse carried out 810 immunisations on 237 of these children in their homes without a doctor being present. There were only two refusals, and one child suffered a mild anaphylactic shock. The cost per immunisation, in nurse's salary and travel expenses, was pounds 8. This is an effective and fairly inexpensive way of achieving uptake of immunisation in such groups of children, and there seems no reason why trained nurses should not give immunisations either in a child health clinic or at home, without a doctor present.
在16个多月的时间里，健康访视员和全科医生将148名未完成免疫接种疗程的儿童转介给一名经过专门培训的护士。另外还确认有91名来自旅行者家庭的儿童需要进行免疫接种。该护士在没有医生在场的情况下，到其中237名儿童家中进行了810次免疫接种。只有两例拒绝接种的情况，还有一名儿童发生了轻度过敏反应。每次免疫接种的费用，包括护士的工资和差旅费，为8英镑。这是在这类儿童群体中实现免疫接种的一种有效且成本相当低廉的方式，而且似乎没有理由不让经过培训的护士在没有医生在场的情况下，在儿童健康诊所或家中进行免疫接种。
