Fullard E, Fowler G, Gray M
Br Med J (Clin Res Ed). 1987 Apr 25;294(6579):1080-2. doi: 10.1136/bmj.294.6579.1080.
A study is described in which three general practices were provided with low cost, low technology support from a "facilitator" and were compared with control practices in the ascertainment of major risk factors for cardiovascular disease in middle aged patients. Patients who were attending for a consultation with their general practitioners were recruited to make an appointment with a practice nurse for a health check, and this was compared with ordinary consultations in the control practices. Practices were helped by the facilitator to develop the nurse's role. During the study the increase between intervention and control practices in blood pressure recording was doubled and in the recording of smoking habit it was quadrupled, and there was a fivefold increase in the recording of weight. This model can be applied to other aspects of prevention and general practice care.
三家普通诊所获得了来自“协调员”的低成本、低技术支持，并与对照诊所进行比较，以确定中年患者心血管疾病的主要危险因素。前来与全科医生会诊的患者被招募预约与执业护士进行健康检查，并将其与对照诊所的普通会诊进行比较。协调员帮助各诊所发展护士的角色。在研究期间，干预诊所与对照诊所在血压记录方面的增幅翻倍，在吸烟习惯记录方面的增幅增至四倍，体重记录方面的增幅则为五倍。该模式可应用于预防和全科医疗的其他方面。
