CQUniversity Australia, Building 18 Rockhampton Campus, Bruce Highway, Rockhampton, Q 4702, Australia.
School of Nursing, Midwifery and Paramedicine, University of the Sunshine Coast, 90 Sippy Downs Drive, Sippy Downs, Q 4556, Australia.
Hum Resour Health. 2021 Feb 17;19(1):21. doi: 10.1186/s12960-021-00562-7.
Health care delivery in Australia is experiencing challenges with services struggling to keep up with the increasing demands of an aging population, rising levels of chronic disease and limited funding for care. Where adjunct models of health care such as the Nurse Practitioner (NP) have the potential to address this gap, in Australia, they remain an underutilised service. Clarifying the nature of the consumers 'willingness' to be seen by NPs warrants further investigation.
Australia-wide, cross-sectional population-based survey was undertaken using computer-assisted telephone interviewing technique.
While just over 53% of the general public participants (n = 1318) had heard of an NP, once they became aware of their scope of practice, the majority agreed or strongly agreed they were willing to be seen by an NP in the community (91.6%), the emergency department 88.2%), to manage chronic conditions (86%), to have scrips written and referrals made (85.3%), and if they did not have to wait so long to see a medical doctor (81%). Factors significantly predicting willingness were being: female, less than 65 years of age, native English speakers, or residents from town/regional and rural settings.
Despite limited awareness of the NP role, a large proportion of the Australian population, across different demographic groups, are willing to be seen and treated by an NP. Expansion of this role to support medical services in areas of need could improve healthcare delivery.
澳大利亚的医疗保健服务面临挑战,难以满足人口老龄化、慢性病发病率上升和医疗保健资金有限的需求。在这种情况下,辅助医疗保健模式(如执业护师)有潜力解决这一差距,但在澳大利亚,它们的服务仍未得到充分利用。因此,有必要进一步调查消费者对接受执业护师服务的意愿。
采用计算机辅助电话访谈技术,在澳大利亚范围内进行了横断面的基于人群的调查。
虽然超过 53%的普通公众参与者(n=1318)听说过执业护师,但一旦他们了解了其执业范围,大多数人都表示愿意在社区(91.6%)、急诊室(88.2%)、管理慢性病(86%)、开处方和转诊(85.3%)接受执业护师的服务,如果不必等待那么久才能看医生(81%)。预测意愿的显著因素包括:女性、年龄小于 65 岁、母语为英语、来自城镇/地区和农村地区的居民。
尽管对执业护师角色的认识有限,但澳大利亚不同人群中,有很大一部分人愿意接受执业护师的治疗。扩大该角色以支持有需要的地区的医疗服务,可以改善医疗保健的提供。