Dungy C I
J Natl Med Assoc. 1979 Jul;71(7):693-5.
The basic problems in delivery of health care in the United States and in Nigeria are similar; the major differences are in magnitude. Nigeria's Basic Health Services Scheme, now being implemented, is a bold effort to make quality health care accessible to the entire population. American health planners should look to such developing countries for concepts adaptable to our own health care delivery system. In developing primary care programs in particular, they should consider three basic components of the Nigerian scheme: (1) delegation of appropriate responsibilities to non-physician health providers in order to augment physician manpower in underserved areas; (2) location of training centers in environments similar to those where the trainees will serve; and (3) use of home-based care records to increase patient participation in health care.
美国和尼日利亚在医疗保健服务方面的基本问题是相似的；主要差异在于规模。尼日利亚目前正在实施的基本医疗服务计划，是一项让全体民众都能获得优质医疗保健的大胆举措。美国的医疗规划者应该向这些发展中国家借鉴适用于我们自己医疗服务体系的理念。特别是在制定初级保健计划时，他们应该考虑尼日利亚计划的三个基本组成部分：(1) 将适当的职责委托给非医生医疗服务提供者，以增加服务不足地区的医生人力；(2) 将培训中心设在与受训者将要服务的环境相似的地方；(3) 使用家庭医疗记录以提高患者对医疗保健的参与度。
