Lees R E
Can Med Assoc J. 1973 Apr 7;108(7):871-5.
Registered nurses working in five family practices in Kingston, Ontario, were given a period of in-service training and supplementary formal instruction at Queen's University to expand their skills and enable them to undertake prescribed procedures in the physicians' offices. Operational data collected from the five practices before and after training was analysed to assess the saving of physician time effected by the expansion of the nurses' activities in providing primary medical care. Physician time was saved in all cases but the amount varied. The results are presented and discussed in relation to staff, physical premises and patterns of practice of the participating physicians. Under the most advantageous practice circumstances in this study, a 33.7% saving in original physician time was obtained. The mean time-saving for the five practices was 18.2%.
安大略省金斯顿市五家家庭诊所的注册护士，参加了在女王大学举办的在职培训和补充正规教学，以拓展技能，并能在医生办公室开展规定的程序。对这五家诊所培训前后收集的运营数据进行分析，以评估护士在提供初级医疗护理方面活动的扩展对节省医生时间的影响。所有案例中医生时间均有节省，但节省量各不相同。结合参与研究的医生的员工情况、实际工作场所及执业模式，对结果进行了展示和讨论。在本研究最有利的执业情况下，医生原本花费的时间节省了33.7%。这五家诊所平均节省时间为18.2%。
