Anderson R M, Kraus A S, Steele R
Can Med Assoc J. 1970 Sep 26;103(6):589-93.
There exists a crisis in the delivery of medical services, particularly by family doctors of whom there is an apparent shortage.A STUDY OF FAMILY PRACTICE IN KINGSTON, ONTARIO, AND IN THE NEARBY COUNTRYSIDE INDICATES THREE CRITICAL NEEDS IN FAMILY PRACTICE: professional assistants for the family doctors, efficient office facilities and new methods of delivering family medical care in rural areas. The Faculty of Medicine at Queen's University has involved itself in a study of these matters and is developing a program to help solve them, by research into the nature of the problems and into methods for alleviating them, by keeping practising physicians informed through research reports and the continuing education program of the Medical School, by the development of pilot projects, and by the evaluation of new services aimed at these problems, independently launched by physicians in the community. Pilot projects to date include two designed to study the use of registered nurses as doctor assistants and another which involves the organization and operation of a university-sponsored community health centre. Last, but by no mean least, the Provincial Government is continually briefed on all these activities.
医疗服务的提供存在危机，尤其是家庭医生的服务，而家庭医生明显短缺。对安大略省金斯顿及其周边乡村家庭医疗的一项研究表明，家庭医疗存在三个关键需求：为家庭医生配备专业助手、高效的办公设施以及农村地区提供家庭医疗服务的新方法。女王大学医学院已参与对这些问题的研究，并正在制定一个项目来帮助解决这些问题，具体方式包括研究问题的本质和缓解问题的方法，通过研究报告和医学院的继续教育项目让执业医生了解情况，开展试点项目，以及评估针对这些问题由社区医生独立推出的新服务。迄今为止的试点项目包括两个旨在研究将注册护士用作医生助手的项目，以及另一个涉及大学赞助的社区健康中心的组织和运营的项目。最后但同样重要的是，省政府会持续了解所有这些活动的情况。
