Rowland A J, Dixon P N, Holliger B, Wofinden R C
Br Med J. 1970 Nov 28;4(5734):545-7. doi: 10.1136/bmj.4.5734.545.
By the end of June 1969 home nurses in Bristol were attached to 18 general practices caring for about 137,000 patients, or about one-third of the city's population. Attachment was associated with an increase by about one-third in the number of patients referred by general practitioners for home nursing. Additional benefits derived from attachment during the nine months from January to September 1969 were 2,047 items of service performed by nurses in general practitioners' surgeries, 65 home visits to patients who were not receiving domiciliary nursing care, improved communications between general practitioners and nurses, and opportunities for both doctors and nurses to widen their fields of work. The travelling expenses paid to Bristol's nurses increased by 9.5%.It is suggested that the benefits to patients, doctors, and nurses of attachment far outweigh the costs and that there is scope for extending the role of the attached nurse in the surgery and in home visiting.
到1969年6月底，布里斯托尔的家庭护士被分配到18个全科医疗诊所，负责照顾约13.7万名患者，约占该市人口的三分之一。这种分配使得全科医生转介接受家庭护理的患者数量增加了约三分之一。1969年1月至9月的九个月期间，这种分配带来的额外益处包括：护士在全科医生诊所提供了2047项服务，对未接受家庭护理的患者进行了65次家访，改善了全科医生与护士之间的沟通，以及为医生和护士提供了拓宽工作领域的机会。支付给布里斯托尔护士的差旅费增加了9.5%。有人认为，这种分配对患者、医生和护士的益处远远超过成本，并且扩大驻诊护士在诊所和家访中的作用还有空间。
