Smith J W, O'Donovan J B
Br Med J. 1970 Dec 12;4(5736):673-7. doi: 10.1136/bmj.4.5736.673.
A nurse has been employed by three general practitioners in a semi-rural practice of 9,000 patients since April 1968. Of her 1,360 home visits, 838 were primary visits, of which only 87 required follow-up by the doctor and 484 were requested directly to the nurse. More advanced procedures carried out by the nurse included electrocardiography, pregnancy diagnosis, blood sampling, and cytology. This study suggests that the work of a practice nurse improves the medical service already provided and reduces the work-load of the doctors, particularly by primary screening by the nurse both at home and in the surgery.
自1968年4月起,一名护士受雇于三位全科医生,负责一个有9000名患者的半乡村诊所。在她进行的1360次家访中,838次是初次家访,其中只有87次需要医生跟进,484次是直接要求护士进行的。护士进行的更高级程序包括心电图检查、妊娠诊断、采血和细胞学检查。这项研究表明,诊所护士的工作改善了已提供的医疗服务,减轻了医生的工作量,特别是通过护士在患者家中和诊所进行的初步筛查。