Haller M J, Collins J F
J Fam Pract. 1978 Jun;6(1):143-7.
An experiment utilizing nurse practitioners in the delivery of health care in a rural Nebraska community is described. In spite of several reorganizations, over a 2 1/2-year period of study, the project failed in terms of patient utilization. Visit rates began at 300 per month and increased to a high of 825 until the community perceived that the nurse practitioner was interposed between themselves and the primary physician. Rates then dropped to 375 and the community withdrew from the project. Implications for rural health projects using ancillary personnel are discussed.
本文描述了在内布拉斯加州一个乡村社区开展的一项利用执业护士提供医疗保健服务的实验。尽管进行了几次重组，但在长达两年半的研究期间，该项目在患者利用率方面失败了。就诊率最初为每月300次，最高增至825次，直到社区认为执业护士介于他们与初级医生之间。随后就诊率降至375次，社区退出了该项目。文中还讨论了使用辅助人员开展农村卫生项目的影响。
