Chen S P, Barkauskas V H, Chen E H
Res Nurs Health. 1984 Jun;7(2):79-86. doi: 10.1002/nur.4770070203.
Distribution of health problems encountered by nurse practitioners and physicians in general/adult medicine clinics was studied. Proportional samples by clinics were selected from a total of 13,039 patient visits made to four clinics during an 18-week period in 1978. A Patient Encounter Form was used as the instrument and the ICD-9-CM as the coding system. Results showed that (a) 25.1% of the 13,039 patient visits were made to the nurse practitioners and 74.9% to the physicians, (b) 23 frequently reported health problems constituted more than 50% of all health problems seen by both provider groups, and (c) health problems with V codes constituted less than 30% of all health problems seen by both provider groups. Many similarities in health problems seen by nurse practitioners and physicians may indicate that nurse practitioners in the general/adult medicine specialty are used more to substitute for physicians in managing selected health problems than to complement medical practice.
对执业护士和医生在普通/成人医学诊所遇到的健康问题分布情况进行了研究。从1978年18周期间四个诊所的总共13039次患者就诊中按诊所选取了比例样本。使用患者就诊表格作为工具，国际疾病分类第九版临床修订本（ICD - 9 - CM）作为编码系统。结果显示：（a）在13039次患者就诊中，25.1%是由执业护士诊治的，74.9%是由医生诊治的；（b）23种经常报告的健康问题占两个医疗服务群体所诊治的所有健康问题的50%以上；（c）带有V编码的健康问题占两个医疗服务群体所诊治的所有健康问题的比例不到30%。执业护士和医生所诊治的健康问题存在许多相似之处，这可能表明普通/成人医学专科的执业护士更多地被用于替代医生处理某些选定的健康问题，而非补充医疗实践。
