Enggist R E, Hatcher M E
J Med Syst. 1983 Dec;7(6):495-512. doi: 10.1007/BF00995180.
This paper describes a methodology to delineate factors associated with consumer acceptance of the medical nurse practitioner (MNP). The MNP is a category of new health practitioners with proficiency in medical/health care functions traditionally performed only by physicians. A process model approach was developed to study the significance of selected sociodemographic cognitive, attitudinal, and clinical/medical factors that are expected to predispose consumer acceptance of the MNP. The survey population consists of predominantly elderly and indigent ambulatory patients to an inner-city primary care clinic. The data were collected from 156 primary care patients before and after the introduction of the MNP program. The results clearly demonstrate consumer support for the new health practitioner concept. This finding is further substantiated in the "after" study. From an analysis of symptoms experience, symptom severity, and type of symptoms, symptoms experience emerged as the strongest indicator of consumer receptivity to MNP concept. Additionally, exposure to MNP caused the consumer to become more aware of proper consumption and increased the demand for physician care and specialty care where appropriate.
本文描述了一种方法，用于确定与消费者接受医疗执业护士（MNP）相关的因素。医疗执业护士是一类新的健康从业者，他们精通传统上仅由医生执行的医疗/保健功能。开发了一种过程模型方法，以研究选定的社会人口统计学、认知、态度和临床/医学因素的重要性，这些因素预计会使消费者更容易接受医疗执业护士。调查对象主要是市中心一家初级保健诊所的老年和贫困门诊患者。在引入医疗执业护士项目之前和之后，从156名初级保健患者那里收集了数据。结果清楚地表明消费者对新的健康从业者概念的支持。这一发现在“之后”的研究中得到了进一步证实。通过对症状体验、症状严重程度和症状类型的分析，症状体验成为消费者对医疗执业护士概念接受度的最强指标。此外，接触医疗执业护士使消费者更加了解合理消费，并在适当情况下增加了对医生护理和专科护理的需求。
