儿科执业护士和儿科医生在门诊护理诊所遇到的健康问题。

Health problems encountered by pediatric nurse practitioners and pediatricians in ambulatory care clinics.

作者信息

Chen S P, Barkauskas V H, Ohlson V M, Chen E H, DeStefano L M

出版信息

Med Care. 1983 Feb;21(2):168-79. doi: 10.1097/00005650-198302000-00005.

DOI:10.1097/00005650-198302000-00005

Abstract

This study documents the health problems managed by pediatric nurse practitioners (PNPs) and pediatricians and examines the effects of setting and provider group on the distribution of health problems. Proportional samples by clinic were selected from a total of 11,968 patient visits to five ambulatory care clinics during an 18-week period in 1978. A patient encounter form was devised and the ICD-9-CM was used as the coding system. Results indicated 1) distributions of health problems differed significantly between the PNPs and the pediatricians in each clinic; 2) setting significantly effected the distributions of both types of health problems; and 3) provider group significantly affected the distribution of health problems with V codes but not frequently reported problems given a setting. The PNPs caseloads differ from pediatrician caseloads in diagnostic categories and wellness emphases. Community-based settings seem to be especially appropriate for nurse practitioner practice.

摘要

本研究记录了儿科执业护士（PNP）和儿科医生所处理的健康问题，并考察了就诊地点和医疗服务人员类别对健康问题分布的影响。1978年，在18周的时间里，从5家门诊护理诊所的总共11968次患者就诊中按诊所抽取了成比例的样本。设计了一份患者诊疗表格，并使用国际疾病分类第九版临床修订本（ICD - 9 - CM）作为编码系统。结果表明：1）每家诊所中，PNP和儿科医生所处理的健康问题分布存在显著差异；2）就诊地点对两类健康问题的分布均有显著影响；3）医疗服务人员类别对带有V编码的健康问题分布有显著影响，但在特定就诊地点下，对常见问题的分布影响不大。PNP的工作量在诊断类别和健康重点方面与儿科医生的工作量有所不同。基于社区的就诊地点似乎特别适合执业护士开展工作。