Chen S P, Barkauskas V H, Ohlson V M, Chen E H
Nurs Res. 1982 May-Jun;31(3):163-9.
The effects of specialty, setting, and provider group on the distributions of health problems managed by nurse practitioners and physicians in obstetric-gynecology, adult medicine, pediatrics, and family practice specialties are studied. Proportional samples by clinic were drawn from a total of 39,243 patient visits made to 16 ambulatory care clinics during an 18-week period. A Patient Encounter Form was used as the instrument and the ICD-9-CM was used as the coding system. Distributions of health problems differed between nurse practitioners and physicians in each clinic. Specialty affected the distributions of health problems managed by both provider groups. Setting affected the distributions of health problems for all specialties except the distributions of health problems not related to diseases or injuries (V codes) in family practice. Provider group effects were inconclusive. Community-based settings seem especially appropriate for nurse practitioner practice.
本研究探讨了专科、机构设置及医疗服务提供者群体对执业护士和医生在妇产科、成人医学、儿科及家庭医疗专科中所处理健康问题分布情况的影响。在为期18周的时间里，从16家门诊诊所的39243次患者就诊中按比例抽取样本。采用患者诊疗表作为工具，国际疾病分类第九版临床修正本（ICD-9-CM）作为编码系统。每家诊所中，执业护士和医生所处理的健康问题分布情况存在差异。专科影响了两个医疗服务提供者群体所处理健康问题的分布。机构设置影响了除家庭医疗中与疾病或损伤无关的健康问题（V编码）分布之外的所有专科健康问题的分布。医疗服务提供者群体的影响尚无定论。基于社区的机构设置似乎尤其适合执业护士开展工作。
