Pesznecker B L, Draye M A
Am J Public Health. 1978 Oct;68(10):977-80. doi: 10.2105/ajph.68.10.977.
In this nationwide study 8,905 patients were seen by 356 family nurse practitioners (FNPs) during February through April 1977. The ratio of white to black and white to "other" patients was six to one. Racial minorities were seen significantly more often than were whites in public clinics supported predominantly by public tax monies. The smallest number of patients seen was in the "elderly" age group, 65 and over. Elderly patients were located to a greater extent in the South and they used both private and public clinics. The number of infants and children seen was greater in the Western region and in semi-urban areas. The predominant patient problems seen by FNPs were Prevention/Health Supervision and Respiratory. Although there were similarities between top ranking primary care problems seen by FNPs in this study compared with primary care physicians in other studies, proportionately more FNP patient contacts were for Prevention/Health Supervision and the patients tended to be in the younger age group.
在这项全国性研究中,1977年2月至4月期间,356名家庭护士执业医师(FNP)诊治了8905名患者。白人与黑人以及白人与“其他”患者的比例为6比1。在主要由公共税收资金支持的公共诊所中,少数族裔患者的就诊频率明显高于白人。就诊患者数量最少的是65岁及以上的“老年”年龄组。老年患者在南方更为集中,他们同时使用私立和公立诊所。在西部地区和半城市地区,婴儿和儿童的就诊人数较多。FNP诊治的主要患者问题是预防/健康监督和呼吸系统问题。尽管本研究中FNP诊治的排名靠前的初级保健问题与其他研究中初级保健医生诊治的问题有相似之处,但FNP诊治的患者中,预防/健康监督方面的比例相对更高,且患者往往年龄较小。