Yodfat Y, Fidel J, Eliakim M
J Fam Pract. 1977 Feb;4(2):345-50.
A three-year study on the inclusion of nurse-practitioners (18 months basic training) in family medicine is presented. The nurses were entitled to screen patients and to treat minor ailments. Patient-nurse contact rates were 6.1, 7.1, and 4.2 per year in 1971, 1972, and 1973, respectively. The increased responsibility given the nurses resulted in a decrease in patient-physician contacts from 4.0 in 1970 to 2.0, 2.1, and 1.3 in 1971, 1972, and 1973, respectively. This permitted the physicians to spend more time with each patient, to look for disease in the community, to participate actively in the work of the department of medicine in the regional hospital, and to engage actively in research. As a result, numerous surveys have been performed and a great amount of important medical and epidemiological information has been accumulated. More than one third of all patients handled by nurses suffered from respiratory infections; these were followed by musculoskeletal disorders and skin infections. Diagnosis and treatment accounted for 50 to 53 percent of the nurses' activities. Consequently, the medical and social status of the nurses rose markedly and patients seems to rely increasingly on their judgment.
本文介绍了一项关于在家庭医学中纳入执业护士（接受18个月基础培训）的为期三年的研究。这些护士有权对患者进行筛查并治疗小病。1971年、1972年和1973年患者与护士的接触率分别为每年6.1、7.1和4.2次。护士责任的增加导致患者与医生的接触次数从1970年的4.0次分别降至1971年、1972年和1973年的2.0次、2.1次和1.3次。这使得医生能够有更多时间与每位患者相处，在社区中寻找疾病，积极参与地区医院内科的工作，并积极从事研究。结果，进行了大量调查，积累了大量重要的医学和流行病学信息。护士处理的所有患者中，超过三分之一患有呼吸道感染；其次是肌肉骨骼疾病和皮肤感染。诊断和治疗占护士活动的50%至53%。因此，护士的医学和社会地位显著提高，患者似乎越来越依赖他们的判断。
