Broadbent J
School of Management, Royal Holloway, University of London, Egham, UK.
Soc Sci Med. 1998 Aug;47(4):497-506. doi: 10.1016/s0277-9536(98)00121-x.
In the light of changes to the GP Contract in the U.K. which were implemented in April 1990, health promotion was introduced into General Practice and was encouraged through the financial elements of the contract. This paper seeks to illustrate some of the outcomes of the changes, in particular the extent to which activity in relation to health promotion has been passed to practice nurses. The paper explores the perceptions of the practice nurses to their new activity and examines the implications of that change. The argument is presented that health promotion activity has provided an impetus for the attempts to develop a professional project on the part of practice nurses. The outcome of that professional project and the possibility of more development of the terms of the GP Contract could lead to unintended consequences of change in General Practice and the paper argues the need for more evaluation and debate of the developments.
鉴于1990年4月在英国实施的全科医生合同变更，健康促进被引入到全科医疗中，并通过合同中的财务因素得到鼓励。本文旨在阐述这些变更的一些成果，特别是与健康促进相关的活动传递给执业护士的程度。本文探讨了执业护士对其新活动的看法，并研究了这一变化的影响。文中提出，健康促进活动为执业护士开展专业项目的尝试提供了动力。该专业项目的成果以及全科医生合同条款进一步发展的可能性可能会给全科医疗带来意想不到的变化后果，本文认为有必要对这些发展进行更多的评估和辩论。
