Baldwin K A, Sisk R J, Watts P, McCubbin J, Brockschmidt B, Marion L N
Public Health, Mental Health, and Administrative Nursing, University of Illinois, Chicago College of Nursing, Peoria 61656-1649, USA.
Public Health Nurs. 1998 Dec;15(6):389-97. doi: 10.1111/j.1525-1446.1998.tb00365.x.
Nurse practitioners and physician assistants have provided a partial solution to the shortage of primary care services in medically underserved rural areas. This paper describes the results of a study exploring community acceptance of nurse practitioners and physician assistants in rural medically underserved areas. Community acceptance in the context of this study implies not only satisfaction with care received, but also willingness of the community to support NP/PA practice through its infrastructure and encourage members to initially seek and continue to receive care from an NP or PA. Five focus groups were conducted in each of five rural medically underserved communities. The two most pervasive findings were the lack of previous exposure to NPs and PAs and the general belief that NPs and PAs would be accepted in these communities if certain conditions could be met. The theme of conditional acceptance included both personal and system factors. Personal factors included friendliness, competence, willingness to enter into the life of the community, and the ability to keep information confidential. System factors considered critical for acceptance included service type, integration with the existing health care system, cost, geographic proximity, and availability. The results of this study offer insight into community attitudes and suggest marketing strategies for those who plan to introduce NP or PA services into rural communities.
执业护士和医师助理为医疗服务欠缺的农村地区初级医疗服务短缺问题提供了部分解决方案。本文描述了一项研究的结果，该研究探讨了农村医疗服务欠缺地区社区对执业护士和医师助理的接受情况。在本研究背景下，社区接受不仅意味着对所接受护理的满意度，还意味着社区愿意通过其基础设施支持执业护士/医师助理的执业，并鼓励成员最初寻求并持续接受执业护士或医师助理的护理。在五个医疗服务欠缺的农村社区中，每个社区都开展了五个焦点小组讨论。两个最普遍的发现是，此前对执业护士和医师助理缺乏接触，以及普遍认为如果某些条件能够得到满足，执业护士和医师助理会在这些社区被接受。有条件接受这一主题包括个人因素和系统因素。个人因素包括友善、能力、融入社区生活的意愿以及保密信息的能力。被认为对接受至关重要的系统因素包括服务类型、与现有医疗保健系统的整合、成本、地理位置接近程度和可及性。本研究结果有助于深入了解社区态度，并为那些计划在农村社区引入执业护士或医师助理服务的人提供营销策略。
