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John D. Voltmann, MD

JAMA. 1975;234(3):303-304.

Abstract
Comprehensive health care can be provided in rural and poor areas despite a decreasing number of physicians in those areas. A single physician increased his productivity by 300% to 400% by combining already available resources: specially trained and supervised nurse-practitioners, problemoriented charting, and multiphasic screening.

With emphasis on the nurse-practitioner as the main "person of contact" for the patient, the physician is able to shift from 50% to 75% of his usual tasks to these specially trained personnel. Patients have come to regard the physician as a "consultant" to the nurse-practitioner.

(JAMA 234:303-304, 1975)

Author Affiliations
From the Jamestown Medical Clinic, Jamestown, NY.

Footnotes
Reprint requests to 103 Allen St, Jamestown, NY 14701 (Dr Voltmann).

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