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Comparisons in Outcome and the Nurse's Extended Role

John W. Runyan, Jr., MD

JAMA. 1975;231(3):264-267.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

IN PREVIOUS communications, the service program in Memphis and Shelby County (Tennessee) for the continuing care of patients with selected chronic diseases has been described.^1-5

Since the report in 1970,² more than 140,000 patient-visits to the decentralized facilities have been made, and patients under regular care now exceed 9,000. The number of urban and rural neighborhood and satellite clinics, which are operated by the Health Department, has been increased to 20, with several more planned.

Although the main efforts have been service oriented and directed toward meeting the medical needs of a large chronically diseased population, some measurements of the effectiveness and acceptability of continuing care to patients in the program and its effects on the course of the chronic illness have been presented recently.⁵ This report extends these observations but is primarily concerned with making certain comparisons between patients receiving care in decentralized facilities staffed by . . . [Full Text PDF of this Article]

Author Affiliations
From the Division of Health Care Sciences, departments of medicine and community medicine, University of Tennessee College of Medicine, Memphis.

Footnotes
Reprint requests to 800 Madison Ave, Box GA150, Memphis, TN 38163 (Dr. Runyan).

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