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Biomedical subjects

V M Ohlson

Publications and source records attributed to V M Ohlson.

18 recordsLinked to original sources
PubMed1983

Health problems encountered by pediatric nurse practitioners and pediatricians in ambulatory care clinics.

This study documents the health problems managed by pediatric nurse practitioners (PNPs) and pediatricians and examines the effects of setting and provider group on the distribution of health problems. Proportional samples by clinic were selected from a total of 11,968 patient visits to five ambulatory care clinics during an 18-week period in 1978. A patient encounter form was devised and the ICD-9-CM was used as the coding system. Results indicated 1) distributions of health problems differed significantly between the PNPs and the pediatricians in each clinic; 2) setting significantly effected the distributions of both types of health problems; and 3) provider group significantly affected the distribution of health problems with V codes but not frequently reported problems given a setting. The PNPs caseloads differ from pediatrician caseloads in diagnostic categories and wellness emphases. Community-based settings seem to be especially appropriate for nurse practitioner practice.

Ambulatory Care Facilities↗
PubMed1981

Health problems encountered by nurse-practitioners and physicians in obstetric-gynecologic ambulatory care clinics.

This study documents the distribution of health problems managed by obstetric-gynecologic nurse-practitioners (OB-GYN NPs) and obstetrician-gynecologists in community-based ambulatory care settings, and examines the effects of provider group on the distribution of health problems. A proportional sampling technique was used in selecting a sample of 3,873 visits for analysis from a total of 5,889 patient visits made to three community-based clinics during an 18-week period from February to June, 1978. A Patient Encounter Form was devised to record basic encounter data and the health problems managed by providers. The International Classification of Diseases, 9th revision (ICD-9-CM) was used as the coding system. Results indicated: (1) in each clinic, the distribution of health problems based on the three-digit headings of ICD-9-CM differed significantly between the OB-GYN NPs and the obstetrician-gynecologists; (2) the distributions of frequently reported health problems were clinically similar for OB-GYN NPs and obstetrician-gynecologists; and (3) the distributions of health problems with V codes were clinically similar for the two provider groups. Data indicate the OB-GYN NP caseloads are similar to those of obstetrician-gynecologists in frequently managed health problems and in wellness emphases. Nurse-practitioners are appropriate collaborators with obstetrician-gynecologists in the provision of primary health care for women.

Adolescent↗
PubMedDate not supplied

Documented clinical experiences of primary care RN students: a preliminary report.

A student-patient encounter form was developed for documenting patients' visits in the practicums of three primary care courses--obstetric-gynecology, pediatrics, and general adult patients--and from January 1973 to June 1974, 22 registered nurse students completed 1,027 student-patient encounter forms. Health problems were identified, using the Weed system and classified by the International Classification of Disease adapted for use in the United States. The study demonstrated that the encounter form facilitated the documentation of base-line data for student practicums. Preliminary analysis of the data revealed that: 1) health problems of patients classified as "without sickness" were important in the case loads of registered nurse students in obstetric-gynecologic and pediatric practicums; 2) health problems of patients classified as "symptoms of ill-defined conditions" were also important in all three student practicums, particularly with general adult patients: and 3) students encountered a cluster of health problems in dealing with patients in the three practicums. The study suggested a need to develop a classification scheme for health problems encountered in primary care nursing services.

Chicago↗
PubMedDate not supplied

Health problems encountered by nurse practitioners and physicians.

The effects of specialty, setting, and provider group on the distributions of health problems managed by nurse practitioners and physicians in obstetric-gynecology, adult medicine, pediatrics, and family practice specialties are studied. Proportional samples by clinic were drawn from a total of 39,243 patient visits made to 16 ambulatory care clinics during an 18-week period. A Patient Encounter Form was used as the instrument and the ICD-9-CM was used as the coding system. Distributions of health problems differed between nurse practitioners and physicians in each clinic. Specialty affected the distributions of health problems managed by both provider groups. Setting affected the distributions of health problems for all specialties except the distributions of health problems not related to diseases or injuries (V codes) in family practice. Provider group effects were inconclusive. Community-based settings seem especially appropriate for nurse practitioner practice.

Adult↗