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© 1978 Oxford University Press

research-article

The St John's Randomized Trial of the Family Practice Nurse: Health Outcomes of Patients

LARRY W CHAMBERS1 and ANN E WEST2

1 2 Division of Community Medicine, Memorial University of Newfoundland, St John's, Newfoundland, Canada A 1B 3V6 Presented in part to the 8th International Scientific Meeting of the International Epidemiological Association, San Juan, Puerto Rico, September 1977. Supported by Health and Welfare Canada, Health Programs Branch. Research Directorate, National Health Research and Development Program, Project No. 601-10-6.

Reprint requests shound be addressed to Larry W Chambers, Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada L8S 4J9.

From June 1975, to May 1976, in a large family practice in St. John's, Newfoundland, a randomized controlled trial was conducted to assess the effectiveness of a family practice nurse. Effectiveness was assessed using standardized health outcome measures of physical, emotional, and social function which could be applied easily and objectively by non-clinicians to the two groups of patients under study: patients receiving conventional care and patients receiving care from the family practice nurse. After establishing the comparability of these two groups of patients at the beginning of the study, these measurements showed similar levels of physical, emotional, and social function in the two groups after 1 year of receiving either family practice nurse or conventional care. These results agree with previous controlled trials of family practice nurses which have indicated that family practice nurses are effective and safe.

Received 21 February 1978


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