title: Jamestown Medical Clinic System.
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, problem-oriented 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.
mesh_terms: D003153:Community Health Services; D004509:Education, Nursing, Continuing; D005069:Evaluation Studies as Topic; D008501:Medical Records, Problem-Oriented; D009518:New York; D009722:Nurse Practitioners / Q000706:statistics & numerical data*; D009723:Nurse-Patient Relations; D010820:Physicians / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000592:standards*; D012423:Rural Health; D000078329:Workforce