Student： You have just mentioned the primary health care team. Can you give us some explanations？

　　Teacher： The health care team is based either in Area Health Authority （ AHA） premises known as health centres or in the privately owned premises of general practitioners. （This kind of care is carried out in Britain and some other countries.）

　　S： How many members are there in a team？

　　T： Usually eight to ten， including a health physician， three or four nurses； a health visitor， a home nurse， a practice nurse and a psychiatric nurse， a community midwife， a social worker and a secretarial staff.

　　S： What is the difference between a home nurse and a practice nurse？

　　T： A home nurse is likely to be spending much time undertaking domiciliary duties and much of the work is concerned with the elderly and chronic sick and their long term care. Apractice nurse is more likely to be working in the surgery. She may be called on to carry out first aid. form m.cddzsc.cn

　　S： Does the health visitor do technical nursing procedures？

　　T： The health visitor is not actively engaged in technical nursing procedures. She has an advisory and educational role and is concerned with the prevention of illhealth rather than with curative medicine. She establishes contact with expectant mothers to ensure adequate antenatal preparation and visit new babies. She also gives advice on family planning. A health visitor may be engaged in school health work as well as visiting pre-school children.

　　S： She must be very busy.

　　T： More than that. Health visitors have a list of duties such as to advise on the control of communicable diseases. They will be visiting families where there is a handicapped member， with social workers. They may visit families who have suffered with visiting the elderly to advise on health maintenance.

　　S： I think they are wonder ful workers. I really appreciate their work. With their various duties， the consequence of the primary health care team is amazing.

　　學(xué)生：您剛才提到基層保健隊(duì)，能介紹一下它的情況嗎？

　　老師：保健隊(duì)的基礎(chǔ)既可以是做為保健中心的區(qū)域保健事務(wù)所，也可以是綜合開(kāi)業(yè)者的私人診所。（英國(guó)和一些國(guó)家實(shí)行這種形式的保健工作。）

　　學(xué)生：基層保健隊(duì)有多少成員？

　　老師：通常是8至10人，包括1位保健醫(yī)生，3或4位護(hù)士，1位健康訪視護(hù)士，1位家庭護(hù)士，1位實(shí)踐護(hù)士和1位精神科護(hù)士，1位助產(chǎn)士，1位社會(huì)工作人員和1位秘書(shū)。

　　學(xué)生：家庭護(hù)士和實(shí)踐護(hù)士有什么不同？

　　老師：家庭護(hù)士大部分時(shí)間管理病人家中生活的事務(wù)，她的工作涉及老年人和慢性病人的長(zhǎng)遠(yuǎn)目標(biāo)護(hù)理。實(shí)踐護(hù)士則更多地從事外科換藥工作并承擔(dān)現(xiàn)場(chǎng)急救工作。

　　學(xué)生：健康訪視護(hù)士負(fù)責(zé)技術(shù)性護(hù)理操作嗎？

　　老師：健康訪視護(hù)士不從事技術(shù)性護(hù)理操作。她負(fù)責(zé)健康教育及咨詢工作。她的工作主要是預(yù)防而不是治療。健訪護(hù)士與早孕婦女建立聯(lián)系，保證產(chǎn)有的準(zhǔn)備工作，并訪視新生兒。她同時(shí)參與計(jì)劃生育工作。健訪護(hù)士即訪視學(xué)齡前兒童也參與學(xué)校的保健工作。

　　學(xué)生：她一定忙得很吧。

　　老師：不僅是忙，健訪護(hù)士學(xué)有一些任務(wù)，如，對(duì)如何控制傳染病提出建議，對(duì)有殘疾人員的家庭進(jìn)行訪問(wèn)，并與社會(huì)工作人員取得聯(lián)系。她們還對(duì)有喪偶的家庭進(jìn)行訪問(wèn)。她們更多的工作是訪視老年人并對(duì)他們?nèi)绾伪３纸】堤岢鼋ㄗh。

　　學(xué)生：健康訪視護(hù)士太好了。我非常欣賞她們的工作。有她們來(lái)完成這許多的任務(wù)，基層保健隊(duì)的工作會(huì)有非常驚人的成績(jī)的。