Comments on: Why nurse practitioners and physician assistants will not solve the primary care shortage http://www.kevinmd.com/blog/2008/12/why-nurse-practitioners-and-physician.html medical blog Sun, 22 Nov 2009 14:15:05 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: It’s Just A Flesh Wound « The View From LL2 http://www.kevinmd.com/blog/2008/12/why-nurse-practitioners-and-physician.html/comment-page-1#comment-112662 It’s Just A Flesh Wound « The View From LL2 Thu, 24 Sep 2009 22:05:16 +0000 http://clients.emmense.com/kevinmd/2008/12/why-nurse-practitioners-and-physician-assistants-will-not-solve-the-primary-care-shortage.html#comment-112662 [...] more patients with routine problems or in need of only primary care services, this may do little to counteract the growing shortage of primary care physicians: Mid-level [practitioners] are not immune to the vast incentives [...] [...] more patients with routine problems or in need of only primary care services, this may do little to counteract the growing shortage of primary care physicians: Mid-level [practitioners] are not immune to the vast incentives [...]

]]> By: Anonymous http://www.kevinmd.com/blog/2008/12/why-nurse-practitioners-and-physician.html/comment-page-1#comment-89000 Anonymous Fri, 02 Jan 2009 21:57:00 +0000 http://clients.emmense.com/kevinmd/2008/12/why-nurse-practitioners-and-physician-assistants-will-not-solve-the-primary-care-shortage.html#comment-89000 Kevin MD you don't need to assume that other mid-level providers, like NP's, give equal care to physicians...because it's been proven that the outcomes are the same. Furthermore, it's been provern through evidence based means, RCT's, that the care given in the primary care setting by the APN is equal to or better than the physician equivalent. So, quit "assuming" because you don't have to....Look it up, it's in Cochrane database 2006! Kevin MD you don’t need to assume that other mid-level providers, like NP’s, give equal care to physicians…because it’s been proven that the outcomes are the same. Furthermore, it’s been provern through evidence based means, RCT’s, that the care given in the primary care setting by the APN is equal to or better than the physician equivalent. So, quit “assuming” because you don’t have to….Look it up, it’s in Cochrane database 2006!

]]> By: Anonymous http://www.kevinmd.com/blog/2008/12/why-nurse-practitioners-and-physician.html/comment-page-1#comment-88806 Anonymous Mon, 22 Dec 2008 19:39:00 +0000 http://clients.emmense.com/kevinmd/2008/12/why-nurse-practitioners-and-physician-assistants-will-not-solve-the-primary-care-shortage.html#comment-88806 ".....To "anonymous", refer your patient to someone else....." <br/><br/>That's precisely what I do. “…..To “anonymous”, refer your patient to someone else…..”

That’s precisely what I do.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/12/why-nurse-practitioners-and-physician.html/comment-page-1#comment-88785 Anonymous Sun, 21 Dec 2008 17:02:00 +0000 http://clients.emmense.com/kevinmd/2008/12/why-nurse-practitioners-and-physician-assistants-will-not-solve-the-primary-care-shortage.html#comment-88785 To "anonymous", refer your patient to someone else. I agree with dr.....; they could make a difference in a primary care setting, performing many perfunctory duties. In large medical homes the use of these professionals could allow expansion of the practices and more access to healthcare. To “anonymous”, refer your patient to someone else. I agree with dr…..; they could make a difference in a primary care setting, performing many perfunctory duties. In large medical homes the use of these professionals could allow expansion of the practices and more access to healthcare.

]]> By: drjonslater http://www.kevinmd.com/blog/2008/12/why-nurse-practitioners-and-physician.html/comment-page-1#comment-88752 drjonslater Fri, 19 Dec 2008 00:07:00 +0000 http://clients.emmense.com/kevinmd/2008/12/why-nurse-practitioners-and-physician-assistants-will-not-solve-the-primary-care-shortage.html#comment-88752 Good thoughts, but how about using the mid levels to do things that primary care docs don't really need to do? For example, bp checks, refilling prescriptions, chronic care monitoring? That would free up the primary care doc for diagnosis and care planning. Good thoughts, but how about using the mid levels to do things that primary care docs don’t really need to do? For example, bp checks, refilling prescriptions, chronic care monitoring? That would free up the primary care doc for diagnosis and care planning.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/12/why-nurse-practitioners-and-physician.html/comment-page-1#comment-88750 Anonymous Thu, 18 Dec 2008 23:51:00 +0000 http://clients.emmense.com/kevinmd/2008/12/why-nurse-practitioners-and-physician-assistants-will-not-solve-the-primary-care-shortage.html#comment-88750 I don't see it happening either. Most of the midlevels are just fitting themselves into a specialty practice anyway. It drives me crazy when I refer to a specialist and the patient ends up seeing a midlevel. That's fine if the patient is just making a visit in preparation for a screening colonoscopy. It's still another matter if I'm trying to tease out the subtleties of someone's chronic diarrhea and abdominal pain, trying to figure out inflammatory colitis versus, etc., etc.... I don’t see it happening either. Most of the midlevels are just fitting themselves into a specialty practice anyway. It drives me crazy when I refer to a specialist and the patient ends up seeing a midlevel. That’s fine if the patient is just making a visit in preparation for a screening colonoscopy. It’s still another matter if I’m trying to tease out the subtleties of someone’s chronic diarrhea and abdominal pain, trying to figure out inflammatory colitis versus, etc., etc….

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