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May 17, 2000

Health Outcomes Among Patients Treated by Nurse Practitioners or Physicians

Author Affiliations

Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Contributing EditorIndividualAuthor

JAMA. 2000;283(19):2521-2524. doi:10.1001/jama.283.19.2521

To the Editor: Dr Mundinger and colleagues1 provide an excellent comparison of the care provided by nurse practitioners and primary care physicians from several perspectives.

In considering their work, though, one must also note certain limitations. Hypertension, asthma, and diabetes, while chronic conditions, do not generally warrant frequent admission to the hospital. Therefore, differences in the rate of emergency department use, hospitalization, and mortality may not be evident for some time beyond the 1-year length of the study.