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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: In his Editorial regarding the study by Dr Mundinger and colleagues,1 Dr Sox2 correctly observes that even though nurse practitioners competently treated mostly young patients requiring routine care for hypertension and diabetes, they might not obtain such favorable outcomes when treating acute complications or older, sicker patients. However, it does not follow, as Sox implies, that nurse practitioners should therefore be barred from practicing independently. Nor should we, as physicians, monopolize routine care simply because we can handle more complex medical problems.