Phil B.FontanarosaMD, Deputy EditorIndividualAuthorStephen J.LurieMD, PhD, Contributing EditorIndividualAuthor
In Reply: I agree with most of Dr Poplin's
comments. I disagree with her contention that we should encourage nurse practitioners
to practice independently, without requiring them to prove that they measure
up to physicians in caring for very sick patients. Our society requires the
proponents of new drugs and new tests to prove that the new technology is
as effective as the established technology. In this way, those who pay for
health care, or those who use it, can decide whether the new technology is
effective in a specific situation. Shouldn't patients know if physicians are
better than nurse practitioners at some aspect of primary care so that they
can decide when to ask for a consultation?
Sox HC. Health Outcomes Among Patients Treated by Nurse Practitioners or Physicians—Reply. JAMA. 2000;283(19):2521–2524. doi:10.1001/jama.283.19.2521
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