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September 21, 1970

Nurse-Practitioner: Reprise

JAMA. 1970;213(12):2071-2072. doi:10.1001/jama.1970.03170380045012

In her article, "Doctor and Nurse: Changing Roles and Relations," Bates1 notes that, although both professions have as their goal the preservation and restoration of health, their roles only partly overlap and otherwise differ. The physician, by education and training, is concerned with diagnosis and treatment (the "cure" process); his orientation is toward disease. In contrast, the nurse uses her efforts in the "care" process; her orientation is toward the psychosocial needs of people.

The AMA Committee on Nursing, in a report adopted by the House of Delegates in June 1970, gave as a second objective, "The American Medical Association recognizes the need for and will facilitate the expansion of the role of the nurse in providing patient care."2 In discussing the objective, the report stated, "For those sectors of the population without adequate health care, the immediate benefit will be increased availability of service. Physicians augmented by