Do you believe the quality of care provided by advanced practice providers such as nurse practitioners and physician assistants can be as good as that provided by physicians?

Please read this article and participate in this month’s online opinion poll: Do you believe the quality of care provided by advanced practice providers such as nurse practitioners and physician assistants can be as good as that provided by physicians?

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Comments (3)

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  1. Deborah Way says:

    ALL care provided, regardless of the provider type, is only as good as the knowledge base and experience of the provider.
    I have worked with some less than stellar physicians and I have worked with some NPs and PAs that I would trust with my life.
    For me, it’s all about a provider respecting their own limitations and seeking guidance if they don’t know something.

  2. WL Berger says:

    NPs can function as well as MDs in some areas and bring unique and valuable nursing insights and skills that MDs may lack. This is particularly true in focused areas of expertise, particularly protocol-driven therapeutics.

    Nevertheless, in complex diagnostics and management planning as well as in leadership areas involving other healthcare professionals, I have seen NPs try to function beyond their capabilities with unfortunate results. It is a mantra among Family Practice MDs that the key to safe and effective practice it to know one’s limits. This is not as routinely internalized by all NPs I have worked with and perhaps less so by some PAs.

    In my experience, the best functioning NPs work within a team focused on narrow therapeutics, specializing in direct patient contact, and with immediately available consultation and oversight. The most problematic practitioners are those in primary care (very broad responsibility) working independently (very broad authority) with little supervision. Unfortunately, we do see this, and the results are pretty uniformly not good.

    In short, APP care CAN be as good as MD care BUT depends heavily on the specific practice setting AND any claim to equivalence cannot be generalized.

  3. Karen says:

    NP’s especially are comparable in their care to MD’s. Often we sat in the same classrooms. YES, they have more in depth classroom/book training but we have more hands on people training. That part goes a long way in our diagnostic cost management process.

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