Do you really need a family doctor?
- From: Raymond <Bluerhymer@xxxxxxx>
- Date: 31 May 2007 15:38:00 -0700
Save millions of dollars
Do you really need a family doctor?
Since the days of Florence Nightingale, there has been a debate over
which medical tasks a nurse should perform. Trained nurse
practitioners offer primary care that appears to be just as good or
better than what most family doctors can provide, say researchers.
NATIONAL CENTER FOR POLICY ANALYSIS
Many Patients Prefer Nurses To Doctors
Daily Policy Digest
Health Issues / Medical Personnel Findings:
Nurses spent more time with patients.
Nurses conducted more tests.
Patients did no better or worse when they saw a nurse instead of a
doctor. However, patients treated by nurses were more satisfied with
their care.
Nurses cannot (legally) completely replace doctors; but for patients
wishing same-day medical care nurse practitioners provide a very good
standard of care, according to study.
The American Medical Association opposes independent practice by nurse
practitioners, although it recommends that doctors work in close
collaboration with them. The AMA's president-elect, Yank D. Coble Jr.,
said a British study fails to account for the fact that most primary-
care patients aren't very sick. Coble says nurses simply don't have
the rigorous scientific background needed for subtle or complex
illnesses (Nonsense). Neither does the GP. He sends his patients to
doctors who specialize.
Nurse practitioner advocates point out that not every physician is
trained in every disease. General practitioners routinely refer
patients to physicians with specialized knowledge; nurse practitioners
could easily do likewise.
Source: Daniel DeNoon, "Many Patients Prefer Nurses to Doctors,"
WebMD,
April 4, 2002; Sue Horrocks, Elizabeth Anderson, and Chris Salisbury,
"Systematic Review of Whether Nurse Practitioners Working in Primary
Care Can Provide Equivalent Care to Doctors," British Medical
Journal,
April 6, 2002.
12770 Coit Rd., Suite 800 - Dallas, TX 75251-1339 - 972/386-6272 -
Fax
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Copyright 2002 National Center for Policy Analysis - All rights
reserved.
For text Medical Personnel
http://www.ncpa.org/iss/hea/
Objective: To determine whether nurse practitioners can provide care
at first point of contact equivalent to doctors in a primary care
setting.
Conclusion: Increasing availability of nurse practitioners in primary
care is likely to lead to high levels of patient satisfaction and high
quality care.
http://bmj.bmjjournals.com/cgi/content/full/324/7341/819
Do we really need these expensive prima donna GPs in the United
States?
Are "General Practitioners" or "GPs" overated, overpaid and
overwhelmed with too many patients? Can well trained nurses perform
the same duties as the GPs and at a much lower cost? After all, the GP
really does nothing more than [attempt] to diagnose a patient's
problem and then send him/her on to someone else to fix the problem.
The GP is simply just the usher or maitre d' for the patient. Until
the patient has been blood tested or x-rayed by someone other than the
GP, it is strictly guess work for the family doctor who does little
that a well qualified nurse cannot do for the same patient.
The office nurse has already taken the temperature and blood pressure
of the patient before the prima donna doctor even enters the picture.
And a good nurse with lots of hospital experience may be better
qualified than the medicine man to advise the patient. Also, the
nurse
generally knows much more about the medications and their interactions
with other drugs than the doctor who relies on what he was told by the
pharmacy company pimp.
SEE:
http://groups.google.com/group/alt.health/msg/5bc4a7497edce539
Next time you go to your GP, tape the visit. Then, when you get home
review what took place. You will no doubt discover that your neighbor
could have done the same thing if he had a prescription manual and a
rolidex with the names of specialists.
All visits should be taped for future proof in the event that a
patient decided later to sue his medicine man. A tape protects both
patient and family doctor.
I tape all visits to my GP. - Dr Doomer,D.O.
Also : SEE :
Prescribing Under the Influence
By E. Haavi Morreim
http://www.scu.edu/ethics/publications/submitted/morreim/prescribing....
Gifts to doctors from drug companies have implications for patient
interests.
Public opinion about doctors' pay
CE Ross and J Lauritsen
Public opinion about doctors' incomes was examined in a national
random sample of 843 respondents; 70.1 per cent of those questioned
felt physicians are overpaid. There was a high degree of agreement
among various groups that physicians are overpaid, but older people
and Whites were more likely to think so than younger people and other
ethnic groups. People who believe that the United States is
characterized by unequal educational opportunity, unfair income
distribution, and limited resources were also more likely to think
physicians are overpaid.
In this brand new edition of How To Stop Your Doctor Killing You,
you'll discover many truths about how you can protect the health of
you and your loved ones
http://www.vernoncoleman.com/htsydky.htm
Also see:
Gangsters In Medicine By Thomas Smith Val...@xxxxxxxxxxxxxxxxxx ...
For a time, these changes actually improved the practice of medicine
in the United States
http://www.rense.com/general33/gang.htm
E-Mail this to your rep or senator [who CAN reduce the outrageous
health care deficits by starting with the GPs and replacing them with
qualified nurse practitioners.]
Sav taxpayers billions.
We need nurses to rule the roost.
Gateway to the National Library of Medicine
Try a search in the search box above - The NLM Gateway searches
multiple retrieval systems at the U.S. National Library of Medicine.
The resources the Gateway searches include consumer health
information, journal citations, the NLM library catalogue, and meeting
abstracts.
Nurse-physician collaboration or competition: don't we need both?.
PROBLEMS AND OBJECTIVES. The current environment mandates that nurses
and other non-physician health providers act upon their professional
knowledge to increase the quality and decrease the cost of health care
racket. The purpose of this study was to identify the factors
associated with nurses taking action rather than deferring to
physicians when disagreement about patient care occurs.
DATA AND METHODS. A total of 196 (76% response rate) nurses from 36
randomly selected emergency rooms in Illinois completed the written
survey instrument of 132 questions. A modified version of Fishbein
and
Ajzen's "Theory of Reasoned Action" was tested as an explanatory model
of nurses' conflict behaviors in patient care conflict situations with
physicians. An abridged version of the Organizational Culture
Inventory (Cooke & Lafferty, 1989) and scenarios developed by the
researcher were used to measure the constructs of interest.
RESULTS AND CONCLUSIONS. The conflict management style the physician
was expected to use and/or a perception of strong confident-
competitive norms together influenced both the nurse's intention to
take action in a conflict situation and the style selected to manage
the conflict. The results indicate two things: 1) physician behavior
is inappropriately discouraging nurses from taking actions that can
enhance both the quality and cost of patient care; and 2) when a nurse
believes her work group sanctions competitive behavior, she is more
likely to promote her position when she disagrees with the physician.
IMPLICATIONS FOR AUDIENCE. A strategy to increase quality and decrease
the cost of health care should include supporting nurses to use
competitive behavior with physicians where appropriate and
encouraging
physicians to use more collaboration with nurses.
http://gateway.nlm.nih.gov/MeetingAbstracts/102215479.html
Say farewell to your expensive GP and "Hello" to better health care.
Patients treated by nurses were more satisfied with their care
Ley us prey
Raymond
.
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