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re: SB 435 would allow advanced practice nurses to not work under a physician

Posted on 4/4/18 at 6:01 pm to
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 4/4/18 at 6:01 pm to
Exactly. I would just like to evaluate the study to make sure they are comparing apples to apples. Not a situation where the MD is being sent all the chest pain cases and the NP is being sent runny noses. And how is the study measuring competency?

I would be shocked if it’s a legitimate study because I think this is a very complex issue that statistical post hoc analysis can’t sort out.
Posted by Hopeful Doc
Member since Sep 2010
15040 posts
Posted on 4/4/18 at 6:42 pm to
quote:

I would be shocked if it’s a legitimate study because I think this is a very complex issue that statistical post hoc analysis can’t sort out.



I've never seen one that actually linked any sort of meaningful outcome long term. There are studies that show that patients are just as satisfied, that NPs typically spend something like 1 minute longer in the room, and are more likely to order tests and refer than MDs. They also had comparable systolic blood pressures. NPs actually had something like a 1-2mmHg lower SBP.

None of this is particularly important, groundbreaking, or useful information. It does not prove quality, consistency, or show that either field has more outliers or malpractice/mismanagement cases. It is often quoted in their defense, though, and unfortunately, people who don't critically read or understand what the information published may draw a line that does not exist/cannot be determined.
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