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

Posted on 4/4/18 at 6:42 pm to
Posted by Hopeful Doc
Member since Sep 2010
15039 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.
Posted by WaWaWeeWa
Member since Oct 2015
15714 posts
Posted on 4/4/18 at 6:49 pm to
quote:

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.


Exactly. I compare the situation to a common situation seen on the Rant... the backup QB

When the starting QB (in this case the healthcare system/MDs) isn’t performing well everyone thinks the backup QB will always solve the problem. The backup QB is assigned all sorts of extraordinary qualities. No one wants to accept that the problem is more systemic and not easily solved. There is a reason why the backup QB (in this case NPs) are on the bench.

But this bill will eventually pass because of the money and persistence of the NP lobby to expand their scope of practice through legislation
This post was edited on 4/4/18 at 7:09 pm
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