Nursing Practitioners and Asthma Patients

Paper Summary:

This paper examines how nurse practitioners compare with physicians in referring asthma patients to the right specialists. The paper explains that a literature review on this topic was performed because nurse practitioners are playing an increasing role in primary medical care, but are still meeting some opposition from physicians who consider them less qualified and fear they are draining funds away from their practices. The paper looks at the question whether nurse practitioners would recognize the need for referral to a specialist as readily as would a physician.

From the Paper:

"In some places, nurse practitioners are setting up practices on their own, independent of physicians (Ventura, 1998). In Manhattan, a group known as Columbia Advanced Practice Nurse Associates (CAPNA) have admitting privileges at one of the city's leading medical centers and have secured contracts with three HMOs to serve as primary care providers with reimbursements at the same rates as physicians. While NPs were originally created to provide service in areas where doctors were scarce, they are rapidly becoming accepted everywhere, and the Department of Veterans Affairs issued a policy statement encouraging the use of NPs, saying the could provide up to 80 percent of patients' healthcare needs."

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