The position of nurse practitioner

Research studies have shown that patients generally receive the same care from a nurse practitioner as they do from a general practitioner (Roberts, 2002). Roberts (2002) reviewed several studies of nurse practitioners treating diabetes patients. Although one study showed that 78 patients cared for by six nurse practitioners did not receive the minimum care outlined by the American Diabetes Association, neither did those seen by doctors. Another study showed that patients were just as happy to be treated by a nurse practitioner as by a doctor, and that their AIC values were similar whoever treated them. A third study which looked at diabetes patient care by nurses certified as diabetes educators found they had better AIC values than those treated by doctors and also lower fasting glucose levels. These studies show that nursing practitioners can provide as good, if n

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originally established to provide physical examinations for insurance companies. Now the nurse practitioners also diagnose medical conditions and diseases, plan and provide necessary treatment, and can write prescriptions for drugs. They take Medicare and Medicaid patients, do pre-employment drug and alcohol screenings, and immunizations. Occupational health services are provided to local employers. The group can operate because they have a collaborating physician who gives them advice and approves medical care plans for diagnosis, treatment and prescription writing. The Balanced Budget Act of 1997 provides for prevention and screening services, which are well in the domain of nurse practitioners (Thomas, 2001). In the Act, nurse practitioners were defined as fully qualified to provide all Medicare Part B services, with reimbursement at the rate of 85 percent of that paid to physicians for those services. These changes were brought about by the ever-increasing need for more consumer services and the need for concurrent cost reductions in providing this extra medical care. They provide tremendous opportunities for nurse practitioners in the areas of prevention and screening in a variety of settings. However, there is
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Approximate Word count = 1460
Approximate Pages = 6 (250 words per page)

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