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Asthma Patients

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A literature review was performed to look at how nurse practitioners compared with physicians in referring asthma patients to the right specialists. The review 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 question that arose was whether nurse practitioners would recognize the need for referral to a specialist as readily as would a physician.

The search engines used were ProQuest and Infotrac. It was almost impossible to find any articles which dealt with the specific topic, but there were numerous articles comparing nurse practitioners with physicians in terms of their ability to deal with emergency situations, primary care, to order tests, issue prescriptions, and in referring patients to specialists. The reason for this is most likely that the field of nurse practitioner is a relatively new and emerging field, and statistics of the type which would be needed to assess the problem stated as the research topic are most likely not available at the present time, and may never be. The research topic is a very narrow one, and not one that would attract a lot of attention by researchers unless it came to light that asthma patients were suffering unnecessarily because they were not being referred to specialists by nurse practitioners when they would have been if they had be

. . .
heir patients remain healthy, prescribe fewer drugs, and are less likely to hospitalize patients. However, this may act to their detriment because, although they get reimbursed at the same rate as physicians, they spend more time with their patients and thus actually earn less. In Britain, patients managed by NPs report being significantly more satisfied with the care they receive than patients managed by primary care physicians (British NPs). Studies found that NPs and physicians had similar patterns of prescribing medications, ordering tests, and referring patients to secondary care, and all patients had similar resolution of symptoms. NPs were found to devote more time to individual patients, and were more likely to ask patients to return for followup visits. The cost for both types of service were similar. Patients had longer consultation time with NPs, and reported receiving significantly more information about their illness than from physicians. Patients were very satisfied with the service they received from NPs. Also in Britain, NPs are taking an increasing role in emergency departments (Robinson and Inyang, 1999). They are allowed to practice independently, without reference to a physician, and are accountable
. . .

Some common words found in the essay are:
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Approximate Word count = 2383
Approximate Pages = 10 (250 words per page)

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