tag:blogger.com,1999:blog-6076839327674215825.post8815969083594671220..comments2024-03-27T05:14:34.288-04:00Comments on Medinnovation And Health Reform: Doctors and Nurses - Doctor NursesRichard L. Reece, MDhttp://www.blogger.com/profile/03446550629857699574noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-6076839327674215825.post-27251391288185430022012-09-24T14:44:53.802-04:002012-09-24T14:44:53.802-04:00I read really much effective material above!I read really much effective material above!Rachealhttp://www.gardencity-ga.gov/redirect.aspx?url=http://www.herbalwellspring.com/noreply@blogger.comtag:blogger.com,1999:blog-6076839327674215825.post-11065535756263114242008-04-14T19:09:00.000-04:002008-04-14T19:09:00.000-04:00Once they have their Dr. Nurse, what makes one thi...Once they have their Dr. Nurse, what makes one think they are going to take up primary care? They will be opening their own Botox and Laser dayspas. Regardless, since this is a heavily skewed female population, they won't be working full time, will take long breaks for childrearing and likely won't return to the workforce. If these candidates are so motivated to do primary care, why don't they just go to med school? The RNs in my med school class went into surgery, radiology, dermatology, etc... This will be of little help to maintaining high quality primary care for the future.kevinh76https://www.blogger.com/profile/01983254281604124576noreply@blogger.comtag:blogger.com,1999:blog-6076839327674215825.post-91962969431989456732008-04-14T13:22:00.000-04:002008-04-14T13:22:00.000-04:00I assume these "nurse practitoners will be license...I assume these "nurse practitoners will be licensed by individual states, just as physicians are at this time. Or will there be a federal act to supercede their licensure process? Will they be reimbursed by CMS as physicians, or have a separate code?...I assume these NPs will have to carry their own malpractice coverage and not be covered under an 'entity'. <BR/>It is obvious that physicians have been take out of the loop in setting national policy for healthcare.<BR/>I am not certain what physicians have to learn from nurses?? Sherri Osborne and Carla Mills exhibit self serving statements. No one is saying nurses are not skilled. What studies is Carla Mils referencing about the "equal or superior care of nurses over physicians.<BR/>In my limited previous experienc, "Doctors of Nursing" go on the administrative roles for managed care, or run departments, not patient care.<BR/>Mary Mudlinger is a PhD and probably has not seen a patient in many years. <BR/>If this is a sea-change about to happen then I am happy to be very near retirement.Gary M. Levinhttps://www.blogger.com/profile/16205704913440150198noreply@blogger.comtag:blogger.com,1999:blog-6076839327674215825.post-10964821827173713992008-04-14T13:08:00.000-04:002008-04-14T13:08:00.000-04:00In Spainard primary care system (National Health S...In Spainard primary care system (National Health System) there is more or less a ratio of 1:1 between family physician and primary care nurse.<BR/><BR/>The nurse use to work in cronical diseases control, preventive medicine (vaccines), etc.<BR/><BR/>The nurse works independently to the doctor (but ideally coordinated with him). For example she has a room like the doctor, her own list of patients, etc, etc.<BR/><BR/>Unfortunately some nurses does want the independency but not the responsabilities. For example some of them want to be able to prescribe drugs, but do not want to do the chronic prescriptions (that is a great workload for family doctors in Spain).<BR/><BR/>They do not want to assume workload in general. In some cases (not majority) the nurse works just 5 hours per day, delegating the responsabilities to the doctor and the family physician have to work 9 hours to solve the problems of the patients under his responsability (for example).<BR/><BR/>I agree with Doctor Nurses. But take into account:<BR/><BR/>To cover more responsabilities you need more years of education. More years of education means higher salaries. <BR/><BR/>So what is the gain (in health care system terms) of having nurses working as doctors??? <BR/><BR/>At the end, if you keep the salaries of nurses fixed, no nurse (or few) will want to assume the extra responsabilities.<BR/><BR/>That phenomenum (low salaries for high responsabilities and longer education period) are the root of the shortage of primary care physicians.Dr. Bonishttps://www.blogger.com/profile/04834650474055907221noreply@blogger.com