Family practitioners in the US are facing extinction. In their place must come nurse-practitioners. Nurses are better educated to navigate and refer patients to specialists. They don't have any illusions about managing complex illness. Their lower threshold for referral means less risk of missing diagnoses or delaying expert care.
This is one vision for nursing to be found at the University of Pennsylvania's extraordinary School of Nursing.
I'm not sure if this is the best model for primary care in the U.S. What do you think?
References:
Offline: Nursing, but not as you know it. The Lancet, Volume 378, Issue 9805, Page 1768, 19 November 2011.
Image source: OpenClipArt.org, public domain.
Comments from Twitter:
@scanman: Looks like doctors will be an endangered genus in the US within this century
@MGastorf: so disagree. I know that is being pushed but I can provide far more complete care than nurse practitioner.
@davisliumd: Umm, No -> RT @DrVes Family practitioners in the US are facing extinction. In their place must come nurse-practitioners
@davisliumd: Agree -> RT @drves: @davisliumd that was actually a quote from The Lancet, not my opinion: j.mp/w33Kvq.
Interesting idea that deserves reflection
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