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Stupidity and the Evolving Health Care System
Journal article   Peer reviewed

Stupidity and the Evolving Health Care System

Holistic nursing practice, v 27(3)
May 2013
PMID: 23580097

Abstract

Clinical outcomes Nurse practitioners Perceptions Quality of care Roles
Donnelly examines how stupidity works in some arenas of health care. Fifty years after the development of the nurse practitioner (NP) role and ample evidence of NPs' efficacy in generating quality patient outcomes, many physician groups and organizations still believe that NPs should be directly supervised by physicians because of a perception that NPs cannot "diagnose complex illnesses." This "collective schema" of some physician groups ignores the 16 states in which NPs are practicing independently and the expanded scope of practice legislation in many other states. To be fair, there are many other physicians who have embraced NPs as colleagues in providing high-quality health care and others are understandably concerned about the decline of reimbursement rates that will compromise the maintenance of practices. The complexity of this situation is astounding; problems of tradition, turf, control, economics, and quality of care.

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Web of Science research areas
Integrative & Complementary Medicine
Nursing
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