Family Physicians Rap 'Stopgap' Use of Nurse Practitioners
Lisa Summers, CNM, a senior policy fellow, at the American Nurses Association, told HealthLeaders Media there is "a basic level of agreement" with the AAFP on the increased need to shift focus away from the costly and inefficient illness care model and toward primary care and preventive medicine.
Beyond that she says is "where the contention comes in."
"I have mixed feelings when reports like this come out," she says. "The bottom-line feeling at the ANA is that these turf battles that these kinds of reports turn into don't do a lot to benefit moving ahead the agenda of coordinating care, a shared goal of providing the best care for patients. That is our focus: How do we build truly integrated teams that keep the patient at the center of focus?"
Summers says that organizations and stakeholders as varied as the Joint Commission and AARP have for several years developed accrediting guidelines and policy statements addressing access to primary care that refer more broadly to the role of "clinicians" and move away from the physician focus.
"What this report points out to me is that it is a continued effort by organized medicine to preserve the status quo by focusing on physicians," she says. "Folks are beginning to reject this antiquated notion that they only way to deliver high-quality, patient-focused care is to have this captain-of-the-ship model."
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