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ACP's response to the IOM's report the future of nursing: Leading change, advancing health
Date:11/1/2010

ering high quality, patient-centered, and coordinated care to patients. Advanced practice nursing cannot substitute for nor replace primary care medical practice as provided by general internists, family physicians, pediatricians and other physicians.

  • Whenever possible, the needs and preferences of every patient should be met by the health care professional with the most appropriate skills and training to provide the necessary care:

    • Patients rely on a health care clinician's professional designation as an indication of the level of training, skills, and knowledge of those providing their care. The use of the prefix "Dr." or "Doctor" by nurses who have obtained the DNP degree could lead to confusion and misconceptions by patients.

    • Patients have the right to be informed of the credentials and qualifications of health care professionals involved in their care to better enable them to understand the background and orientation of their care givers. Consequently, information should be available to patients to help them distinguish among the different health care professionals involved in their care

  • Workforce policies should recognize that training more nurse practitioners or physician assistants does not eliminate the need or substitute for increasing the numbers of general internists and other physicians trained to provide primary care. A recent study projects a shortage of tens of thousands of primary care physicians for adult patients, even after the contributions of the nursing profession, physician assistants, and other non-physician health professionals are taken into account.

  • In addition to nursing, the contributions of physician assistants, working together with physicians, nurses and other health professionals in a team-oriented practice, such as the patient-centered medical home, should be supported as a proven model for delivering high-quality, cost-effective patient c
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Contact: David Kinsman
dkinsman@acponline.org
202-261-4554
American College of Physicians
Source:Eurekalert

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