www.luntacunt.fora.pl

hjghermf

Cyn Doyle is the President of Placements USA LLC, a healthcare recruiting firm that specializes in Nurse Practitioner jobs and Physician Assistant jobs. Her Nurse Practitioner jobs and Physician Assistant jobs company motto is "We work hard to help keep America working..."

She uses her healthcare recruiting company to advocate for Nurse Practitioner jobs and Physician Assistant jobs.
Out of the hundreds of healthcare recruiting firms that recruit for Nurse Practitioner Jobs and Physician Assistant jobs how many of these companies know how important these Nurse Practitioners and Physician Assistants are for our healthcare costs in this economy (or any economy, for that matter)? Does the country know of their value or the effect that they can have on all of our lives?
As long as Nurse Practitioners and Physician Assistants stay within their scope of practice, everyone could see them in lieu of a Physician. Their scope of practice and supervising physician rules vary from state-to-state, but for the [link widoczny dla zalogowanych] sake of healthcare here in the U.S., they need to be uniform and expanded somewhat to accommodate having a primary care practice.
Physician Assistants and Nurse Practitioners have different training. Go and search Wikipedia. You will find that both of these professions require a good deal of education with clinicals and rotations. A lot of Physician Assistants have worked in other healthcare fields such as an EMT or Paramedic. Nurse Practitioners have a background in nursing before getting their masters or doctorate in Nursing. (There are a few exceptions, but that's another artcle in itself).
Nurse Practitioners and Physician Assistants primary care practices should be the first step [link widoczny dla zalogowanych] in our healthcare process. If our health problem is beyond their scope of practice, they will refer to a specialist M.D.
So, how does this help us, the people of the United States? These practitioners will [link widoczny dla zalogowanych] charge less per visit than a first-step Physician (family practice or primary care) for the same care.
These days, the majority of medical students are opting for specialties (I suspect a lot of them are doing this for purely economic motives). Very few are dreaming of being good ole family docs who (only in economic terms) rate the lowest on the M.D. totem pole.
Who are we to see as a first step before possibly having to see a specialist? We certainly don't want to go to the specialist first. If we don't know what's wrong with us, what specialist should we choose? And (OMG!) the price of specialists!
So to whom do we turn? The advanced practitioners - Nurse Practitioners and Physician Assistants, that's who.
The national salary range for most Nurse Practitioners and Physician Assistants is $80,000-$120,000. There are some who get paid higher and some lower, but most fall within that range. [link widoczny dla zalogowanych] Compare that to a primary care physician who's making upwards of $200,000 a year. So what if we raised Nurse Practitioners' and Physician Assistants' salary up by $15,000 on all ranges for their future expanded scope of practice in primary care? That brings [link widoczny dla zalogowanych] us to a range of $95,000-$135,000 with all outside of the range going up $15,000 also. Again, compare the Nurse Practitioner salary and Physician Assistant salary with the salary of a primary care physician who makes $200,000+ a year performing the same medical procedures for which these Advanced Practitioners [link widoczny dla zalogowanych] are fully trained and capable of doing.
Take economics out of the equation. Look at the compassionate goodwill these practitioners bring to the mix. Nurse Practitioners [link widoczny dla zalogowanych] practice with a compassion that most of us have never received from a physician. Their background in nursing, an extremely compasionate field, translates beautifully to a primary care Nurse Practitioner. A wonderful combination of knowledge and compassion!
Most of us have been seen by either a Nurse Practitioner or a Physician Assistant, though many of us didn't even know it. The television show, Royal Pains, shows a Physician Assistant, Divya, who is so capable that she takes over quite a bit for Hank, the physician. She also makes it clear that because of her training, she can only go so far. This show portrays the very well trained Physician Assistant in a true manner. It also gives [link widoczny dla zalogowanych] the public some idea of what a Physician Assistant is.
Ask the average person what a Physician Assistant or a Nurse Practitioner does or is. Want to bet the majority doesn't [link widoczny dla zalogowanych] have the foggiest?
So, America, wake up, and help our "heroes of healthcare" (Nurse Practitioners and Physician Assistants) obtain what they [link widoczny dla zalogowanych] need to help our healthcare system. They aren't the total solution to our healthcare problem, but they certainly represent a nice piece of it.
What help do our Nurse Practitioners and Physician Assistants need? Write to your legislators. They all seem to know there is a problem with affordable healthcare, but we never hear of any solutions from these politicians. Tell them that, from the physician billing perspective, utilizing Nurse Practitioners and Physician Assistants in primary care jobs can cut that billing by 50%. This should excite the very strong insurance lobbyists along with the forces who are trying to reduce Medicare/Medicaid costs.
Here are just a few issues that need addressing: For one, they need nationally uniform licensing rules. When they relocate from one state to another, the waiting period for the new state licensure can be months! Also, in some states, these practitioners enjoy a great deal of independence and autonomy along with reasonable prescriptive privileges. [link widoczny dla zalogowanych] In other states, doctors must "babysit" these advanced practice professionals. [link widoczny dla zalogowanych] In many states, Nurse Practitioners can only prescribe medications like Percocet in 24 hour increments and only with the doctor's approval.
The American Medical Association is the real culprit in holding back the careers of Nurse Practitioner and Physician Assistants. At every opportunity, they show how threatened they feel in regards to what these advanced practice professionals may do in their healthcare jobs. Instead, physicians should be helping pave the way for NPs and PAs to take over primary care here in the USA. They obviously don't want to go into primary care themselves. Just look at the statistics at medical colleges.
A new grad Nurse Practitioner or Physician Assistant should not be able to go right out and hang their shingle as a primary care practitioner, but 5 years of working in primary care with a physician should be plenty of time to prepare them to go out on their own. Eventually, after many years when there are no primary care physicians left to train them, they can train each other.
The whole discussion boils down to this: money...money...money! We, as patients, want to spend less of it on our healthcare, and physicians don't want to share the wealth with these "underlings". If Nurse Practitioners and Physician Assistants become our new primary care practitioners, the good ole boy physician network will be disrupted as it will be these new practitioners who will be referring patients out to specialists, not physicians as is the case now. Most of the NPs and PAs won't refer to a specialist just because they play golf together or belong to the same clubs. They will consider who is best for the particular patient who is sitting there in front of them.
Do you really want to help solve the healthcare crisis? If so, don't just sit there after reading this. You have this information. Do with it what you can.
相关的主题文章：

[link widoczny dla zalogowanych]

[link widoczny dla zalogowanych]

[link widoczny dla zalogowanych]