Question

Have you ever been treated by a Nurse Practitioner or Physician's Assistant rather than your primary doctor? If you have how did you rate the experience? What are the advantages and disadvantages of being treated by a non-MD? Might there be a time that you would refuse treatment by a NP or PA and insist on seeing an MD?

Research the salary of Nurse Practitioner and Physicians Assistant in New Jersey. How do these mid-level practitioners help or hinder the economics of healthcare?

Answer 1

1)Yeah, once i had been treated by a nurse practitioner but that was not much effective. I will rate that treatment average.There is huge difference between a primary doctor and a nurse practitioner, doctors have more knowledge according to nurse, doctors have higher knowledge according to a nurse.

2)Advantages;

Like a doctor, a nurse practitioner can:

•Diagnose and treat acute conditions

•Order diagnostic assessments like X-rays or lab work

•Manage a patient's typical care

•Serve as a most important care provider

•Be board-certified in specialties like household practice or women's health

•NPs can also write prescriptions. In California, most NPs work below the supervision of a cooperating health practitioner to prescribe medicine to patients.

Disadvantages;

•Non MD have don't have more knowledge about the disease, so the treatment may not be more effective.

•Non MD can't do high level of treatment.

•Non MD don't have confidence to give higher level of treatment.

3)Yes i will refuse to get treatment by a NP or PA and insist on seeing an MD if there will be higher level of treatment needed, like neuro surgery, brain surgery or more difficult treatment like that.

4)The value effectiveness of NPs starts with their educational preparation. The American Association of Colleges of Nursing has long stated that NP preparation costs 20 to 25 percentage much less than that of physicians. In 2009, the total lessons cost for NP instruction was once much less than one year’s lessons for scientific (MD or DO) coaching (AANP, 2010).

Comparable savings are related with NP compensation. In 1981, the hourly fee of an NP was once one-third to one-half that of a physician, in accordance to OTA. The difference in compensation has remained unchanged for 30 years. In 2010, when the median whole compensation for main care medical doctors ranged from $208,658 (family) to $219,500 (internal medicine) (American Medical Group Association, 2010), the mean full-time NP’s complete income was $97,345, across all types of exercise (AANP, 2010). A study of 26 capitated principal care practices with about two million visits by way of 206 carriers decided that the practitioner labor charges and complete labor costs per go to have been each decrease in practices where NPs and doctor assistants (PAs) were used to a higher extent (Roblin, Howard, Becker, Adams and Roberts, 2004). When productiveness measures, salaries and charges of training are considered, NPs are within your means providers of health services.

Based on a systematic evaluate of 37 studies, Newhouse et al (2011) determined constant evidence that cost-related outcomes such as size of stay, emergency visits and hospitalizations for NP care are equal to these of physicians. In 2012, modeling techniques had been used to predict the workable for increased NP value effectiveness into the future, based totally on prior lookup and data. Using Texas as the model state, Perryman (2012) analyzed the doable economic have an effect on that would be related with larger use of NPs and other advanced practice nurses, projecting over $16 billion in instantaneous financial savings that would extend over time.

NP value effectiveness is now not based on proper practice putting and is established in most important care, acute care and long-term care settings. For instance, NPs working towards in Tennessee’s state-managed managed care organisation (MCO) delivered health care at 23 percent beneath the common value associated with other major care providers, attaining a 21 percentage discount in clinic inpatient quotes and 24 percent decrease lab utilization costs compared to doctors