US doctors and nurses clash over roles

BMJ 1997; 315 doi: (Published 11 October 1997) Cite this as: BMJ 1997;315:899
  1. Fred B Charatan
  1. Florida

    A group of nurse practitioners opened a primary care practice in Manhattan last month, inflaming a longstanding conflict over the clinical role of different health professionals.

    The four nurses in the practice, who diagnose and treat common ailments, are accredited as primary care providers by several big health maintenance organisations. They will receive the same managed care rates-$50-$60 (£31-£37) per visit-as primary care doctors. The practice is under the auspices of the Columbia University School …

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