Ira B. Wilson, MD, MSc; Bruce E. Landon, MD, MBA; Lisa R. Hirschhorn, MD, MPH; Keith McInnes, MS; Lin Ding, PhD; Peter V. Marsden, PhD; Paul D. Cleary, PhD
Wilson IB, Landon BE, Hirschhorn LR, McInnes K, Ding L, Marsden PV, et al. Quality of HIV Care Provided by Nurse Practitioners, Physician Assistants, and Physicians. Ann Intern Med. 2005;143:729-736. doi: 10.7326/0003-4819-143-10-200511150-00010
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Published: Ann Intern Med. 2005;143(10):729-736.
QI = quality improvement.
P < 0.001 for the difference in total visits for patients for whom a physician was the primary HIV care provider (6.6 visits) and patients for whom a nurse practitioner (NP) or physician assistant (PA) was the primary HIV care provider (7.4 visits).
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P Dileep Kumar
Port Huron Hospital
November 18, 2005
Quality of HIV Care Provided by Nurse Practitioners, Physician Assistants, and Physicians.
Wilson and colleagues did not make any distinction between nurse practitioners and physician assistants in their report (1) about the quality of HIV care provided by nurse practitioners, physician assistants and physicians. Both groups can have different backgrounds, training experiences and emphasis on practice style that can confound the results of their study. The authors also did not precisely define "˜expertise' in the field of HIV treatment among various physicians. The answers to the questions posed by the authors may simply indicate the physicians' level of confidence rather than true competency.
1. Wilson IB, Landon BE, Hirschhorn LR, et al. Quality of HIV Care Provided by Nurse Practitioners, Physician Assistants, and Physicians. Ann Intern Med. 2005;143:729-736.
HIV, Infectious Disease.
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