TO THE EDITOR:
Mafi and colleagues (1) aim to compare the use of potentially low-value health care services among advanced practice clinicians (APCs) and physicians in the management of common conditions in the primary care setting. They found that APCs and physicians provide an equal amount of these services, dispelling physicians' perceptions that APCs provide lower-value care than physicians for such conditions (2).
The French health care system also faces a looming shortage of care providers (3). This issue is very important for us as emergency physicians because, as in the United States (4), many patients who are unable to ...
References
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Mafi JN ,Wee CC ,Davis RB ,Landon BE . Comparing use of low-value health care services among U.S. advanced practice clinicians and physicians. Ann Intern Med. 2016;165:237-44. [PMID:27322541 ]. doi:10.7326/M15-2152 LinkGoogle Scholar - 2.
Rich EC . Advanced practice clinicians and physicians in primary care: still more questions than answers. Ann Intern Med. 2016;165:290-1. [PMID:27322738 ]. doi:10.7326/M16-1326 LinkGoogle Scholar - 3.
Pontone S ,Brouard N . [Despite corrective measures, will there still be a lack of anaesthetists and intensive care physicians in France by 2020?]. Ann Fr Anesth Reanim. 2010;29:862-7. [PMID:21111563 ] doi:10.1016/j.annfar.2010.10.011 CrossrefMedlineGoogle Scholar - 4.
Dresden SM ,Feinglass JM ,Kang R ,Adams JG . Ambulatory care sensitive hospitalizations through the emergency department by payer: comparing 2003 and 2009. J Emerg Med. 2016;50:135-42. [PMID:26281808 ] doi:10.1016/j.jemermed.2015.02.047 CrossrefMedlineGoogle Scholar - 5.
Sun BC ,Hsia RY ,Weiss RE ,Zingmond D ,Liang LJ ,Han W ,et al . Effect of emergency department crowding on outcomes of admitted patients. Ann Emerg Med. 2013;61:605-611. [PMID:23218508 ] doi:10.1016/j.annemergmed.2012.10.026 CrossrefMedlineGoogle Scholar
Author, Article and Disclosure Information
From Centre Hospitalier Regional Universitaire de Nîmes, Nîmes, France.
Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L16-0550.
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