What are these nurse practitioners actually doing in this model ? I don't know how it works in the States, but here I don't think nurse practitioners can just prescribe anything. It's like antibiotics and stuff and they diagnose simple stuff. They are often used in settings where a doctor is supposed to be.

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Their role is critical if the system is properly designed. Nurses are used to following protocols and care pathways. 86% of all healthcare spending is related to patients with multiple chronic diseases like heart disease and diabetes. Read the first page of this link to see how critical their role is. "The one approach that has proven to be effective is using specially trained nurses or pharmacists, under appropriate supervision, with authority to make medication changes without consulting the physician as long as the changes fell within approved treatment algorithms."


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