Nurse Practitioners Top Physicians in Patient Satisfaction

In a small survey of primary care patients in Michigan, 50% of patinets stated that they felt their doctors listened to them compared with 80% of nurse practitioners. What can we take away from this?

Nurse practitioners are doing a great job of providing patient centered care within a healthcare system that often rewards monetary productivity over patient satisfaction.  Nurse practitioners can help alleviate the need for primary care providers in such a way that also results in quality customer service for patients.  Keep up the good work!

Comments

Hi Lisa,

I am so sorry for the delayed response!  The house call business is an excellent idea.  I think the ease of which you are able to open your own practice as an NP depends on the state.  Some states have more progressive laws and boards of nursing than others.  Sounds like yours is giving you a hard time.  And yes, I think there is a bit of a 'turf' war.  Physician organizations are not in favor of NP's practicing independently and opening their own practices.  I think primary care physicians are worried about losing patients and physicians in general are worried about NP's taking their jobs as we provide more cost-effective care.  Physician groups don't usually say this outright but rather say they are worried that NP's don't provide an equal quality of care.

I think the best thing you can do is to keep fighting for opening your own practice.  I would see if there are any other NP owned practices or businesses in your state.  Contact those NP's to get advice on if there are any individuals in government they contacted who were helpful or how they dealt with the Board of Medicine when opening their own practice.  Let us know how it goes!!

Erin Tolbert

I'm a FNP in MS trying to open my own house call practice. First I'm having to beg the BON because they require a "practice site" and then the Board of Medicine is butting in trying to back down my collaborator because he is 72 miles from where I will be practicing. The point to this is I have patients that I have treated in the past calling me daily wanting to know when I will be able to come treat them in their own home because it is very difficult for them to get into and wait at a "doctor's office" to have a prescription thrown at them at the door. I want independent practice and am willing to fight or be the moving force for change here and across the nation. There is a turf battle going on here but how does one start the engine toward independence? Any comments?

Lisa