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O**o
发帖数: 2071 | 1 我家小朋友四岁，总是说肚子疼，每天complain 好几次。问过几次儿医，总是说便秘
。疼了半年多了，在我的坚持下最近终于说去看看专科医生吧。Gastroenterology. 专
门看小朋友的那种一个group的医生。
约了时间，去了才知道是个nurse practitioner. 很耐心，聊了一个多钟头。开了
colic的药，还有化验大便。中间他们的director，一个老大夫，进来简单聊了几分钟
，按了按宝宝的肚子什么的。
三周后follow up. 我本以为第一次去是nurse practitioner, 多花些时间了解情况，
以后是医生。可是貌似以后也是她了。诊断，开药，看检查结果什么的都是她。
这种程序靠谱吗？Nurse practitioner能取代医生？我觉着医生接受的training，要考
的试，要有的各种认证比护士复杂的多啊。They need to jump through a lot more
hoops to become doctors. And that's for a reason.
我要是要求换成医生，算合理不？其实保险是PPO，可以随便换大夫的。就是这个group
是专门看小孩子肠胃病的，是我们这里最有名的。 | u*******8
发帖数: 497 | 2 The short answer is that doctors study diseases and how to cure them while
nurses and nurse practitioners study people and how to heal them.
The more detailed answer is that a physician is a person with formal
education and training in medicine, i.e. the treatment of diseases using
drugs, procedures and/or surgery.
A nurse practitioner is a registered nurse with formal education in the care
of the sick plus advanced education and training in the diagnosis,
treatment and management of common and chronic illnesses
Physicians and NPs are similar in that both diagnose, treat and manage acute
and chronic diseases, order and interpret labs and diagnostic tests and
prescribe medications. Studies have found that NPs do about 80% to 90% of
what physicians do. Studies have also found NP care to be at least
equivalent and, in some cases, superior to physician care. Both
professionals practice the healing arts but they do so from different
perspectives.
Generally, Nurse Practitioners perform the same functions as the traditional
Registered Nurse (RN). They can assist with diagnostic tests, provide
initial treatment, assess patients, chart medical histories or data, and do
some health teachings or active follow-ups on the general well being of
their clients. However, they only differ from RNs in the sense that they are
licensed to prescribe medicines or drugs. This is where their functions
overlap with those of the MD
NP（执业护士）与RN（注册护士），二者都是护士。但主要区别在于，NP需要更多年限
的培训，有处方权，在这一点上面，与医生的部分职业功能可以交替。很多healthcare
provider机构，开始喜欢用NP，一方面是医生数目有缺口，另外一方面是NP的薪水报
酬低（与MD相比，但是比RN高不少），干得活却跟MD差不多。
很多病人看病其实就是需要一张处方。如果是小病的话，RP就足够了。但是大病、慢性
病，肯定是找MD |
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