Comparing Use of Low-Value Health Care Services Among U.S. Advanced Practice Clinicians and Physicians
Authors: Pierre-Géraud Claret, Xavier Bobbia, Jean Emmanuel de La Coussaye
Journal: Annals of Internal Medicine (2017)

Letters3 January 2017Comparing Use of Low-Value Health Care Services Among U.S. Advanced Practice Clinicians and PhysiciansPierre-Géraud Claret, MD, MSc, Xavier Bobbia, MD, and Jean Emmanuel de La Coussaye, MD, PhDPierre-Géraud Claret, MD, MScFrom Centre Hospitalier Regional Universitaire de Nîmes, Nîmes, France.Search for more papers by this author, Xavier Bobbia, MDFrom Centre Hospitalier Regional Universitaire de Nîmes, Nîmes, France.Search for more papers by this author, and Jean Emmanuel de La Coussaye, MD, PhDFrom Centre Hospitalier Regional Universitaire de Nîmes, Nîmes, France.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L16-0550 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail 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 ...References1. 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 Scholar2. 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 Scholar3. 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 Scholar4. 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 Scholar5. 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 InformationAffiliations: 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. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoComparing Use of Low-Value Health Care Services Among U.S. Advanced Practice Clinicians and Physicians John N. Mafi , Christina C. Wee , Roger B. Davis , and Bruce E. Landon Comparing Use of Low-Value Health Care Services Among U.S. Advanced Practice Clinicians and Physicians Michael Kelley Comparing Use of Low-Value Health Care Services Among U.S. Advanced Practice Clinicians and Physicians John N. Mafi and Bruce E. Landon Metrics 3 January 2017Volume 166, Issue 1Page: 76KeywordsConflicts of interestDisclosureEmergency departmentHealth careHealth care providersMedical servicesOutpatientsPerceptionPrimary care ePublished: 3 January 2017 Issue Published: 3 January 2017 Copyright & PermissionsCopyright © 2017 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...