| Since the inception of nurse practitioners and physician assistants in the late 60's, there has been confusion about the differences between the two roles. There are stark differences in the educational and practice philosophies. In regards to the nurse practitioner, the basis of their philosophy is the nursing model. The physician assistant is taught and practices under the medical model of care. With this in mind, does one receive different care from each provider, or is the care the same? Patients ask questions regarding skill levels, and levels of education. This study looked at one specific complaint, in one specific location. This study addressed if there were prescribing differences between nurse practitioners and physician assistants, in the urgent care setting, dealing with chronic low back pain. This study looked at seven specific prescribing therapies. These therapies were the prescribing of narcotic pain medication, NSAIDS, physical therapy, heat/ice, muscle relaxants, non-narcotic pain medication, and steroids. Four out of the seven prescribing therapies showed a significant difference in the prescribing habits between physician assistants and nurse practitioners. This study was not intended to determine which provider was better, but it is intended to educate patients. This study allows patients to see if there is a difference in prescribing treatments and allows them to make an informed decision on what type of provider is more suitable for their needs. |
