Re "Ease rules on who provides primary care?" (Viewpoints, March 29): In his op-ed, Dr. Paul R. Phinney implies that non-physician providers would erode quality and jeopardize patient safety. Where is the evidence for this? Over the years, studies have demonstrated just the opposite.
Physicians are not always the most appropriate team captain. Rather than the proven model of physician-supervised team-based care, patients would be better served by multidisciplinary, collaborative teams, the composition and leadership of which would be based upon the individual patient's needs.
Each health care discipline has its own principles and approaches to patient care. As a nurse midwife and nurse practitioner for more than 30 years, I believe that our assembly-line model of care, which values productivity at the expense of quality, denies providers the ability to fully serve our patients according to our professional standards.
Improving access and quality of care requires more than simply increasing the number and types providers.
-- Beth Purrinson, Sacramento