Evidence based substitution of doctors by nurses in primary care

EDITOR—Pressures to increase the quality and reduce the cost of primary healthcare delivery have led to the redefinition of the roles of health professionals and the creation of new roles such as nurse practitioners, advanced practice nurses, and clinical nurse specialists. Nurses are currently concerned with many aspects of patient care (asthma, diabetes, prevention of cardiovascular diseases), and they perform a wide range of tasks, ranging from health assessment and education …