the appropriate (and inappropriate) uses of NPPs under a variety of practice conditions.

As evidence from these evaluations accumulates over time, the VA's ability to establish appropriate NPP policies will be greatly enhanced.

REFERENCES

Becker, D.M., Fournier, A.M., and Gardner, L.B. 1982. A description of a means of improving ambulatory care in a large municipal teaching hospital: A new role for nurse practitioners. Medical Care 20:1046-1050.


Cromwell, J., and Rosenbach, M. 1990. The impact of nurse anesthetists on anesthesiologist productivity. Medical Care 28:159-169.


Mendenhall, M.C., Repicky, P.A., and Neville, R.E. 1980. Assessing the utilization and productivity of nurse practitioners and physician's assistants: Methodology and findings on productivity. Medical Care 18:609-623.


Office of Technology Assessment. 1986. Nurse Practitioners, Physician Assistants, and Certified Nurse-Midwives: A Policy Analysis. Health Technology Case Study No. 37. Washington, D.C.: U.S. Department of Commerce, National Technical Information Service.


Spisso, J., O'Callghan, C., McKennan, M., and Holcroft, J.W. 1990. Improved quality of care and reduction of housestaff workload using trauma nurse practitioners. Journal of Trauma 30:660-665.



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