Andrus L H, Fenley M
West J Med. 1975 Jan;122(1):80-6.
The mid-level practitioner movement is no longer experimental; nurse practitioners and physician's assistants in California have proved to fill a necessary and viable professional role in the delivery of primary health care. The physician's assistant law (AB2109) and the Experimental Manpower Act (AB1503) have facilitated the training and functioning of these new health care professionals; more comprehensive laws are still needed to permit optimal utilization. National agencies for approval of teaching programs and testing of individual graduates will play an increasing role in the accreditation and certification procedures. Professional role difficulties, issues of sex and questions of delegation of responsibility are being resolved and it is hoped that a more equitable and patient-oriented system is evolving.
中级医疗从业者运动已不再是试验性的；加利福尼亚州的执业护士和医师助理已证明在提供初级卫生保健方面发挥着必要且可行的专业作用。医师助理法（AB2109）和《实验人力法》（AB1503）促进了这些新的医疗保健专业人员的培训和工作；仍需要更全面的法律以实现最佳利用。负责批准教学计划和对个体毕业生进行测试的国家机构将在认证程序中发挥越来越大的作用。专业角色难题、性别问题以及责任委托问题正在得到解决，人们希望正在形成一个更加公平且以患者为导向的体系。
