PNP Care Is More Expensive!

We would like to comment on the article by Hockelman on well-baby care.1 Although conceptually in support of the role of the pediatric nurse practitioner in the future delivery of well-child supervision, we feel obligated to question the conclusion presented in the article. Hoekelman states that three visits to a PNP for well-child supervision are equivalent to six visits to a PNP and to three or six visits to a pediatrician, and a number of measures of effectiveness are presented to support his conclusion.