Assignment: The Future of Healthcare
Assignment: The Future of Healthcare
The Future of Healthcare
As the nation addresses the shortage of primary care physicians, one potential solution is to utilize healthcare professionals known as non-physician practitioners (NPP) to bridge the gap. In a report published in 2010, the Institute of Medicine advocated for the mentioned option, along with a recommendation to broaden the responsibilities of nurses (Young & Kroth, 2017). The field of hospital medicine is experiencing growth due to the increasing demand for healthcare providers, especially with the aging population. To address the shortage and ensure adequate staffing, reducing resident hours and addressing the ongoing deficit in the number of physician graduates is necessary. The varied academic backgrounds and extensive experience in hospital care pose a significant challenge when integrating NPPs, such as nurses, chiropractors, acupuncturists, and others. Furthermore, NPP must have a well-organized orientation program and continuous support for medical institutions seeking to improve hospital medicine.
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Significant disparities exist between these two groups of medical professionals, including variations in training duration, practice experience, and level of independence. The education required to become an NP or PA typically spans six years, consisting of four years of student study and an additional two years for graduates (Ahmed & Carmody, 2020). Physician Assistants are required to work under the supervision of a physician at all times. On the other hand, NPs in several states in the U.S. can practice independently. PAs and NPs are crucial in diagnosing and treating diseases, making them indispensable in addressing the deficit in primary care. It is crucial to continue working under the guidance of your doctors. The NPP model of a physician is seen as a viable solution to address the challenges posed by supplier shortages and duty time constraints. This model emphasizes the importance of structured orientation programs, teacher support, practical learning, and professional growth opportunities to bridge the gap and provide alternative care practice (Strickland et al., 2020). Furthermore, NPPAs can be utilized in hospital medicine, a practice that is not typically applicable to resident models.
References
Ahmed, H., & Carmody, J. B. (2020). On the looming physician shortage and strategic expansion of graduate medical education. Curēus. https://doi.org/10.7759/cureus.9216
Strickland, S. L., Varekojis, S. M., Goodfellow, L. T., Wilgis, J., Hayashi, S. W., Nolan, L. M., & Burton, G. G. (2020). Physician support for Non-Physician advanced practice providers for persons with cardiopulmonary disease. Respiratory Care, 65(11), 1702–1711. https://doi.org/10.4187/respcare.07387
Young, K. M., & Kroth, P. J. (2017). Sultz & Young’s Health Care USA: Understanding its Organization and Delivery (9th ed.). Jones & Bartlett Learning.
The wisdom of depending on International Medical School Graduates (IMGs) to fill gaps in physician supply, while US medical schools hold class size constant, is questionable. In addition, the aging of the physician workforce, the decreasing hours worked by both physicians in practice and physicians in residency, and a 20 percent reduction in the effort of the increasing proportion of minority physicians, will result in a significant decrease in the “effective” supply of physicians. Should the gap be filled by a major substitution of nurse practitioners, physician assistants, chiropractors, acupuncturists, and others, or are there alternatives?
References
Young, K. M. (2017). Sultz & Young’s Health Care USA (9th ed.). Jones & Bartlett Learning. https://bookshelf.vitalsource.com/books/9781284142099
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