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Reasons for a physician shortage
Reasons for a physician shortage
Reasons for shortages of physicians
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Abstract: A looming social problem is on the horizon in the United States of a critical shortage of primary care doctors to care for the sick within the next ten years. (Bernstein, 2015). This research study aims to reveal the significant impact this shortage will impart on American society if this social problem is not rectified. The results of this research will encourage the reader to ask the questions: what is the cause of the developing shortage of primary care doctors, how will this shortage impact US society, and what implications could this shortage cause? Are there any viable solutions to this emerging social problem? This study aims to answer these questions. A Verizon commercial recently airs featuring top athletic performers, …show more content…
If the attempt to increase the general doctors fails, patients can expect to visit clinics and doctor’s offices without seeing the doctor at all. Nurse practitioners are the recent and notably cheaper alternative to utilizing general doctors; however, these professionals have limited clinical abilities and are only able to treat within boundaries. Ultimately patients, especially ones with chronic illnesses, will eventually need to see a general practitioner. Limited access will delay the patient’s ability to see the doctor which could then cause their illness to progress. For example, “In a report released last month by the Massachusetts Medical Society, a statewide professional association of physicians and medical students, researchers found alarming barriers to doctor access. In an avalanche of disheartening statistics, the most worrisome included the three- to four-week delay to see physicians and a 10% increase in the number of family physicians who have stopped accepting new patients” (Ruiz, 2008). This statement in Forbes substantiates the devastating impact of the physician shortage. Missed doctors visits and delays in access to health care could lead to undetected chronic issues in adults, illness progression in childhood diseases, chances of irreversibly damaging effects to health, and possibly
There has been a shortage of physicians, lack of inpatient beds, problems with ambulatory services, as well as not having proper methods of dealing with patient overflow, all in the past 10 years (Cummings & francescutti, 2006, p.101). The area of concern that have been worse...
There is an ongoing debate on the topic of how to fix the health care system in America. Some believe that there should be a Single Payer system that ensures all health care costs are covered by the government, and the people that want a Public Option system believe that there should be no government interference with paying for individual’s health care costs. In 1993, President Bill Clinton introduced the Health Security Act. Its goal was to provide universal health care for America. There was a lot of controversy throughout the nation whether this Act was going in the right direction, and in 1994, the Act died. Since then there have been multiple other attempts to fix the health care situation, but those attempts have not succeeded. The Affordable Care Act was passed in the senate on December 24, 2009, and passed in the house on March 21, 2010. President Obama signed it into law on March 23 (Obamacare Facts). This indeed was a step forward to end the debate about health care, and began to establish the middle ground for people in America. In order for America to stay on track to rebuild the health care system, we need to keep going in the same direction and expand our horizons by keeping and adding on to the Affordable Care Act so every citizen is content.
The number of doctors that present in the United States of America directly affects the communities that these doctors serve and plays a large role in how the country and its citizens approach health care. The United States experienced a physician surplus in the 1980s, and was affected in several ways after this. However, many experts today have said that there is currently a shortage of physicians in the United States, or, at the very least, that there will be a shortage in the near future. The nation-wide statuses of a physician surplus or shortage have many implications, some of which are quite detrimental to society. However, there are certain remedies that can be implemented in order to attempt to rectify the problems, or alleviate some of their symptoms.
In the past few years there has been much debate over the Affordable Care Act and its effects on the healthcare industry in the United States. The Affordable Care Act (ACA) “Will ensure that all Americans have access to quality, affordable health care and will create the transformation within the health care system necessary to contain costs” (The patient protection and affordable care act detailed summary, n.a.). However, what these transformations are and how they will affect the healthcare system, specifically primary care physicians are uncertain. Primary care physicians are the cornerstones for patients in the health care system. They act as a liaison between families and specialist physicians. Primary care physicians provide a variety of patient care services that involve multiple skill sets. They are in charge of diagnosing the patient and managing the plan of care. As a result of the newly implemented Affordable Care Act and the current shortage of primary care physicians “The primary care doctor is a rapidly evolving species -- and in the future could become an endangered one” (Okie, 2012).
It is no secret that the current healthcare reform is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify ways to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal.” (Bailey, Jones & Way, 2006, p. 381).
In consequence, this will limit poor adults finding the proper treatment since many doctors do not accept Medicaid patients. High rates of uninsured populations were associated with lower primary care capacity (Ku et al., 2011). Thus, expanding insurance coverage can support more primary care practices in rural areas and can help equal the gap in primary care positions. The impact of not expanding affects APRN practice by limiting them to practice in areas where they are needed the most. This not only affects APRNs from practicing without a physician supervision but also limit those that need coverage for basic preventive measures to reduce non-paying visits to the emergency room. Ensuring access to care will be contingent upon the ability to attain progress from insurance coverage and primary
The prolonged shortage of skilled nursing personnel has been a serious concern to the healthcare industry, and this shortage has impacted the quality of care delivery. In addition, nursing turnover has also exacerbated the problem of nursing shortage. Nursing shortage has been blamed on many nurses retiring and less younger nurses joining the occupation. There is also an increase in life expectancy (baby boomers) leading an increase in both physical and mental ailment with subsequent demand in nursing care. Nurses are also leaving nursing profession because of inadequate staffing, tense work environment, negative press about the profession, and inflexible work schedules. Even though nursing is a promising career and offers job security, the
Solutions for the nursing shortage beyond implementing safe nurse staffing ratios include: ongoing long-term workforce planning; institution of an education and practice system to promote more equitable compensation in the health care community based on a better understanding of the educational preparation required for different health care roles; implementation of specific strategies to retain experienced nurses in the provision of direct patient care, investigating the potential for using technological advances to enhance the capacity of a reduced nursing workforce; and advocate for increased nursing education funding under Title VIII of the Public Health Service Act and other publicly funded initiatives to improve
In a 2012 collection of state workforce studies and reports, each state evidently needs more physicians. There are shortages of primary care physicians and specialists in every health professions: dental, mental health, pharmacy, and many others. Previously to the Affordable Care Act (ACA) passing, a convergence of difficulties had added to labor force problems. The ACA will inflict additional pressures on the health care labor force.
With the explosive growth in the 1990s of managed care that were sold by health insurance companies, physicians were suddenly renamed “providers.” That began the deprofessionalization of medicine, and within a short time patient became “consumers” (The New York Times). The shifts in American medicine are clearly leading to physicians' losing power, which results in deprofessionalization. The subsequent deprofessionalization of physicians should not surprise Americans. Although many people spend time and effort evaluating the present state of medicine, they fail to integrate an important piece of information: physicians and sociologists predicted all of today's events more than ten years ago (Hensel, 1988).
Specifically, performance of primary care tasks is limited by laws and regulations that dictate what type of services non-physicians can complete. Due to the fact that altering these statutes is incredibly difficult, if non-physicians are adequately trained in primary care services within graduate school programs, health care organizations may be able to get around these laws by reallocating responsibilities without having to change statutes. Another limitation to using this policy to alleviate the primary care shortage is that non-physicians will have to be trained to complete primary care services and it will therefore take time to learn and find programs that can provide the necessary training to non-clinicians. Lastly, it is clear that having non-clinicians substitute in for PCPs will help alleviate the nation’s PCP shortage and provide clear cut benefits to primary care clinicians by reallocating the work they currently do. However, it is less clear if having different providers working to fill in for clinicians will be met with reluctance on the end of the patient.
The heart is the third most needed organ in the United States with more than 4,000 Americans in need of heart transplants. Yet, only around 2,500 of those Americans receive new hearts and are able to have the operation. Even for those lucky few, they still face a big risk. You cannot simply place a heart into someone’s body and expect it to work, in fact, most bodies reject the new heart and react by launching this enormous immune reaction against the foreign cells. To create a solution for the organ shortage and highly minimize the chance of rejection from a patient’s body, researchers have been developing ways to create synthetic organs from the patients own cells.
...ue to numerous medical errors. With the amount of medical errors that currently do occur which is a current health care issue it cost the health care billions of dollar each year to fix the mistakes that were made.
Health care has always been an interesting topic all over the world. Voltaire once said, “The art of medicine consists of amusing the patient while nature cures the disease.” It may seem like health care that nothing gets accomplished in different health care systems, but ultimately many trying to cures diseases and improve health care systems.
What will US healthcare look like in 2050? According to Getzen (2013), trends in better health will lead to greater need for long-term care and chronic care for the aging population while correspondingly trending toward less acute illnesses (p. 438). Personalized prognostic healthcare will lead to healthier longer lives (Lawrence, 2010). Physicians will become leaders of teams within healthcare organizations rather than the independent practitioners we are familiar with today (Getzen, 2013, p. 438). Thus, the concept of the primary care physician will become a thing of the past (Lawrence, 2010).