There are many aspects of a society that most individuals value and believe will always be around like government officials, police workers, firefighters and even physicians; what if there would be a shortage of one of these occupations? Most people would not believe this could happen, but unfortunately, this is reality for health professionals. In 2000 many experts thought the shortage was more of a myth, that there would be a surplus of specialists. At the time when the study was conduct the parameters that were used started from the 1920’s which were the different tasks a physician did throughout the day along with the time it took to complete these tasked that could be seen as “good” patient care. Later on experts decided to …show more content…
The red represents the demand which is increasing over the years compared to the supply in blue remaining somewhat the same throughout the year time span. Figure 1: Supply and Demand of Physicians. Reprinted from GME funding: How to fix the doctor shortage, 2014 Retrieved October 12, 2014, from https://www.aamc.org/advocacy/campaigns_and_coalitions/fixdocshortage. Copyright 2015 AAMC. Reprinted with permission. There are many causes for this shortage which include the number of individuals needing health care, life-style changes of upcoming healthcare professionals, cost comparison among various medical fields and dissatisfaction with current work environment. This foreseen shortage of healthcare providers, rest heavily on healthcare management of various healthcare organizations and the United States government. Literature Review Evaluating the Causes Governmental Issues and Aging Population. The first elicit reason of health care professional insufficiency, is due to the increase number of people in the United States that is in need of health care. This fluctuation is caused by two separate components which are the aging population and The Affordable Care Act. The number of aging population has introduced a greater demand for more health care professionals due to their various medical needs (Benard-Khun, 2014). It has been estimated that by 2030 that 72 million people will be 65 or older. With the older population there are more
The aim of the ACA is to provide affordable health care to all Americans, but it still leaves some issues unaddressed that will impact the access to health care. Covino (n.d.), “Though the intentions of the legislation are good, the Affordable Care Act does little to improve the actual health care delivery system” (para.1, page 2). According to the American Medical Association, we are facing an increasing Physician shortage. As of 2010 we faced a shortfall of 13,700 physicians, the estimate is that number will increase to 62,900 by 2015, 91,500 by 2020, and 130,600 by 2025 (Krupa, n.d.), with primary care taking the largest impact. Health Care coverage will be of no benefit if there are no doctors to treat the patients. An example of this occurred in 2002 when Thailand’s’ “30 Bhat Scheme” added (CNN n.d.) “14 million people to the country’s health care system, resulting in long waits and subpar service” (Your health is covered, but who is going to treat you?) Several factors contribute to the physician shortage. Many physicians are reaching the age of retirement, the Association of American Medical Colleges estimates nearly 15 million physicians will be eligible for Medicare in the coming years (CNN n.d.). The increasing cost of malpractice insurance also deters many from pursuing a career in medicine, and is forcing some doctors to retire. Also contributing to the physician shortage is a lack of spots in residency programs. “In 2011, more than 7,000 were left
The Obamacare/ACA, might have helped numerous of individuals in acquiring health care, but the health professionals are facing a shortage of reimbursement difference for their services. As a result, Hospitals and healthcare providers were force to layoff personal and come up with innovative solutions. This point is proven by the renowned author, Amy Anderson by stating as follows: “The American health care framework has had shortages of personnel for quite some time and would not be prepared to give the adequate service to this amount of patients in need of medical attention. Training new professional health services personnel could take years. There is a shortage of graduates from medical and nursing schools. Doctors, nurses and health professional are sharing responsibilities prospective patients will face a longer wait time”. (Anderson, 2014)
The shortage of doctors leads to decreased length of appointment times and health
(as cited by Yee, Boukus, Cross, & Samuel, 2013). Poghosyan, Lucero, Rauch, and Berkowitz (2012) reported that the U.S. will be deficient by more than forty-five thousand primary healthcare physicians by the year 2020 and that the affordable care act (ACA) health care reform will increase the demand once thirty million residents acquire coverage.
The projected physician shortage is well documented. Several estimates have been made as to the severity of the shortage with the Association of American Medical Colleges (AAMC) predicts required 46,000 physicians to meet demand and a study by Cowell et al putting the number at 44,000 by 2025 (1). The reasons for this increased demand are numerous. For starters, as John Prescott, AAMC chief academic officer, says, “There 's 10,000 more baby boomers every single day in the U.S. and those individuals tend to require additional care” (2). Those baby boomers requiring care will undoubtedly include retiring physicians; 2,504 family physicians are expected to retire in 2015 alone with that number only expected to grow in upcoming years (1). In addition to the increased care inherently required by elderly patients the Affordable Care Act (ACA) has expanded medical insurance to several that have never had access before; while this is great news to those with coverage for the first time it also increases the number searching for a physician. A report prepared for Congress stated that the ACA was poised to increase the shortage of physicians by 8,000 by 2025 (4). Even current clinics have been forced to turn down 250 potential patients a day due to a lack of physicians causing sick persons to drive hours to find care (3). Compounding the problem, new physicians tend to shy away from the 60-hour weeks worked by their predecessors instead looking for a better work/life balance (2, 3).
Medical practices are continuously changing and just like they always say it's hard to teach an old dog new tricks. Nurses find it hard to conform to new practices and stop old habits. To follow both this paragraph and the last one because these two are very closely related and effect one another. They are impacting the shortage so much that if not fixed soon the timeline will shorten and it will two late to fix.
With the United States population living longer and the Baby boomers retiring there is a shortage of providers and provider appointments to meet the needs of all patients. This along with
With the demand for primary care services already straining resources and capacity in most states, more than 16 million individuals are projected to gain health insurance coverage by 2016, and through advancements in medical science we have a rapidly aging population, many states are considering all options to increase the number and role of primary care providers. Despite a vigorous increase in the supply of physicians following unprecedented increases in medical school capacity in recent years, the “Association of American Medical Colleges (AAMC) still projects a shortage of 130,000 physicians by 2025, split almost equally between primary and specialty care.” (Association of American Medical Colleges. The Impact of Health Care Reform on
With the ever-changing world of healthcare comes the numerous issues the nursing profession faces today. Just a few of these issues include economics, politics, epidemics of disease such as Ebola, and healthcare reform. One of the biggest issues within the nursing profession today is the nursing shortage. This issue is not only a concern for the nursing professional, but also a concern for the whole health care system as well as consumers. With the implementation of healthcare reform in the United States, and having already been implemented in other countries, nurses will be needed more than ever. Along with nursing shortages comes lager nurse to patient ratios as well as a higher demand of hours for nurses. How will this effect the profession and the consumers? How do nurses respond to increased hours? What are some of the problems the nursing shortage brings about? What can we do to bring in and train new nurses? These are just some of the questions the profession of nursing faces when considering nursing shortages and how to tackle this ongoing issue.
In case you are unaware of it: There is a serious doctor shortage in North America. Unfortunately, this dearth of physicians seems likely to worsen before circumstances begin to improve.
This article posted on the CNN website was written by Michael Nedelman on March 14, 2017. This article discusses the current and anticipated shortage of doctors in the health care industry. It specifically talks about causers of the shortage, which include recent health care and immigration policies. The 1997 Balanced Budget Act limits the fundings of trainings doctors receive after medical school. The twist to this issue is that even though medical school enrollment has jumped by 27% over the last several years, it did not result in 27% more being trained. This is both because the number of international students entering the program went down, and the number of the US graduates who were not accepted went up.
Quality of care is one of the most important key for the success of health care system. It is unfortunate that the Pennsylvania hospitals are facing workforce shortages especially, the skilled/registered nurses and primary care physicians (PCP’s). Of these, nurses represent the first largest group of health care workers in hospitals, and thus, the shortage of nurses can potentially affect quality of care (U.S Department of Health and Human Service). The American Hospital Association estimated in June 2001 that 126,000 U.S. nursing positions were unfilled. It is estimated that by the year 2020, the gap could widen to at least 400,000 nurse vacancies. This is higher than the average nurse vacancy rate of 9.3 percent for the northeastern United States as reported by the American Organization of Nurse Executives (AONE) in its 2000 report. When the number of nurse staffing reduce, work pressure increases where nurse-to-patient ratio is high leading to more patient infections, injuries and patients will be sent home too early without adequate education about how to take care of their illness or injury, and thus, will cause readmission of patients. Second one is, the increasing demand for primary care physicians which is projected to grow more rapidly than physician supply. Based on current utilization process, the total demand for primary care physicians will
There is a shortage in primary healthcare in the United States. Due to this shortage, patients are not receiving the health care they need. The lack of accessibility to healthcare has increased over the past decade and will most likely not improve in the years to come. This will make it increasing harder to receive quality care in a timely manner.
The number of physicians in the country has been decreasing at such a great rate that the government and other stakeholders in the health care sector are trying to camouflage this by increasing the number of foreign doctors practicing in the country. The American Medical Association has been trying to promote these re-entry programs designed for physicians since the year 2009 to help curb this problem. There are many people who can see what the problem is, but it is not possible for them to do much about it. Physicians also see this problem, and they are well aware of why the shortage is arising, but they are also unable to do much to prevent the issue. There are many problems that lead to the shortage of physicians, and unless something is done, it will continue escalating ADDIN EN.CITE Lynch19721573(Lynch, 1972)1573157317Lynch, MichaelThe Physician "Shortage": The Economists' MirrorAnnals of the American Academy of Political and Social ScienceAnnals of the American Academy of Political and Social Science82-88399ArticleType: research-article / Issue Title: The Nation's Health: Some Issues / Full publication date: Jan., 1972 / Copyright © 1972 American Academy of Political and Social Science1972Sage Publications, Inc. in association with the American Academy of Political and Social Science00027162http://www.jstor.org/stable/1040122( HYPERLINK l "_ENREF_6" o "Lynch, 1972 #1573" Lynch, 1972).
There are many stakeholders involved in the healthcare system including healthcare administrator, healthcare professionals, hospitals, primary care, and patients. Burrows, Suh, and Hamann (2012) states that the Association of American Medical Colleges believes that by the year 2025 there will be a shortage or at least 124,000 full-time doctors and the Council on Graduate Medical Education believes that by the year 2020 there will be a shortage of 85,000 doctors which is 10 percent of the doctors in the healthcare field today. The need for nurses is increasing because there is already a shortage of nurses. But this need will become even more urgent as nurses retire. According to Burrows, Suh, and Hamann (2012) over 51 percent of nurses today are 40 years old and 50 year old nurses make up 40 percent. So, when these nurses retire there will be a shortage and an urgent need to fill the vacancies of these nurses.