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NURS-6053N Module 1: Discussion – REVIEW OF CURRENT HEALTHCARE ISSUES
BY DAY 3 OF WEEK 1
Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Which social determinant(s) most affects this health issue? Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.
The national healthcare issue that I would like to discuss for this discussion is the shortage of providers to provide patient care today. I currently work as a case manager for a large organization in my area and see this issue with patients often. One of the biggest concerns that arise daily is after a patient has a recent hospitalization and needs urgent follow-up with specialties such as cardiology, endocrinology, and hematology/oncology, they are stuck waiting on appointments due to insufficient staffing of providers. This is unacceptable healthcare. These patients are sick, very sick.
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Over the past 15 years, policy reports and news headlines have predicted dire physician shortages. But if workforce projections included a realistic assessment of the roles of NPs and physician assistants (PAs), these high-profile concerns over the supply of physicians might seem considerably less dramatic (Morgan P. 2019). Often patients will hear PA, or NP and say, “no way I want to see a doctor”. I spend a lot of time explaining to my patients how skilled the PAs and NPs are today. They are extremely skilled and knowledgeable NURS-6053N Module 1: Discussion – REVIEW OF CURRENT HEALTHCARE ISSUES.
The company that I work for has something in place called “Best Doctors/Best Practice”. This is a referral program that the case managers use to get patients’ healthcare answers quickly. Often patients are dissatisfied with the care in their region, so we refer them out to other providers in all different states. A provider within the needed specialty will receive the referral and have ten days to contact the patient at three different times and try to connect with them. Once contact is made the patient will need to have all medical records sent to that practice/provider for review. The next step is to get the patient set up for a telemedicine visit. During this visit the patient’s concerns are voiced and handled the way they think is best. After this the information from that appointment is sent back to the patient’s primary care provider to resume the plan of care and take over the case. Unfortunately, not all patients answer to begin the process and, in that case, the primary case manager gets the case back and tries other ways to satisfy patient needs. The patients that have utilized the Best Doctors service so far have been extremely pleased.
Reference:
Morgan, Perri PhD, PA-C. Predicted shortages of physicians might even disappear if we fully account for PAs and NPs. Journal of the American Academy of Physician Assistants 32(10):p 51-53, October 2019. | DOI: 10.1097/01.JAA.0000580580.89002.f4
BY DAY 6 OF WEEK 1
Respond to at least two of your colleagues on two different days who chose a different national healthcare issue/stressor than you selected. Explain how their chosen national healthcare issue/stressor may also impact your work setting and what (if anything) is being done to address the national healthcare issue/stressor.
sample response
Hi Kayla, as you mentioned in your discussion post, the shortage of providers to provide patient care remains a vital issue/stressor in our healthcare. Kerschner (2019) predicts the United States will be short 122,000 physicians by 2032. Interventions such as increasing medical school admittance and financial aid must curb this projected shortage. I currently work at a psych hospital with other facilities; physician shortage has impacted my work setting by needing an adequate permanent psychiatrist on staff. As a result, physicians from other hospital locations travel to my work site to cover the shifts. It creates a gap in care because patients are at risk of discontinuity of care. The acceptance of telehealth has increased since the COVID-19 pandemic, and my organization has integrated the telehealth model to lessen the burden of the physician shortage (Ying, 2021). Telehealth allows patients to be seen by physicians, sometimes in other geographical areas than where the patient resides. Telehealth decreases wait time and increase access to health care.
References
Kerschner, J. E. (2019). Helping to alleviate the projected physician shortage. WMJ: Official
Publication of the State Medical Society of Wisconsin, 118(2), 103-104.
Ying, W. (2021). Utilization of telehealth and the advancement of nursing informatics during
COVID-19 pandemic, International Journal of Nursing Sciences, 8(4), 367-369,
https://doi.org/10.1016/j.ijnss.2021.09.004 NURS-6053N Module 1: Discussion – REVIEW OF CURRENT HEALTHCARE ISSUES