Healthcare Delivery Systems :HCO Boards Discussion and Responses
Healthcare Delivery Systems :HCO Boards Discussion and Responses
Healthcare Delivery Systems :HCO Boards Discussion and Responses
1: 300-350 word discussion in APA format with at least one reference. There is no need for a cover page for the question below.
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The availability of skilled professionals who can provide needed care and support services is critical to the delivery of healthcare services. List and explain two factors that influence the availability of doctors and nurses. Also, to what extent can nurses fill in for doctors?
2. Response #1: 200 words with no required format, cover page, or references.
“The availability of skilled professionals who can provide needed care and supporting services is perhaps the most important component of the health care system, because the delivery of health care services is dependent on the availability of skilled professionals who can provide needed care and supporting services” (Kovner and Knickman 2011). A decrease in health care staff (i.e. physicians, nurses, and support staff) will slow the delivery of care. Patients will have to wait longer to be seen, both to obtain an appointment and to be seen in the office. The supply of nurses and physicians is determined by two factors: 1. a shortage of primary care physicians and 2. wage limitations for nurses. Both of these factors have a significant negative impact on supply. Primary care physicians are becoming an unappealing career option for physicians. There are numerous “specialty areas” in which physicians can work and earn higher wages. “There are several factors, but clearly one of them is primary care physicians’ lower earnings when compared to specialists” (Kovner and Knickman 2011). Primary care physicians serve as the entry point to high-quality care. When it comes to health, they should be the first person you see. Due to a shortage of primary care physicians, patients are having to wait longer and may be rushed through their appointments. Nurses are the most difficult workers. They act as a liaison between the patient, the patient’s family, and the doctors. They are at the forefront of patient care. Nurses are protected from working understaffed, but this can limit wage increases because funds may not be available to compensate all of the staff. “RN demands are influenced by regulations that prevent health care providers from reducing their nurse staffing, such as minimum staffing laws and certification organization standards.” Nurses can, to some extent, “replace” doctors. If they are a Nurse Practitioner, they can order x-rays and prescribe medications, but this varies by state. “The main factor limiting nurse practitioners’ ability to be fully engaged in primary care delivery is that the legal scope of practice for NPs is too restrictive in some states” (Kovner and Knickman 2011). Nurses provide a significant amount of care, but their limitations and restrictions limit the amount of care they can provide in comparison to a physician.
Kovner, Anthony R., and James R. Knickman (2011), Health Care Delivery in the United States, Springer Publishing Company; New York, NY.
3. Response #2: 100-150 words (as in response #1).
Wages are a factor in the supply of doctors; higher income increases the supply of doctors. Being a doctor is appealing not only because those in the field should enjoy what they do and enjoy helping others, but also because the pay is very good. The average pay for a doctor ranges from 127,743 to 222,481, indicating that doctors are well compensated for their services and will sometimes perform services that are unnecessary in order to generate desired income, a practice known as supplier-induced demand. Doctors are well compensated, but as their wages rise, so does demand for their services, as the cost of their services rises. Longer education requirements contribute to a nurse shortage in healthcare organizations because they are required to have so much education in order to get a job. Furthermore, nursing staff is costly, and the funds used to pay nurses could be used to improve infection control programs, purchase new diagnostic or treatment equipment, or pursue any other options that could improve patient care in healthcare organizations. When the marginal cost of nurses equals the marginal benefit of their work, the ideal level of nursing staff is reached.
Reference: A.R. kovner and J.R. knickman (2011). The delivery of health care in the United States (10th ED)
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