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However, 37 years later, access to care is still unequal between urban and rural locations throughout the United States. The U. Department of Health and Human Services (HHS) projects the need for 7,987 primary care physicians in rural areas and shortages of dentists and psychiatrists as well. Nationally, only 10 percent of physicians and 18 percent of nurse practitioners (NPs) practice in rural locations, yet one-fourth of America’s population resides in rural areas. Rural populations are poorer and more likely to participate in government assistance, creating the potential for high demand due to the Medicaid expansion in 26 states. Geographical challenges affect the health of rural Americans through longer wait times, difficulty accessing care, long-distance travel, and limited resources.
The American health care infrastructure has had workforce shortages for decades and is not prepared to meet such a vast influx of patients effectively or efficiently.
Training new physicians, nurses, and other health professionals takes years, sometimes decades.
“Patient acuity” is a measurement of the intensity of care required to care for a patient.
The higher the acuity, the more care a patient requires.
However, both models require enough primary care providers to deliver services.
This will be difficult given the projected personnel shortages. The ACA’s newly insured population is expected to require at least 8,000 additional primary care physicians to meet their needs. Even with the use of nurse practitioners (NPs) and physician assistants (PAs), projective shortages range from 20,400 to 45,000 primary care physicians over the next decade. Prospective medical students exhibit less interest in primary care in part because of a .5 million income gap over a lifetime of work and the increasing debt of student loans. Primary care physician payments would need to increase by 0,000 annually to meet the income levels of specialists. In both the public and the private sectors, medical professionals are taking advantage of payment reforms.
The Affordable Care Act of 2010 (ACA) is projected to expand health insurance coverage to an estimated 30 million to 34 million people.
However, expansion of coverage is not an expansion of actual care, and the distinction is becoming clear. When Congress enacted the national health law, it unleashed a potential tsunami of newly insured patients, flooding a delivery system that was already strained and fragile.
The danger is that these shortages will result in increased morbidity and mortality for rural Americans.
Solving the problem will likely require a paradigm shift in educational admission practices, recruitment of more personnel with rural experiences, payment reform in the public and private sectors, and a much friendlier regulatory environment for medical practice, including tort reform. Another personnel supply problem is the disproportionate ratio of primary care physicians to specialists.
The ACA will impose additional strains on the health care workforce. Seniors currently account for 12 percent of the population but will account for 21 percent by 2050.Tags: Adult Dating, affair dating, sex dating