Primary Care Threats

Improved Essays
Primary-care Shortage a Threat to all Patients: More Pay, School Debt Luring Medical Grads into Specialty Fields
Theressa Forstein
Kaplan University PRIMARY-CARE SHORTAGE A THREAT TO ALL PATIENTS: MORE PAY, SCHOOL DEBT LURING MEDICAL GRADS INTO SPECIALTY FIELDS
The general point made by Stephanie Innes in her work, “Primary-care Shortage a Threat to all Patients: More Pay, School Debt Luring Medical Grads into Specialty Fields”, is that medical graduates are gaining interest in specialized medicine, such as cardiology, neurology, or urology, and due to this attraction, it has created a shortage in primary care physicians. Innes (2009) states, “Without enough primary doctors, patients may have trouble getting in to see doctors when
…show more content…
This type of physician provides care and treatment from infancy to the teenage years only. According to the Committee on Pediatric Workforce (2013), “When the supply of pediatric care physicians in a community is inadequate, children will not have access to a pediatric medical home and may receive care in alternative settings, such as emergency departments and retail-based clinics, where the focus is on acute and episodic treatment rather than health supervision and preventative services.” Ultimately, the parents will then have the responsibility to make the decisions to travel for individual care for their child and for some, this can cause undue hardships. Due to the increasing number of children with chronic or acute diseases, pediatricians are a great need in the medical arena.
The Primary-care practice requires a physician to be knowledgeable in Family medicine, Internal medicine, and Pediatrics. Often times a family physician can tend to all of these, but an internist and pediatrician are only age specific. The shortage of primary care physicians relates to the lack of interest in the Primary care field of medicine. The medical graduate generally has a six-figure amount of debt, and with the possibility of earning more money with a specialized degree, most grads are leaning toward the specialties. Hence, the struggle continues to keep the interest of the medical graduates in the primary care field so that the shortage does not continue to

Related Documents

  • Improved Essays

    Overall, physicians and APRNs have differing practice and demographic profiles that should not be limited or restricted when providing patient care. APRNs have an increase tendency to practice more in urban or rural areas, treat more vulnerable populations, and make less money than physicians. Conover and Richards (2015) report APRNs and physicians have advantages in reaching different patient populations, supporting the increased utilization of the health system in general. The demand of primary provider services have and will continue to intensify with the aging baby-boomers population and more citizens become insured with the Affordable Care Act (ACA). NPs and other types of APRNs are highly qualified and educated to help ease the provider shortage.…

    • 1628 Words
    • 7 Pages
    Improved Essays
  • Decent Essays

    Superannuated By 2020, the U.S. will face an estimated shortage of 91,000 physicians, split about evenly between primary care physicians and specialists. The impact of this shortage is likely to be more acute among Medicaid beneficiaries due to geographic misalignment between low-income communities and physician practice locations and low physician participation in Medicaid. In 1959 the US Surgeon General declared a physician shortage. After a difficult battle Eugene Stead, MD tasked himself with creating an official schooling for Physician’s Assistants and graduated the first class on October 6th, 1967.…

    • 534 Words
    • 3 Pages
    Decent Essays
  • Great Essays

    Will generalist physician supply meet demands of an increasing and aging population? Health Affairs, 27(3), 232-241. ( Johnson R W Toohey D Wiener J M 2007 retirement project)Johnson, R. W., Toohey, D., & Wiener, J. M. (2007). The retirement project.…

    • 3531 Words
    • 15 Pages
    Great Essays
  • Improved Essays

    He acknowledges that only 12 percent of doctors are general practitioners put up against an upwards of 49 percent in other countries, like France (p. 30). The freedom of choice not only affects the poor, but also affects the wealthy. The choices that Americans make is why the U.S is well below the average compared to other nations, argues Samuelson. He concludes his piece saying how doctors are more concerned with the money in specialization and how “We think we are No. 1 even if we aren’t” (p. 31).…

    • 822 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    The demand for primary care practitioners in America continues to grow, but alarmingly, California remains unprepared to deal with the growing demand. Falling short to national benchmarks, most regions in California suffer physician shortages. Aside from healthcare policies, evidence suggests that in the coming decade the physician-patient gap will exasperate even more so given the fact that about a third of California’s primary care physicians are over the age of 55 (UCSF 2017). Underprivileged communities are expected to get hit especially hard by high levels of physician retirement, since due to poverty and its implications they already grapple with inadequate healthcare and lack sufficient medical professionals to provide adequate services.…

    • 244 Words
    • 1 Pages
    Improved Essays
  • Decent Essays

    Non Physician Assistants

    • 280 Words
    • 2 Pages

    The practice of using non-physicians to practice medical has a history, oftentimes in remote areas people have had to step up and learn medical procedures and care. Following World War II, specialization in medicine became more popular, and there became on shortage in primary health care providers. The Physician Assistant profession was first proposed in the United States when Charles Hudson advocated for a “creation of two new groups of assistants to doctors from non medical and non nursing personnel”. In 1965, Duke University created the first Physician Assistant Program led by Dr. Eugene Stead.…

    • 280 Words
    • 2 Pages
    Decent Essays
  • Superior Essays

    Ppas In Healthcare

    • 1484 Words
    • 6 Pages

    According to United States’ Congress Senate Committee on Health, Education, Labor, and Pensions (2007), one of the reasons for the physician shortage is that most physicians are 50 years or older, and are likely to retire just as the baby boom generation moves into its time of greatest medical need (pp. 3). In the rural parts of the United States, physicians are disappearing. According to American Academy of Physician Assistants (AAPA), about ten percent of MD’s practices are in rural…

    • 1484 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    For example, after CHIP (Children’s Health Insurance Program) the probability of spending less than 10 minutes with a doctor increased. So much of time at the doctor’s office is filled by time with nurse practitioners, and physician’s assistants doing things like tests and histories that used to be done by doctors. This will be furthered by the fact that a study done by Association of American Medical Colleges estimates that in 2025, there will be a shortage of 124,000- 159,000 physicians in America. A byproduct of doctors spending less time on each patient is that doctors will have less time to evaluate doctors, as well as less time to dedicate to making their diagnoses, thus making it more likely for doctors to misdiagnose their patients.…

    • 797 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    The Importance Of Nursing Values In Nursing

    • 1436 Words
    • 6 Pages
    • 13 Works Cited

    Nurses are champions in adapting to change and identifying creative measures to help modify their practice, so it is not surprising that they are eager to meet these challenges head on. The assumption has been made that the delegation of physician care to FNPs will lead to better use of resources, however nurses must continue to be mindful of the possible risks and implications that may accompany these demands. Sacrificing nursing values cannot be tolerated. It continues to be a slippery slope as nurses cross the line into a medical role while maintaining a nursing framework. Having a concrete understanding of nursing theory and nursing values will help preserve the nursing identity during the newest healthcare…

    • 1436 Words
    • 6 Pages
    • 13 Works Cited
    Great Essays
  • Improved Essays

    Nurses: Barriers to practicing to the fullest extent of their education and training In this dynamic healthcare climate, Advanced Practice Registered Nurses (APRNs) will play an instrumental role in health outcomes of diverse populations. Currently, there are more than 250,000 APRNs who hold masters and doctoral degrees and who are nationally certified (Brooten, Youngblut, Hannan, & Guido-Sanz, 2012). Due to the demand for healthcare services, the employment of APRNs is expected to increase 31% from 2012 to 2022 (Bureau of Labor Statistics, 2014). Several factors contribute to this increase in demand, including passage of the Affordable Care Act (ACA), the ever-increasing aging baby boomer population, and the renewed interest in health promotion…

    • 1044 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Appraise the Academic and Professional Requirements of Clinicians, Scaling Benefits and Compensation Packages That Attract Highly-Skilled Physicians Some primary care physicians (PCPs) state that they can provide care for their patients without a comprehensive medical staff or hospital privilege, especially as it supports the curtailing of expenses. In your opinion, should hospitals be concerned about that mind-set?…

    • 338 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The healthcare industry is thriving, despite today’s harsh economic times. For this reason, when considering their career options, many students may turn to medicine. There are several professions in the medical field from which students can choose, including home health aides, pharmacists, nurses, and even doctors. If the student decides to pursue a more hands-on patient care career, they find themselves at a crossroad with one path leading toward a career as a doctor (MD) and the other leading towards a career as a physician assistant (PA). This is a difficult choice for many students interested in the medical field; both professions offer patient care, are high-paying, and require rigorous schooling.…

    • 606 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    "According to a 2011 study completed in comparison to US specialist in Canada earned 30% less, and the average specialist in the United Kingdom made 50% less. Any lowering of doctor payments in the United States could reduce the number of young people entering the medical profession, leading to a shortage" (Procon 2016.com). In the USA we have the Medicare system which already pays providers 20% below what private insurances pays out to doctors ' offices. Our future generations will not want to be doctors because of low paying jobs; the generations to come debt will be too high, and they will not be able to afford to live on a physician salary and pay back their school…

    • 1060 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    China Health Care Essay

    • 472 Words
    • 2 Pages

    The second challenge is that the U.S. does not put enough emphasis on primary care (Blumenthal & Hsiao, 2017). The U.S. chooses to focus on specialty care instead of primary care. “The third challenge is the administrative inefficiency of the U.S. health care system” (Blumenthal & Hsiao, 2017). The authors discuss that receiving care and the physicians care has become extremely complicated due to all of the paperwork and laws required. The fourth challenge people who are low income or low education have a significantly reduced chance of receiving care.…

    • 472 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    To complete this paper, I had the honor of interviewing Dr. Wheaton. She is a pediatric physician at Kaiser Permanente in Hayward. I have always wanted to be a physician and since I love working with kids, I thought interviewing a pediatric physician would be very beneficial because it would give me a lot of insight on a career that I might pursue in the future. Since I volunteer at a hospital, I asked my supervisor if she knows a doctor who would give me few hours of his/her time. She gave me five names…

    • 1081 Words
    • 4 Pages
    Improved Essays