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Assignment 4

1981 words - 8 pages

Health Care Professionals 1


Health Care Professionals
Leslie T. Moore
Strayer University
Professor Tataw
August 9, 2011

Health Care Professionals 2

Abstract

Health care professionals play a key role in the provision of health services to met the needs

and demands of the population. This includes the health policy ...view middle of the document...

(Williams/Torrens 2010). This is why many doctors really didn’t like

the concept of managed care from the beginning. Managed care went directly to the heart

of the doctor-patient relationship and imposed a primary care gatekeeper authority as

well as roles about patient referral. United and Aetna gave up gate keepers more than

five years ago. This will determine and influence whether physicians continue to see

patients. As a result, physicians and patients seem to prefer choice to efficiency, which

will add pressure for more physicians and is the first of several possible factors fueling

fears of a new physician shortage. The second reason is the baby boomer retirement;

when most baby boomer students went to medical school after the expansionary

movement of the early 1970s when the federal government “grew” the production of


Health Care Professionals 4

young physicians by 30%, up to a level of about 17,000 today. This produced a 20 year

total of 340,000 almost the exact total of all physicians in the practice before 1970. With

the additional places and new medical schools approved by congress, in 1970 the AMA

estimated that 311,203 were “active” and that 22,828 were already out of practice.

Almost 30 years later, in 1997, the AMA estimated that 756,710 has been licensed as

physicians, with 684,605 listed as “active practitioners. While these are the latest AMA

data, figure that another five years of 17,000 new practitioners brought the total in 2002

to about 779,605. That’s the number from which 340,000 physicians are about to start

large-scale retirement, this started in 2010. The third and final reason is that physicians

prefer a more favorable and controllable lifestyle. This factor stems in part from the

increasing number of women in the workforce, but it affects men as well. Generally,

younger physicians seek a different lifestyle that allows for weekends off, limits on the

number of hours worked per week, and other amenities that allow for activities outside

the workplace. Taken together, these preferences have had and will probably continue to

have the effect of reducing the amount of time available for patient care.

(Williams/Torrens 2010).

There is a fourth reason that is interesting which is that some physicians moved into

alternative employment, training to become a part or full-time administrators and

physician executives, working with hospitals, consultant firms and drug companies.

While alternative employment may pay less on an hourly basis, it does provide a new

career path without many of the traditional hassles of maintaining a physician’s lifestyle

Health Care Professionals 5

and long hours.

2. Identify and describe three factors that contribute to the nursing shortage in the United
States.

The three factors are the issues of nursing school enrollment, the...

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