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Overcoming Barriers to Healthcare Reform: A Call to Action.
Marcy Ainslie1, Alicia F Collins2, Danielle Hebert3
1Department of Nursing, University of New Hampshire, Durham, USA.
Removing systemic barriers for nurse practitioners (NPs) and other healthcare professionals is crucial for advancing healthcare reform. Enabling professionals to practice fully improves care access and addresses workforce shortages.
Area of Science:
- Healthcare Policy
- Health Services Research
- Nursing Practice
Background:
- Healthcare reform success depends on effective policies and equitable workplace cultures.
- Healthcare professionals must practice to their full education and certification levels.
- Systemic barriers hinder collaborative work environments and staff retention.
Purpose of the Study:
- To identify systemic barriers impeding healthcare reform, using nurse practitioners (NPs) as an example.
- To advocate for policymakers, regulators, and administrators to enact changes addressing these barriers.
- To emphasize the importance of utilizing the full scope of practice for all healthcare professionals.
Main Methods:
- Analysis of systemic barriers affecting NP practice.
- Examination of external stakeholder influence on nursing practice and oversight.
- Review of financial and hierarchical constraints impacting healthcare professionals.
Main Results:
- Restrictive oversight, indirect billing incentives, and hierarchical constraints limit NP contributions.
- Growing provider shortages disproportionately affect primary care and rural areas.
- NPs are increasingly vital in filling provider gaps with positive patient outcomes.
Conclusions:
- Removing systemic obstacles for NP practice enhances access to care.
- Supporting healthcare professionals to practice at their full scope advances reform and addresses workforce shortages.
- Equitable workplace cultures and full utilization of professional education are key to improving health outcomes.
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