Access to Health Services is one of the main objectives of Healthy People 2020. As the Office of Disease Prevention and Health Promotion (ODPHP, 2017) notes, acces to quality health care services is essential for sustaining and promoting healthy communities, preventing the spread of disease, and eliminating unnecessary disabilities and deaths for Amerircans. While insurance coverage has been expanded thanks to the ACA (Somanader, 2016), timeliness of care and access to health services are still issues that keep patients from obtaining the quality care they need. As the IOM (2012) has stated, APRNs need to be able to practice to the full extent of their abilities and knowledge so that more patients can be treated and more quality care can be provided. As there continues to be a lack of care providers in the industry, the role that APRNs can play is considerable. The problem in the state of Florida is that nurses are still restricted by state laws when it comes to practicing to the fullest extent possible. Federal and state laws restrict the practice of nurse practitioners. APRNs must practice under the supervision of a physician. They also do not have full prescription authority. APRNs also have restrictions on insurance reimbursement. There are several proposals in the House and Senate that can advance to role of the APRN to help meet the rise of primary care providers. This paper will discuss the policy issues related to access to health services and how the current Health Care Access Bill winding its way through Congress may lead to a policy change that helps the industry meet the Healthy People 2020 objective. Currently there is a lack of available services for patients seeking preventive care and treatment, according to ODPHP (2017). Having a usual source of care and continuity of care is very important for patients, as De Maeseneer, Prins,...
(2003) show in their research. According to the CDC (2016), from 2014-2015, there were 17.3% of people between the ages of 18 and 64 without a usual source of care. This percentage increased the younger the population got. For children, more than 10% of them had no health care visits to an office or clinic for an entire year from 2014-2015 (CDC, 2016). The problem is that there are too few providers able to make diagnoses and provide prescriptions or treatments because of state and federal laws that restrict the ability of APRNs to exercise to their fullest ability.References
CDC. (2016). Health United States Report. Retrieved from https://www.cdc.gov/nchs/data/hus/hus16.pdf#062
De Maeseneer, J.M., De Prins, L., Gosset, C., et al. (2003). Provider continuity in family medicine: Does it make a difference for total health care costs? Ann Fam Med.,1, 144-8.
Hain, D., Fleck, L. (2014). Barriers to nurse practitioner practice that impact healthcare redesign. OJIN: The Online Journal of Issues in Nursing, 19(2). Doi: 10.3912/OJIN.Vol19No02Man02
IOM. (2012). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf
ODPHP. (2017). Access to health services. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/Access-to-Health-Services
Somanader, T. (2016). A look at six years of the affordable care act. Retrieved from https://obamawhitehouse.archives.gov/blog/2016/03/23/look-six-years-affordable-care-act
Szabo, L. (2014). Cost of not caring: Nowhere to go. Retrieved from https://www.usatoday.com/story/news/nation/2014/05/12/mental-health-system-crisis/7746535/
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