Evolving Practice of Nursing and Patient Care Delivery Models

Your Name
Course: BSN4534
Course Name: B.SC. NURSING
Professor
Grand Canyon University
October 18th 2017
Title: Evolving Practice of Nursing and Patient Care Delivery Models
Summary of Nurse Colleague’s Response
My nurse colleagues had differing views and opinions regarding the future of nursing in the United States. However, most of their views supported my research findings. Owing to the restructuring of the US healthcare system, and the emergence of new primary care models, my colleagues felt that indeed the new models were to play a critical role in the delivery of cost effective primary care services across the care continuum. However, there was consensus that NMHCs were to play an even more important role compared to medical homes and accountable organizations. There was concurrence that these new healthcare delivery models would spark demand for nurses in the community rather than in the acute care hospitals(Auerbach et al., 2013). Regarding the study findings that suggested an acute shortage of primary care providers driven by an increase in patient demand, their opinions were varied. Tracy stated that the demand for practitioner nurses was going to increase, even though the increase would be insufficient to counter the supply. On the other hand, Greg and Maurine concurred that increased demand for primary care will overwhelm the traditional model, causing patients to seek for cost effective alternatives that promise continuity. Although they agreed that Affordable Care Act had a significant impact on the emerging primary care delivery models, they felt that transformation of delivery care models towards patient centered models would create more job opportunities for nurses and nurse practitioners rather than physicians (Auerbach et al., 2013).
Greg was of the opinion that increased demand for primary care will shift the demand away from the traditional physician-centered model towards more comprehensive, integrated, quality driven, patient-centered models. He was of the opinion that this scenario will be largely triggered by cost effectiveness and primary care service quality.This observation was in agreement with my research findings. Tracy and Maurine observed that due to the new models’ potential to offer primary care to both insured and uninsured populations, they were likely to witness extremely high demand that would ultimately surpass supply. However, they said, this would depend on continued state funding without which these models would become inconsequential. Maurine stated that, “..In my view, state funding is the lifeblood that shall drive NMHC’s, medical homes and Accountable Organisations towards achieving their intended objectives”. Her suggestion was in agreement with my research findings. Indeed state funding will be critical both on the demand and supply side of the healthcare delivery model (O’Leary et al., 2014).There was concurrence that Affordable Care Act had triggered demand, and the state was obligated to implement policies that would stimulate a corresponding growth in supply to meet this demand.Tracy observed that a paradigm shift in healthcare delivery towards patient centered models is the way forward as it ensures greater continuity of ...