This article speaks about the future of healthcare - specifically, how primary care is at the foundation of a robust health care system. The author argues that the key to improving the triple aim (health of populations, patient experience, cost of care) is to remove barriers to NP practice, allowing them to practice to their fullest capacity.
This article discusses the barriers to NP practice with the current healthcare reform by addressing the shortage of primary care providers and the limitations of APRN practice. Barriers that were emphasized include state practice and licensure, physician related issues, education, and role perception. This article stresses that an APRN should be able to practice to the fullest extent of their training.
This article speaks to the many barriers to NP practice such as state regulations, lack of physician knowledge of scope of practice, payer policies not allowing full scope of practice, prescriptive privilege, etc. With the ACA and expanded healthcare coverage, it is necessary to address the barriers to NP practice since NPs will be essential to meeting the healthcare needs in the US over the next few years.
This is an excellent overview of common barriers to APRN practice that effect the Triple Aim for healthcare: better care (individuals), better health (populations), and lower cost.