The Evolution of Healthcare: Will Advanced Practice Providers Fill the Physician Void in 2024?

As long-time recruiters, we’ve seen the healthcare landscape, and its staffing needs, undergo a transformative shift, fueled by the growing demand for medical services and a shortage of physicians. As the population ages and healthcare needs become more complex, the question arises: will advanced practice providers (APPs) step in to assume some of the responsibilities traditionally handled by medical doctors?

The Physician Shortage:

The shortage of physicians is a global concern, impacting both developed and developing nations. In 2022, the Association of American Medical Colleges projected a shortage of up to 139,000 physicians by 2033. Various factors contribute to this shortfall, including an aging population, increased healthcare demands, and the complexities of modern medicine. As the shortage persists, healthcare systems are exploring alternative solutions to ensure that patient needs are met.

The Rise of Advanced Practice Providers:

In contrast to the physician exodus, the Bureau of Labor estimates a 52% increase in Nurse Practitioners and a 31% increase in Physician Assistants during the same time period. Advanced practice providers have become integral members of the healthcare team. Trained to provide a range of primary and specialty care services, APPs are increasingly taking on roles that were once exclusively held by medical doctors. These professionals bring a unique set of skills and a patient-centered approach, often spending more time with patients and focusing on preventive care.

Scope of Practice and Regulation:

The scope of practice for APPs varies by jurisdiction and is subject to ongoing debates and discussions. Some states and countries have expanded the autonomy of NPs and PAs, allowing them to prescribe medications, diagnose illnesses, and even lead healthcare teams. However, others argue that certain complex medical decisions should remain within the purview of physicians, who undergo more extensive training. As of this writing, almost 22 states have granted APPs either full or partial autonomy, including Arizona, Colorado, Maine, Connecticut, Iowa, Nevada, New Mexico, and Oregon. Several other states are considering making similar allowances.

Collaborative Care Models:

A potential solution to the physician shortage involves implementing collaborative care models, where APPs work alongside physicians to deliver comprehensive healthcare services. This approach recognizes the unique strengths of both professions and leverages their skills to provide efficient and high-quality care. Collaborative care models foster interdisciplinary teamwork and can improve patient outcomes by capitalizing on the diverse expertise within the healthcare team.

Challenges and Opportunities:

While APPs have demonstrated their ability to provide effective and efficient care, challenges persist. Skepticism from some within the medical community, concerns about the quality of care, and regulatory barriers hinder the full integration of APPs into the healthcare system. Additionally, ongoing education and training opportunities are crucial to ensure that APPs stay abreast of evolving medical knowledge and technologies.

The evolving role of advanced practice providers in healthcare is a multifaceted and dynamic issue. As the physician shortage continues, APPs are likely to play an increasingly prominent role in delivering care. Regardless of what the healthcare landscape looks like in 2024, you can be confident that CHS Recruiting will be able to adapt and fill any provider needs you may have.