Major Determinants of the Size and Nature of the Health Care Employment Sector

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Without attempting to include all of the interrelated factors that influence demand for various types of health personnel, it is important to recognize some major determinants of the size and nature of the health care employment sector (Sultz & Young, 2009). One of these determinants that cannot be overlooked is the projected decline in a physician population that has already been identified as inadequate in many areas to meet the needs of our society. Alternative providers such as specialized nurse practitioners, nurse midwives and physician assistants will need to be embraced and expanded as physician extenders to support the growing health care needs. The aging of the population and advances in the treatment of acute and chronic life-threatening conditions will result in increasing survival of people with chronic illnesses and disabilities (Sultz & Young, 2009). Preparing these professionals to practice more independently in this type of environment along with the declining physician support will need to be a focus of their academic programs. Continued oversight of these pra...

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