If you live in a restricted or reduced practice state, how has patient care been impacted in your local community by these barriers? For instance, is the ED used for primary care? Are the EDs overcrowded with long wait times? Are there urgent care clinics readily available? Is there adequate access to primary care? If you live in full practice, how has an independent practice of the APN resulted in improved patient access to healthcare?

While the state of New Mexico faced a physician and other healthcare workers deficit for decades, a recent rise of nurse practitioners practicing independently within the state increase access to care in rural communities, improving healthcare outcomes for their patients, community, and overall population. Independent practice of the APN has resulted in an accomplished assortment of improved patient access to h healthcare, including advocacy, improved access, cost-effectiveness, and raised confidence and satisfaction for patients (Johnson, 2020). 3.How does access to NPs impact any healthcare disparities? Health disparities have sparked the interest of physicians and health policy experts, as well as government health organizations. Several research studies have demonstrated unequal access to medical care, treatment methods, and distinct outcomes among diverse cultural and racial communities as a complicated and multidimensional concept (Ortiz et al., 2018). Thus, expanding access to NPs can have a positive impact, particularly for individuals with lower incomes, because they are much more probable to have unmet healthcare needs than those with higher incomes, indicating that socioeconomic status has a strong influence on access to healthcare in the United States (CDC, 2020). This divergence is a principal issue since it leads to considerable health disparities and poorer health outcomes for those who are most vulnerable, such as the homeless, victims of violence based on gender, survivors of abuse, persons who have disabilities, and those living below the poverty threshold (Johnson, 2020)

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