Mid-Level Providers

Mid-Level Providers





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Mid-Level Providers

Part I – Role of Mid-Level Providers

Many hospitals in rural areas struggle to offer proper care to their patients, which calls for intervention. The hospitals lack adequate and decent infrastructure and suffer from a considerable workforce deficiency. Consequently, these limitations impact overall healthcare cost, quality, and access. However, mid-level providers may help address the issue and possibly foster improvement in the worst-hit areas. One particular way the practitioners may intervene to alleviate the problem is that they may suggest solutions based on their experiences with patients. For instance, they may recommend that the most suitable way to deal with the issue is to increase supplies to rural facilities because most of the clients who come to the facilities are not financially stable. These will also impact on quality of services. 

Part II

An interaction with a Nurse Practitioner provided much information about his views on the cost, access, and quality framework. He thinks that the three are interrelated but feels that access to care is a crucial factor that many people consider when seeking healthcare. According to the healthcare practitioner, access to care determines whether one gets quality care or not. Concerning how he perceives the cost, quality, and access framework in his job, the practitioner states that those who can afford related costs have little difficulty accessing care and getting better quality in many scenarios. On the other hand, the respondent says that a lack of needed funds may derail one’s desire to reach care and get the best services. Thus, his beliefs reaffirm the claim that cost, quality, and access are intertwined, and it isn’t easy to discuss one without referring to the other (Ranasinghe, 2015). The respondent plays a vital role in helping patients in public health and nursing, an opportunity that allows him to monitor how factors in the cost, quality, and access framework impact care delivery. Specifically, the interviewee is in charge of interpreting processes between LEP patients and nurses so they are more enlightened about their care. His roles and responsibilities qualify him as a suitable person to respond to the questions in this discourse. 

Part III – Response to Classmates’ Posts

Response to Classmate One – Bien 

In his interaction with the Nurse Practitioner, Bien addresses the key concerns that help determine the influence of cost, quality, and access in getting healthcare. Using the open-ended question approach serves an influential role in the process because it allows the respondent to describe each aspect in-depth. Besides, referring to various sources make the responses convincing. An interesting point to note is that NPs play essential roles in providing quality, inexpensive, and reachable care (Woo et al., 2017). The critical fact that comes out clearly in the post is that cost, quality, and access are vital in influencing how patients seek health care.  

Response to Classmate Two – Iman

The post is appealing because the author shows how he transits from one section to the other while engaging the participant. The main strength of Iman’s writing is he includes statistical information about the payments of NPs. For instance, he concurs with the argument by Shi and Singh (2017), who show how NPs in the U.S. earn an annual salary of $100 000 compared to medical doctors who make more than $197,000. The inclusion suggests that he values supporting his argument with empirical data. Thus, the response is comprehensive and informative at the same time.


Ranasinghe, P.D. (2015). International medical graduates in the U.S. physician workforce. The Journal of the American Osteopathic Association, 115(4), 236-241. doi: 10.7556jaoa.2015.047

Shi, L., & Singh, D. (2017). Delivering health care in America: A systems approach. Sudbury, MA: Jones & Bartlett Learning. ISBN-10 ‏: ‎ 9781284124491

Woo, B., Lee, J., Tam, W. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: A systematic review. Human Resources for Health, 15(63), doi: 10.1186/s12960-017-0237-9


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