Analyzing Scope of Practice Issues in Health Care Delivery Systems



Analyzing Scope of Practice Issues in the Health Care Delivery Systems

Issues代写 Analyzing Scope of Practice Issues in Health Care Delivery Systems.Licensing and Credentialing Issues in the State of California.


Licensing and Credentialing Issues in the State of California 

According to the National Center for Complementary and Integrative Health (n.d), licensing and credentialing are one of the health care issues that have affected the United States today. Since its enactment in the 18th century, the laws on medical regulations have continued to metamorphosized to reflect the current changes but have maintained its objective on regulating the medical practices and public health system. Beside California having a distinct licensing and credentialing criteria. There is no national law defining the scope of practice (“Scope of Practice Policy, ”n.d).

Laws and regulations Issues代写

States are left to make such laws and regulations to regulate their health sector. All the medical practitioners and any other practice touching on health care providers have to licensed for there legality and recognition under the California law. Medical practitioners are required to be licensed according to after the attainment of a specified level of educational qualifications. Issues代写**格式

More so, the government has also established boards which are responsible for regulations of the medical practitioners.Such boards like dentist board, nurses board, and other board are critical to the implementation of the government agenda in the regulation of health system in California. Although the medical board of California accepts medical certification from other states, the certification is not accepted per se but are accompanied by the letter of good standing from the previous practice.

Scope of practice Issues代写

Other entities that deal with health care provision like health care facilities are also certified for compliance with health care laws of California state. The reason for these certifications is to regulate the presence of substandard products and services for medical use.Moreover, the scope of practice restricts the practice within which a person is qualified and licensed to do. For instance, a dentist is not authorized to attend diagnostic sessions with a patient. Issues代写**格式

In other words, medical licensing draws a line between various medical practices and offer a remedy when they overlap. As such, each medical practitioner has designated scope which restricts their practice. This aspect encourages professionalism as well as the duty of care to the patients.

Control Issues代写

Nationally, licensing and credential are better controlled by the states as a devolved unit in regulating the health sector.The U.S government through the state’s boards register and license the medical practitioners and nurse. However, those physicians working at federal facilities, prisons, and military can have a license from any state, that is, as long as the practitioner is accredited in his/her state is eligible to work anywhere in the federal government.


Analysis of the Issue Issues代写

The array of licensing and credentialing aiming to govern the health care system overwhelm its players especially practitioners. All the aspects are governed by one or more bodies with conflicting interests. Such bodies like hospital board, the state board, and unions have different interests towards the specific groups they represent. Sometimes their interests conflict making a representation of members difficult. As such, health care professionals have come to feel like they are spending too much time on adhering to regulations of practice hence blurring their work objective.

License Issues代写

Licensing means the process of the government granting permission to a health professional or an institution dealing with health care services. The primary aim of licensing is to ensure that the individuals. As well as institutions, meet the threshold standards to protect the public health and safety while shielding people from exploitation through poor health services. The license is granted to persons who have fulfilled a specific academic qualification in a specific health study. As a proof of completion one is required to present the examination test and accreditation to have passed the necessary coursework from recognized institutions. Issues代写**格式

On the other hand, organizations are only licensed after the fulfillment of the on-site inspectorate procedures and after a determination that the minimum health and safety standards are met. The licensure is an ongoing process where the individuals and the organizations are required to do evaluations and renewed annually.

Credentialing Issues代写

Credentialing health care professionals in California State takes a person who has undergone a medical or nursing training and has attained the minimum grade to be certified qualified health professional. Medical doctors and dentist are credentialed by medical and dentists’ boards of California respectively. Nurses, on the other hand, are credentialed by the nursing board of California. These and other boards regulate the number of qualified and registered medical professionals at any given time. The boards also regulate the scope of practice of its members.

Regulations Issues代写

The regulations have brought concerns among the professionals and organizations working to provide health care citing various problems associated with licensing and credentialing as a way of health care regulations. The various stakeholders have argued that the health system is faced too many regulations which aim at reducing the number of practitioners for purposes of profit-making. Below are the issues raised regarding this regulation.

Positive and Negative Issues in Licensing and Credentialing Issues代写


The medical licensing and credentialing have been applauded for its regulation work in the health system. In essence, it has worked to reduce the exploitation through poor service and ensure the public health and safety (“American Medical Association,” n.d). Through licensures, medical professionals also feel recognized by the government regarding qualification and practice. Additionally, the enactment of the medical licensing laws in the 1800s targeted to reduce the number of practicing physicians for maximum profits. Issues代写**格式

On the part of organizations that offer health care to the public as well as those dealing with health care utilities, recognition through licensing and credentialing is a way of authenticating their services and therefore gaining public trust therefore working to maintain their reputation and excellence within their scope of practice (Bichescu, Bradley, Smith, & Wei, 2018). Generally, the regulation created a sense of public safety in all the health care stakeholders.

Downfalls Issues代写

However, the benefits notwithstanding, the regulation has it downfalls. The law objective to reduce the number of practitioners was at the expense of the patients who receive medical care (Kleiner, 2016). Besides the registered professionals being satisfied with the remunerations for the services offered. The overall effect is making the medical services expensive and unfordable to the majority of California citizens. Issues代写**格式

The reason being, the licensing procedure screen the number of practitioners in the market thus artificially affecting the economy behind demand and supply of health services. This move has resulted in the high demand for health care with less supply of health care professional pushing the cost service high. Although the quality of medical services increased the number of patients served was fewer.

Challenges Issues代写

In their article based on Canada Campbell–Page, et al. (2013), drew a roadmap medical licensing. It cited the difficulty in licensing among the many challenges facing the people, especially in health care. It further forecasted future demand for health care facilities and medical practitioners. The author states that the barriers facing medical practitioners in order for them to practice in California are many, yet there is high demand for their services. Issues代写**格式

In essence, it envisioned a scenario where medical services have continued decrease, and the cost of such service continue to escalate as the number of doctors and nurses continue to remain constant or declining. The scenario is applicable in California as the trend is evident with increased demand for medical services hence requiring larger number of service providers.

Standardized practice Issues代写

Beyond the criticisms that licensing and credentialing increase the cost of health service provision and fail to increase on quality, licensing of medical practitioners, in particular, has failed to come up a standardized practice applicable in all the other states (Eisler & Hansen, 2013). That is, the disciplinary actions for the misconduct of physicians have not been taken seriously regardless of the issue is a national concern. In this case, the practice is marred with unscrupulous and quaky doctors still operating under the Californian state credentials and licensing. This has raised the alarm on the public health safety. Issues代写**格式

Concerns Issues代写

For long the medical practitioners through their unions have raised concerns about the costs of registrations for licensing and credentialing. They cited that the recurrent fees are very high as thus unaffordable to many otherwise productive professionals. Therefore, the unions call upon the government and the boards to reduce these fees to the minimum affordable rate so that all the qualified health practitioner can join the workforce legally. Issues代写**格式

Moreover, in the past decades, the health care institutions have been too bare the results of any legal burden. Thus they have more of an incentive to require their medical professionals’ practice competently. Therefore, in the process where the medical practitioners are reviewed and licensed by the state’s boards have resulted in duplication of evaluation. In this case, the professionals are evaluated in the process of licensure and then later in the hospitals in the process of credentialing and to gain the hospital privileges. Since the 1980s the California health practitioners’ boards have seen the number of disciplinary actions taken against the medical professional increase.


Way Forward in Licensing and Credentialing Issues代写

The issue on licensing and credentialing is not any better if something is not done today in addressing the problems. These regulations of the scope of practice will continue to lock out health care professionals and organizations which could have otherwise helped in providing affordable health care (“The Hamilton Project,” 2015). Issues代写**格式

Reforming the regulation is the best alternative to loosen the scope of practice limitations and also reflect on the market changes in health services. For instance, reducing the limitation to allow licensed non-physicians providers to work under minimum supervision and enact their talents. On the other hand, physician assistants should be allowed to conduct individual medical practices to see how their talents can be utilized in the medical field.

Scope of work Issues代写

It is also important to note that, the licensing of Contemporary and Alternative Medicine (CAM) Practitioners and their scope of work has also been a significant issue. According to Van Hemel (2001), pointed out the issues for lobbying for regulation of CAM which includes protection of their professionalism as well as the scope of their job. Their contribution to offering safe health care to the public should be considered. Therefore, the government should look forward to recognizing these groups for their enormous contribution to the health system.

References Issues代写

American Medical Association. (n.d). Getting a Medical License. Retrieved from

Bichescu, B. C., Bradley, R. V., Smith, A. L., & Wei, W. (2018). Benefits and implications of competing on process excellence: Evidence from California hospitals. International Journal of Production Economics, 202, 59–68.

Campbell–Page, R. M., Tepper, J., Klei, A. G., Hodges, B., Alsuwaidan, M., Bayoumy, D. H., … Cole, D. C. (2013). Foreign-trained medical professionals: Wanted or not?A case study of Canada. Journal of Global Health, 3(2), 020304.

Eisler, P., & Hansen, B. (2013). Thousands of doctors practicing despite errors, misconduct. | AHRQ Patient Safety Network. Retrieved from

Kleiner, M. M. (2016). Battling over Jobs: Occupational Licensing in Health Care†. American Economic Review, 106(5), 165–170.

National Center for Complementary and Integrative Health. (n.d). Credentialing, Licensing, and Education. Retrieved from

Scope of Practice Policy. (n.d). California Scope of Practice Policy – State Profile. Retrieved from

Van Hemel, P. J. (2001). A Way Out of the Maze: Federal Agency Preemption of State Licensing and Regulation of Complementary and Alternative Medicine Practitioners. American Journal of Law & Medicine, 27(2/3), 329. Retrieved from


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