Research shows there has been a gentle decrease of Physicians across the planet, especially medical care Physicians.

The data published by the Association of yank Medical Colleges (AAMC) projects shortfalls in medical care Physicians of between 21,400 and 55,200 by 2033. The U.S. Department of Health and Human Services (HHS) reports, 80 million Americans lack adequate access to medical care, primarily in rural areas.

Whereas 68.85% of the Indian population resides in rural areas; About 59.2 percentage of health workers reside in an urban area where only 31.15 percent of the whole population resides. The incidence of all diseases in the rural population is double in comparison to those from the urban population. Usually, rural people don’t have access to proper health care, since it’s mainly intended to serve the rich. The Indian urban bourgeoisie has access to health services that’s in par with international standard, while a minimum of bottom level health care facilities are intangible to 135 million people in the rural and tribal areas. Even though some services are provided; it’s of inferior quality by untrained personnel. Presently India is experiencing an acute shortage of physicians, especially within the rural areas. It is reckoned that there’s one physician per 1300 population. This is far beyond the WHO recommendation of 1 physician per 1000 population. This is much below in comparison to other countries also.

Under the category of physicians at CHCs in rural areas, the need is 5,183; and there’s a shortfall of 3,331. The five states with maximum shortfall under this category are Rajasthan (419); Uttar Pradesh (402); Gujarat (346); Odisha (335); and Tamil Nadu (323). Nurse Practitioners (NPs) have the power to assist fill this void.

The number of NPs is at a record high and therefore the demand is growing. According to the American Association of Nurse Practitioners (AANP), in 2019, there have been quite 290,000 licensed NPs within us. The Bureau of Labor Statistics (BLS) reports the overall employment of Nurse Practitioners is projected to grow 45% from 2019 to 2029, much faster than the typical for all occupations.

AANP data also shows 89.7% of Nurse Practitioners are prepared to practice in medical care with specialties in the family (65.4%), adult (12.6%), pediatrics (3.7%), women’s health (2.8%), and gerontology (1.7%), among other specialties.

After the advice of National Health Policy 2015; the Indian Nursing Council (INC) has put forward an agenda to initiate NP program in Critical Care. Based on the curriculum advised by INC, some institutions are running post-graduate residency programs on NP in critical care. Some specialties like acute care, gerontology, neonatology, pediatrics, psychiatry are still lacking.

However, many nations still impose restrictions on the care NPs can provide. Some states require NPs to be supervised by a Physician and other states restrict NPs from practicing a particular distance from their supervising Physicians.

NPs can prescribe medications and controlled substances, but a couple of states require they are doing so together with a supervising Physician. Some states also impose probationary periods before NursePractioners are allowed to prescribe medications.

Nurse Practitioners should be ready to work to the complete potential of their education and training.

Patients trust the care they receive from Nurses. Evidence supports the notion that NPs provide care that’s like Physicians in terms of quality, utilization, and satisfaction.

As of March 2021, the typical NP salary is $111,478. Pay varies counting on education, certifications, the state you’re employed in, additional skills, and therefore the number of years within the field.

Nurse practitioners may be a vital part of the transdisciplinary health care team. An aggregation of medical skills and medical care provide a singular role that fills the gap in numerous health care settings, which further improves patient outcomes


It is very evident that NPs are need of the hour. The panoramic impacts of NPs are cost-effectiveness, accessibility, holistic and patient-centered approach, further, it caters to the health care needs of the subservient rural population.

MS.S. Jasmin Debora
HOD cum Associate Professor
Medical-Surgical Nursing Department
Faculty of Nursing
SGT University

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