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A Critical Analysis of Advanced Professional Practice Roles in Changing Health Services

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A Critical Analysis of Advanced Professional Practice Roles in Changing Health Services
A Critical Analysis

of Advanced Professional Practice Roles In Changing Health Services

There has been a growing concern that health sector needs a huge attention today, not only from government, citizen, but also from many discipline of health care practices. In the recent year, in the United States which is a superpower country, the delivery of human services is still to be a constant puzzle for policy makers, practitioners, and academics (Mayhew, 2012). Health care delivery (including preventive and supportive care) in this country is challenged by demands of access, safety, quality, and cost (Giberson, et. al., 2011). Even though, many years before, these health care issues has been arised as Wilson D.E. stated that the year 1994 was one of great health care non-reform, although national legislation was enacted, states began to seek ways to deal seriously with the issues, primarily the cost, but also the quality of care (Institute of Medicine 25th Anniversary Symposium, 1996). The same thing is happened in the developing country, even worse. Such as in Indonesia, despite solid economic growth in recent years that has raised millions from poverty, Indonesia faces numerous healthcare challenges, from maternal mortality to vector-borne diseases such as malaria to malnutrition, and degenerative diseases associated with a population that is both ageing and living an increasingly sedentary lifestyle. (The Economist Intelligence Unit, 2010). Besides that, most of population in this country lives in rural areas making the delivery of health care services difficult, a system of community health centres is being developed in response to the needs of the rural community (Jacobalis S., 1989). This means that health care matter is still unresolved.

The shortage of healthcare professionals in rural communities is a global problem that poses a serious challenge to equitable healthcare delivery. Both developed and developing countries report geographically



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