Publication Date

Spring 2024

Degree Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Ruth K. Rosenblum

Second Advisor

Lisa Walker-Vischer

Third Advisor

Marcia Tyler-Evans

Keywords

primary care, access, barriers, burnout, scope

Abstract

This study investigates healthcare access and utilization among Primary Care Providers (PCPs) in SLO County, utilizing a mixed-methods approach. Survey responses from PCPs when applied to Levesque’s Theoretical Framework reveal variations in provider approachability and acceptability, alongside significant wait times for both new and established patients, indicating barriers in healthcare reaching. Qualitative interviews further illuminated dimensions of healthcare access, including socioeconomic disparities and provider burnout. These underscore the complexities of ensuring equitable access to primary care services. The relationship between provider and consumer dimensions, such as work-life balance, workload, and the role of advanced practice providers, highlight the intricate dynamics shaping healthcare delivery. The theme of advocacy and collaboration displays the importance of stakeholder engagement in addressing access challenges and promoting systemic reforms. Limitations include missing representation from certain provider categories and a small sample size are acknowledged, suggesting avenues for future research to broaden the understanding of healthcare access issues and inform targeted interventions for improving healthcare delivery and outcomes. Overall, this study contributes valuable insights into the multifaceted nature of healthcare access and utilization, offering implications for policymakers, healthcare organizations, and stakeholders striving to enhance healthcare access and quality of care for individuals and communities in SLO County and beyond.

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