NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)

NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)

NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)

The two main policy issues affecting the current state of health care delivery and population health equity in the country are nursing shortage and emergence of infectious diseases like the COVID-19 pandemic as well as other public health concerns. These policy issues imply that more resources should be deployed to meet improve care delivery. For instance, nursing shortage is a serious policy issue as the Bureau of Labor Statistics (BLS) (2022) show that more than 275,000 nurses would be required each year through 2020 to 2030. The agency also projects more employment opportunities for nurses by close to 10% because of the increased care demand, retiring population, and nurse turnover rates as well as nurses changing their professional approach. The emergence of infectious diseases like the COVID-19 pandemic implies that policymakers should develop high levels of preparedness and allocate sufficient resources to mitigate the healthcare sector from being overrun as witnessed at the height of the pandemic (Shahzad et al., 2019). The situation demonstrated increased levels of disparities that impact health equity as low-income and racial minority populations were the most affected due to limited access to healthcare resources.

These population health policies and initiatives affect the advanced nursing practice as they imply that these nurses should assume more specialized roles to meet the diverse care demands (Williams et al., 2018). The nursing shortage means that nurses take on more duties and roles, work for longer hours, and deal with patients from diverse backgrounds (Daniel et al., 2018). The initiatives also imply that nurses should participate in public health programs to prepare populations against epidemics and pandemics. The implication is that as policymakers, advanced practice nurses should implement initiatives that focus on increasing access to care and reducing the existing inequities and disparities, especially among low-income households and racial minorities.

 

References

Bureau of Labor Statistics (BLS) (2022). Occupational Outlook Handbook: Registered Nurses.

https://www.bls.gov/ooh/healthcare/registered-nurses.htm

Daniel, H., Bornstein, S. S., Kane, G. C., & Health and Public Policy Committee of the

American College of Physicians. (2018). Addressing social determinants to improve patient care and promote health equity: An American College of Physicians position paper. Annals of internal medicine, 168(8), 577-578. https://doi.org/10.7326/M17-2441

Shahzad, M., Upshur, R., Donnelly, P., Bharmal, A., Wei, X., Feng, P., & Brown, A. D. (2019).

A population-based approach to integrated healthcare delivery: a scoping review of clinical care and public health collaboration. BMC Public Health, 19(1), 1-15. DOI: https://doi.org/10.1186/s12889-019-7002-z

Williams, S. D., Phillips, J. M & Koyama, K. (2018). Nurse advocacy: Adopting a health in all

policies approach. Online Journal of Issues in Nursing, 23(3), 1-12. DOI: 10.3912/OJIN.Vol23No03Man01

 

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One major policy issues affecting the current state of health care delivery and population health equity is immunization. Vaccination continues to be one of the most powerful and cost-effective disease-prevention tools among populations (Association of State and Territorial Health Officials, 2022). Individuals get diseases that vaccines can prevent which is why it’s important to promote vaccination acceptance. Vaccination also lowers the risk of outbreaks in communities. For instance, the influenza vaccine has prevented about 7.5 million illnesses during the 2019-2020 season (Association of State and Territorial Health Officials, 2022). Advanced practice nurses advocate for immunizations to prevent communicable diseases. Depending on the roles that they hold as advanced practice nurses, they can educate the population, administer and prescribe immunization to decrease the likelihood of contracting infectious diseases that can be prevented by vaccines.

Another major policy issue is the mental health policy. According to the Association of State and Territorial Health

NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)
NUR 550 Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States (may be state or federal)

Officials (ASTHO) (2022), “an estimated one in five U.S. adults has a mental illness, and in recent years significantly more youth have reported mental health challenges.” In order to promote mental well-being ad wellness, there needs to be an increased access to affordable mental health services. When it comes to the youth with mental illness, many of them do not even receive mental heath services, therefore, state legislatures continue to seek to improve access to mental health services (ASTHO, 2022). Perhaps, early detection of mental heath conditions is also another challenge as clinical symptoms can often be overlooked. Everyone with mental illness deserves treatment and should have equal access to the services that they need for better prognosis. As an advanced nursing practice nurse, it’s important to interact with these individuals with respect to preserve their well-being and dignity. Having more advanced practice nurses increases access to providers that can treat individuals suffering from mental health conditions.

 

 

 

References

 

Association of State and Territorial Health Officials. (2022). ASTHO Unveils Top 10 Public Health Policy Issues to Watch in 2023. https://www.astho.org/communications/newsroom/2022/astho-unveils-top-10-public-health-policy-issues-to-watch-in-2023/

Regarding the issue of immunization, the implications of policies promoting vaccination for disparate populations are significant. Disparate populations, such as those with low incomes, those living in rural or remote areas, and minority groups, may face barriers to accessing healthcare services, including immunizations. Policies that address these barriers, such as providing free or low-cost vaccinations at community clinics or outreach programs, can help to ensure that these populations have equal access to preventative care.

Additionally, policies that promote vaccination acceptance can also benefit disparate populations by addressing vaccine hesitancy, a phenomenon that may be more prevalent in certain communities. Such policies may involve education campaigns that address misconceptions about vaccines, as well as culturally sensitive approaches to communicating the importance of vaccination.

With regard to mental health policy, policies that aim to improve access to mental health services can have significant implications for disparate populations as well. People in low-income communities or rural areas may face challenges in accessing mental health services due to a lack of providers or limited insurance coverage. Policies that expand mental health coverage, promote telehealth services, or increase funding for mental health services in underserved areas can help to address these disparities.

In addition, policies that aim to increase early detection and intervention for mental health conditions can also benefit disparate populations. Mental health conditions, such as depression and anxiety, maybe stigmatized or overlooked in certain communities, leading to delayed diagnosis and treatment. Policies that promote mental health awareness and early intervention, as well as training for healthcare providers on culturally sensitive approaches to mental health care, can help to address these disparities.

Overall, policies that consider the unique needs and challenges faced by disparate populations can help to promote health equity and improve health outcomes for all individuals, including those who may face barriers to accessing healthcare services. Advanced practice nurses play a crucial role in advocating for and implementing these policies, as well as in providing culturally sensitive care to diverse patient populations.

One major policy issue related to population health in Texas, as well as nationwide, is the opioid epidemic. To reduce the amount of deaths and dependencies on opioids, Texas has created the Texas Targeted Opioid Response TTOT), whose mission is to save lives and provide support to Texans who suffer from opioid dependency (Texas Health and Humas Services, n.d.). The TTOR has worked to provide access to prevention, treatment, and recovery services for those with opioid dependence. This policy impacts nursing practice by limiting the amount of opioid medications patients can be given, and nurses may need to be aware of alternative therapies that help improve pain control and decrease the inappropriate use of opioid medications. Nurses must also find a balance when treating those with known opioid addiction to ensure they minimize suffering for their patients, but do not contribute further to their addiction. nurses must also provide education and resources to patients on how to properly use opioid medications, recognize the signs of overuse and possible dependence, and how to seek help when needed.

Another example of the policy affecting the current state of health care delivery and population health equity in the United states is the expanded access to the National Diabetes Prevention Program (NDPP), which promotes lifestyle changes to prevent type 2 diabetes. This program encourages providers to screen patients for abnormal blood glucose who are at risk for development of type 2 diabetes, and refer them to the national diabetes prevention program for information on lifestyle changes and disease prevention (Centers for Disease Control and Prevention, 2022). As with the opioid epidemic, nurses will encounter patients at risk for development of type 2 diabetes as well. The NDPP recommends screening patients at high risk and providing education on prevention and lifestyle changes, which will be the responsibility of the nurse caring for these patients.

 

References

Centers for Disease Control and Prevention. (2022, March). Prevent Type 2 Diabetes. Retrieved from Centers for Disease Control and Prevention: https://www.cdc.gov/sixeighteen/diabetes/index.htm

Texas Health and Humas Services. (n.d.). Texas Targeted Opioid Response. Retrieved from Texas Health and Human Services: https://www.hhs.texas.gov/services/mental-health-substance-use/adult-substance-use/texas-targeted-opioid-response