NRS 440 Topic 1 DQ 2

Discussion: Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention.

NRS 440 Topic 1 DQ 2 Assessment Description

Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention. Discuss ways in which health care will continue this trend and explain the role of nursing in supporting and facilitating this shift.

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NRS 440 Topic 1 DQ 2 Sample

The reforms in healthcare through the passage of different legislations at the federal level like the Affordable Care Act (ACA) have had a significant effect on the trajectory of the health care system. The shift from a disease-oriented healthcare system to one focused on wellness and prevention is a direct product of these reforms (Crowley et al., 2020). The shift emanates from the recognition that preventive measures or primary interventions lead to improved long-term health outcomes and reduce the cost of care. The shift means that providers and systems focus on ways to reduce costs through primary care initiatives like lifestyle modification and going for routine medical checkups or screening for chronic conditions like diabetes and hypertension (Colizzi et al., 2020). The key aspects of the shift include a focus on preventive care like immunizations to prevent chances of getting infected, and patient-centered care where providers treat patients are core parts of their care provision. NRS 440 Topic 1 DQ 2 The other components of this shift include a focus on managing chronic diseases and health promotion that implores people to adopt healthier lifestyles to reduce their exposure to certain conditions.

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Healthcare reforms are expected to continue with this trend focused on wellness and prevention of diseases with greater use of technology like telemedicine and digital applications, an increased focus on social determinants of health, and emphasis on mental health as a core part of healthy living. As such, nurses will continue to play a critical role in these trends and reforms because of their strategic position as healthcare providers. These roles include education as they offer information to patients and health populations on preventive measures, and advocacy as they promote patient’s needs and concerns to get necessary preventive care services (Fulmer et al., 2021). Nurses will also continue to coordinate care and work through interdisciplinary and inter-professional teams to collaborate and offer better interventions while implementing health technologies to enhance outcomes and access to quality and affordable care.

NRS 440 Topic 1 DQ 2 References

Colizzi, M., Lasalvia, A., & Ruggeri, M. (2020). Prevention and early intervention in youth

mental health: is it time for a multidisciplinary and trans-diagnostic model for care? International journal of mental health systems, 14, 1-14. DOIhttps://doi.org/10.1186/s13033-020-00356-9

Crowley, R., Daniel, H., Cooney, T. G., Engel, L. S., & Health and Public Policy Committee of

the American College of Physicians (2020). Envisioning a better US health care system for all: coverage and cost of care. Annals of internal medicine, 172(2_Supplement), S7-S32. https://doi.org/10.7326/M19-2415

Fulmer, T., Reuben, D. B., Auerbach, J., Fick, D. M., Galambos, C., & Johnson, K. S. (2021).

Actualizing Better Health And Health Care For Older Adults: Commentary describes six vital directions to improve the care and quality of life for all older Americans. Health Affairs, 40(2), 219-225. https://doi.org/10.1377/hlthaff.2020.01470 NRS 440 Topic 1 DQ 2

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