Discussion: Identify two major policy issues that affect the current state of health care delivery and population health equity in the United States
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). What impact do these population health policies and initiatives have on advanced nursing practice?
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NUR 550 Topic 7 DQ 1 Sample
Access to social determinants of health and health insurance define the main policy issues influencing population health equity in the United States and healthcare delivery. For millions of Americans, finding reasonably priced health insurance remains a challenge influencing variations in healthcare results. Expanding Medicaid eligibility and building health insurance marketplaces helped the Affordable Care Act (ACA) try to boost coverage; however, states that decide not to extend Medicaid show variations in coverage. This restriction affects advanced nursing practice by increasing the pressure on nurse practitioners (NPs) and other healthcare providers in underdeveloped areas, usually treating uninsured patients (Rosenbaum, 2020). For patients who put off treatment, NPs thus often deal with complex health issues for which more aggressive interventions are required. NUR 550 Topic 7 DQ 1
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In the United States, social determinants of health (SDOH), such as income, education, and stable housing, significantly affect health variations. Policies aimed at social determinants of health, such as the Healthy People 2030 project, realize that non-medical elements influence health outcomes (Office of Disease Prevention and Health Promotion 2024). According to Flaubert (2021), emphasizing upstream problems, these regulations help nurses implement a complete patient care plan covering social and medical needs. Usually requiring nurse practitioners to work with social services to improve outcomes, advanced nursing practice advocates for a holistic strategy, including direct clinical treatment and advocacy for patient resources.
Since they guide the treatment delivery and priorities among nurses, policies addressing social determinants of health and health insurance significantly affect advanced nursing practice. Advanced practice nurses (APNs) can overcome systematic barriers using policy measures, alleviating medical symptoms and reducing socioeconomic determinants, producing adverse health outcomes. APNs, especially at-risk populations, must make this change since it helps them take more general responsibility in health promotion and disease prevention (International Council of Nurses, 2020). As laws change, APNs will most certainly find an increasing desire to include social needs evaluation and advocacy into clinical practice. This emphasizes how crucial successful patient treatment depends on policy knowledge and involvement.
NUR 550 Topic 7 DQ 1 References
Flaubert, J. (2021). The role of nurses in improving health care access and quality. In www.ncbi.nlm.nih.gov. National Academies Press (US). https://www.ncbi.nlm.nih.gov/books/NBK573910/
International Council of Nurses. (2020). Guidelines on advanced practice nursing. https://www.icn.ch/system/files/documents/2020-04/ICN_APN%20Report_EN_WEB.pdf
Office of Disease Prevention and Health Promotion. (2024, October 9). Healthy People 2030. Health.gov. https://odphp.health.gov/healthypeople NUR 550 Topic 7 DQ 1
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