Discussion: Describe health care regulation in your own words. What costs are related? Who is affected?
NUR 621 Topic 1 DQ 2 Health Care Regulation Assessment Description
Describe health care regulation in your own words. What costs are related? Who is affected?
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NUR 621 Topic 1 DQ 2 Health Care Regulation Sample
Healthcare regulation encompasses the laws, rules, and standards established by authorized organizations and state agencies to govern and standardize the healthcare industry. The scope of healthcare regulation is vast, covering areas such as patient privacy, quality of care standards, healthcare professionals licensing, safety protocols, insurance practices, and reimbursement policies. It also includes pharmaceutical and medical device approval regulations, clinical research, and public health measures.
While healthcare regulations are essential for a functioning system, they come at a cost, as their implementation and maintenance require significant investments. NUR 621 Topic 1 DQ 2 Health Care Regulation Chen et al. (2020) elaborate that direct costs in such regulatory ventures include implementing and maintaining compliance, incorporating staff training, documentation processes, and technology upgrades. Aside from direct costs, indirect costs are also paramount in maintaining compliance. Leger (2021) deliberates that these costs arise from time spent on administrative tasks related to regulatory requirements. Indirect costs can lead to decreased efficiency, potentially contributing to rising healthcare costs.
Healthcare regulation affects every stakeholder within the system, from pharmaceutical and medical device manufacturers to healthcare providers and consumers. NUR 621 Topic 1 DQ 2 Health Care Regulation Research shows that patients are directly impacted by changes in care delivery, privacy protections, and any increased costs passed down from compliance expenses (Griffiths et al., 2023). According to Mclaughlin et al. (2022), healthcare providers struggle to balance the need for efficient care delivery with the ever-increasing administrative burden of adhering to regulations. NUR 621 Topic 1 DQ 2 Health Care Regulation Moreover, healthcare regulation affects organizations that must meet regulatory requirements and are forced to allocate substantial resources.
Private companies, insurance firms, and other related sectors are also affected by healthcare regulation. NUR 621 Topic 1 DQ 2 Health Care Regulation Chen et al. (2020) report that insurance providers are notably affected by regulations on coverage and reimbursement practices on policy design, pricing, and claims processing measures. Pharmaceutical and medical device companies, on the other hand, face regulations governing product development, approval processes, and marketing. Even public health initiatives and research institutions must navigate complex regulatory landscapes, impacting how health interventions are designed and implemented.
NUR 621 Topic 1 DQ 2 Health Care Regulation References
Chen, H., Cates, T., Taylor, M., & Cates, C. (2020). Improving the US hospital reimbursement: how patient satisfaction in HCAHPS reflects lower readmission. International Journal of Health Care Quality Assurance, 33(4/5), 333–344. https://doi.org/10.1108/ijhcqa-03-2019-0066
Griffiths, P., Saville, C., Ball, J., Dall’Ora, C., Meredith, P., Turner, L., & Jones, J. (2023). Costs and cost-effectiveness of improved nurse staffing levels and skill mix in acute hospitals: A systematic review. International Journal of Nursing Studies, 147(147), 104601. https://doi.org/10.1016/j.ijnurstu.2023.104601
Leger, M. (2021). Financial management for nurse managers: Merging the heart of the dollar (5th ed.). Jones and Bartlett. ISBN-13: 9781284230932
Mclaughlin, D. B., Olson, J. R., & Sharma, L. (2022). Healthcare Operations Management. Chicago, Illinois Health Administration Press Washington, DC Association of University Programs in Health Administration. NUR 621 Topic 1 DQ 2 Health Care Regulation