NURS 6050 Week 11 Assignment Global Healthcare Comparison Matrix and Narrative Statement
Assignment: Global Healthcare Comparison Matrix and Narrative Statement
Week 11-Look at the WHO organization link in your Resources. Go to the Global Health Agenda- There are seven. Investing in Health to Reduce Poverty is number 1, or 3
Universal Coverage, Gender equality, Health Related Human Rights. Alternatively, Tackling Health Determinants of Health.
Here you could address Diet, nutrition; environmental issues like measles, roundworm, TB, West Nile and Zika. You pick a country and then compare it to the US. The Sustainable goals, which are published by the United Nations (WHO part of), will be quite helpful.
If you chose obesity, look at Japan and how they regulate weight where in the US the Obesity epidemic is skyrocketing.
Learning Objectives
- Compare healthcare policies related to global healthcare issues in the U.S. and abroad
- Analyze the impact of the social determinants of health on global healthcare issues
- Analyze how policy impacts the health of the global population
- Analyze how policy impacts the role of the nurse
- Compare how global health issues impact local healthcare organizations and policies in the U.S and abroad
- Recommend advocacy for the incorporation of a global perspective into local practice and the role of the nurse leader
- Analyze impacts of the incorporation of a global perspective into local practice and the role of the nurse leader
- Analyze how a global perspective represents and contributes to social change
Learning Resources
- Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.) Burlington, MA: Jones & Bartlett Learning.
- Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 194–208)
- Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., Kurth, A. E., … Woith, W. (2018). Expanding nursing’s role in responding to global pandemics. Nursing Outlook, 66(4), 412–415. doi:10.1016/j.outlook.2018.06.003
If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?
You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.
Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.
In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.
To Prepare:
- Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
- Select at least one additional country to compare to the U.S. for this Assignment.
- Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
- Review and download the Global Health Comparison Matrix provided in the Resources.
Part 1: Global Health Comparison Matrix
Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:
- Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
- Explain the strengths and weaknesses of each policy.
- Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
- Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
- Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
- Explain how the health policy you selected might impact the role of the nurse in each country.
- Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.
Part 2: A Plan for Social Change
Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.
In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.
- Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
- Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
- Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.
Healthcare Program/Policy Evaluation Analysis Template
Use this document to complete the Module 5 Assessment Assessing a Healthcare Program/Policy Evaluation.
| HealthcareProgram/PolicyEvaluation | The impact of the ACA on access to healthcare services by adultsliving with diabetes |
| Description | ACA is the most transformational nationwide healthcare policy in America’s recent history. Commissioned by Pres. Obama in 2010, the program has been the driver of healthcare transformation in the country. The CDC looks at how the program has benefited adults with diabetes in terms of accessing healthcare services. |
| How was the success of the program or policy measured? | The evaluation examined how the program affected diabetic patients’ access to healthcare. The effects for insured and uninsured people were contrasted. Access to care and the cost of health services were two of the evaluation’s components. Examining access between the groups, the use of medical services, and medical expenditures allowed researchers to gauge the program’s effectiveness in relation to the results for insured individuals. |
| How many people were reached by the program or policy selected? How much of an impact was realized with the program or policyselected? | In 2012, there were at least 29 million Americans who had diabetes. When the ACA went into effect, it was intended to give Americans who had been without insurance for a while access and protection. The ACA succeeded in reducing the number of uninsured people by at least 9 million within four years of its implementation.Although there is no breakdown specifically for persons with diabetes, statistics indicate that millions of Americans joined the national program. In the years following the program’s inception, about 2 million persons with diabetes lacked health insurance. Diabetes patients’ access to healthcare did not significantly increase over the first two years of the Affordable Care Act. |
| What data was used to conduct the program orpolicy evaluation? | The evaluation utilized data from the Medical Expenditure Panel Survey (MEPS) for 2011 and 2012. MEPS keeps a record of different kinds of healthcare data, including the amount of money people pay out of pocket for health services, the number of uninsured at any given time, the quality of service, and the healthcare outcomes. The evaluators examined the demographics of adults living with diabetes aged 19 to 64 years. They also considered other health-related information like access to care, expenditures, and the uptake of healthcare services. |
| What was the specific information onunintended consequencesidentified? | The evaluation noted that while the ACA had the potential to improve healthcare outcomes in the long-term, it would increase the country’s expenditure on healthcare in the short-term. Also, the program will result in increased cost of care for people with diabetes in the short-term, which is one of the unintended outcomes. |
| What stakeholders wereidentified in the evaluation of theprogram or policy? Who would benefit the most from the results andreporting of the program or policy evaluation? Be specific and provideexamples. | National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) was a significant stakeholder in the evaluation. The results of the assessment would benefit the federal government in understanding the impact of the program so far. Results of the evaluation would also benefit health policymakers.They will be able to know the role of the ACA in improving healthcare outcomes for special populations. Adults living with diabetes will also benefit from the evaluation because it points out key areas of success that could benefit them. For instance, they will know from the results the position of ACA in addressing the challenges they face while accessingcare. |
| Did the program or do policies meet the original intent and objectives?Why or why not? | It is still too early to know the impact of the ACA. Based on the evaluation, however, the policy did not have significant implications during the first two years. It did reduce the number of uninsured persons in the country, which is one of its primary goals. Future evaluations will tell whether the policy has positive impacts and whether or not it meets its purpose. |
| Would you recommend implementing thisprogram or policy in your place of work? Why or why not? | ACA has many benefits despite its weaknesses. I think it is a good policy for the country, mainly because it reduces the number of people who do not have healthcare insurance. The ability to pay for healthcare services is a massive impediment to healthcare access, and I think I would support the implementation of this policy because it improves the ability to pay for millions of people. |
| Identify at least two ways that you, as anurse advocate, could become involved inevaluating a program or policy after one year of implementation. | One of the ways through which I could help in the evaluation of ACA is by advocating for resources to aid in the assessment of the policy one year into its implementation. I could also promote record-keeping by hospitals to make sure there is adequate data to support the evaluation after one year. |
| GeneralNotes/Comments | ACA is a transformational policy. It may increase the cost of healthcare for the country in the short-term, but it will reduce healthcare expenditure for people. In the long-term, it will reduce the cost of care for the country. Regular evaluations are, however, necessary to determine its impacts and suggest improvements. |
Global Health Comparison Grid Template
Comparison Matrix and Narrative Statement
| Global HealthcareIssue | ||
| Description | ||
| Country | United States | |
| Describe the policy in each country related to he identifiedhealthcare issue | ||
| What are the strengths of this policy? | ||
| What are the weaknesses of thispolicy? | ||
| Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples) | ||
| How has each country’ governmentaddressed cost,quality, and access to the selected globalhealth issue? | ||
| How has the identified health policy impacted the health of the globalpopulation? (Bespecific and provide examples) | ||
| Describe the potentialimpact of theidentified health policy on the role of nurses in each country. |
| Explain how global health issues impact local healthcare organizations and policies in bothcountries. (Be specific and provide examples) | ||
| GeneralNotes/Comments |
