NRS440VN Trends And Issues In Todays Health Care
Question:
Consider the viewpoints of a local nursing association working on drafting health care policy legislation.
What is the main issue being considered?
How successful has the group been up to this point?
What gaps and barriers exist?
Answer:
Nursing associations are formations of groupings by nurses who have jointly come together to achieve the same purpose. Most professionals form associations to address issues concerning their welfare. Freiler et al. (2013) defines health care policy as steps, procedures and guidelines set up to work towards bettering the condition of health care in a society. These policies are embedded to visualize the goals to be achieved in short, medium and long term basis. To implement a policy therefore needs inclusivity, public participation and empowerment of the society.
American Nursing Association has over the years come up with policies drafted for legislation. Researchers from American Nursing Association came up with the issue of considering the trustworthiness of nurses in improving quality health care. Lorenc et al. (2014) argue that incentives have purely been based on profitability, pressures from the markets, power wrangles in organizations and salary increments. A different approach which includes the judgment of nurses in administering their professional services to patients is crucial. They argue that high quality care depends on the nurse-patient relationship, it is all about the discretion engaged and not the guidelines set. The authors have drafted a bill for review by congress and are in the process of bringing more like-minded scholars and researchers, policy makers and top health staff on board to visualize their policy. They are however still mobilizing support.
There are however missing gaps in making the policy a success. Considering, its non-profit approach, media coverage has become an impediment. The group has faced criticism with media reports scrutinizing on areas of financial support. Shankardass K., Renahy E., Muntaner C. & O’Campo P. (2015) have based their criticism on the fact that Medicare is a capitalistic approach and not a cause of social justice. They argue that funds are needed for nurses to study in form of incentives and scholarships. Nurses need drugs and equipment to facilitate their efficient delivery of services and therefore their approach of trustworthiness is not sufficient reason for policy drafting. The association has also faced hurdles in convincing nurses from states such as Georgia and California. The group is however still liaising with members of congress and health stakeholders.
The World Health Organization recognizes health care as a right to every individual. It is considered as a basic necessity and should be accessible to people of all ages. Health care alone cannot stand out without alignments in areas such as sanitation, proper and decent housing, access to clean water, food security and sensitization on matters related to health. Constitutions all over the world have adopted and implemented in their local laws the right to health care of their citizens. Implementing this therefore means that infrastructure should be adequate. Physical infrastructure includes: hospitals and community health centers; goods such as fully equipped facilities and availability if drugs in those facilities Muntaner and Lynch (2015). The reason that I support healthcare being a right and not a privilege is that human right standards can only be achieved if healthcare is accorded. Equity can only be achieved if every individual is not discriminated on matters of health. Age, gender, sexual orientation, language, income status, nationality, race, and religion should not be impediments to access to quality health care.
States and governments should ensure that they fund and financially support the health care system in their regions to ensure that quality of medication is optimum; standards and control mechanisms have been adhered to. There should also be a follow up to ensure that services are centered on the patients. Through social justice, the right to health care is an elaborate tool. Medical goods and services should be disbursed in a need basis manner. There should be shared responsibilities from both the governmental organizations and the non-governmental bodies. An aspect of collectivism over individualism should be assimilated to ensure that equity is assured. Insurance schemes that are people centered, with minimum capitalist goals should be educated on citizens. Statistics show that uninsured people have a high mortality rate compared to insured people. Having insurance schemes is not a full solution, under insured people cannot access full medical covers due to huge costs of drugs and services from medical facilities.
It is important to note that medical costs can render individuals who have worked there entire life bankrupt. Retrenchments, loss of jobs, divorces, and fatal accidents may raise medical bills to patients and lead to loss of lives. As indicated by Petticrew M., Platt S., McCollam A., Wilson S., & Thomas S. (2013) the most solid contention for arrangement intercession starts with the distinguishing proof of circumstances in which markets fall flat or don’t work proficiently. This precisely speaks to the U.S. medicinal services framework. Besides, wellbeing arrangements regularly come as a result of open social approaches instituted by the administration and an applicable case is the development of medical coverage scope. This is an essential advance to subsidizing medicinal services as a fundamental human right. Maybe Medicare isn’t a ‘one size fits all’ medicinal services alternative, however it surely offers a system for people in general subsidizing of medical coverage as an essential human right, went for giving scope to every single American native, controlling social insurance costs and killing individual and budgetary misfortune because of restorative uses. With a few alterations, it could offer a practical arrangement.
References
Freiler A., Muntaner C., Shankardass K., Mah C.L., Molnar A., Renahy E., et al. (2013). Glossary for the implementation of Health in All Policies (HiAP). Journal of Epidemiology and Community Health, 67(3), 1068–1072.
Lawless A., Williams C., Hurley C., Wildgoose D., Sawford A., & Kickbusch I. (2012). Health in All Policies: evaluating the South Australian approach to intersectoral action for health. Canadian Journal of Public Health., 103(71), 15–19.
Lorenc T., Tyner E. F., Petticrew M., Duffy S., Martineau F. P., Phillips G., et al. (2014). Cultures of evidence across policy sectors: systematic review of qualitative evidence. European Journal of Public Health, 24(6): 1041–7.
Muntaner C. & Lynch J. (2015). Income inequality, social cohesion, and class relations: a critique of Wilkinson’s neo-Durkheimian research program. International Journal of Health Services, 29(1): 59–81.
Petticrew M., Platt S., McCollam A., Wilson S., & Thomas S. (2013). “We’re not short of people telling us what the problems are. We’re short of people telling us what to do”: An appraisal of public policy and mental health. Journal of Public Health, 8(1): 314-320.
Shankardass K., Renahy E., Muntaner C., O’Campo P. (2015) Strengthening the implementation of Health in All Policies: a methodology for realist explanatory case studies. Journal Health Policy and Planning, 30(4): 462–473.
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