NURS 6050 Assignment: Global Healthcare Comparison Matrix and Narrative Statement
NURS 6050 Assignment: Global Healthcare Comparison Matrix and Narrative Statement
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:NURS 6050 Assignment
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. (see attached)
The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)
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.NURS 6050 Assignment
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
Required Readings
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.
Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017). Global action on the social determinants of health. BMJ Global Health, 3(1).
Sandoval-Almazana, R., & Gil-Garcia, J. R. (2011). Are government internet portals evolving towards more interaction, participation, and collaboration? Revisiting the rhetoric of e-government among municipalities. Government Information Quarterly, 29(Suppl. 1), S72–S81.
World Health Organization (WHO). (2021). World Health Organization (WHO). http://www.who.int
NURS 6050 Assignment Answer
Global Health Comparison Grid Template
Use this document to complete the Module 6 Assessment Global Healthcare Comparison Matrix and Narrative Statement
Global Healthcare Issue The issue selected for discussion and comparison is Universal Health Coverage.
Description The World Health Organization (WHO) is actively assisting nations in developing their health systems to achieve and sustain universal health coverage, while also monitoring the progress.
Country United States China
Describe the policy in each country related to the identified healthcare issue United States: Fee-for-service In this policy, healthcare providers receive fees for each service they provide to patients. Regardless of the quality of care, physicians are compensated based on the volume and quantity of services rendered (Reid, Damberg, & Friedberg, 2019).
China: China National Essential Medicines Policy (NEMP) The policy was established to ensure the consistent distribution of medicines and other essential healthcare supplies across the country at a low cost and without profit (Mao, Huang, & Chen, 2019).
What are the strengths of this policy? United States:
- Patients receive excellent service, and providers can suggest improvement strategies for better outcomes.
- Clinicians can charge a fair price for a service and be flexible enough to provide precise help to different patients.
China:
- The policy increases the number of people who use medical services across the country.
- It regulates drug costs and ensures non-profit delivery of pharmaceuticals to healthcare facilities, cutting both outpatient and inpatient costs at the grassroots level.
What are the weaknesses of this policy? United States:
- The fee-for-service policy results in increased inpatient and outpatient costs. The U.S. healthcare system is more costly than in other countries.
China:
- Adequate access to prescription drugs may lead to misuse and overuse. Overuse of injections is frequent in Chinese healthcare facilities, particularly in primary care settings. This not only wastes medical resources but also increases the risk of infections by viruses such as hepatitis C and AIDS (Xiang, Yang, Wang, Ye, & Zhang, 2012).
Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples)
In a fee-for-service environment, social needs are economically unsustainable. While fee-for-service payment incentivizes clinicians to provide more services to consumers, value-based care focuses on keeping patients out of doctors’ offices and pushes providers to address societal issues that worsen or cause serious health problems.
For example, Ikegami (2015) found that physicians tend to deliver more and unnecessary services to maximize their income.
Also, the fee-for-service policy has led to excess out-of-pocket spending for individuals with chronic conditions. Fong (2019) pointed out that certain chronic diseases exert a greater financial toll on the elderly, especially with the fee-for-service program.
Cost-related non-adherence (CRN) is common among people with low income, and it can have serious health effects on populations with chronic infections.
With the affordability of drugs, it is possible to meet the primary social health needs of many poor people and adhere to therapeutic recommendations.NURS 6050 Assignment
