Identify recommendations for nursing education you believe will be most effective or radical in creating change within the industry. Topic 1 DQ 2

The report that the Institute of Medicine (IOM) published in 2001 was information that was attempting to depict how the health system should have planned for its improvement. One of the six subjects that was inadvertently pushed aside was equity. There is inequity in health care. “Social determinants of health (SDOH) as defined by the US Centers for Disease Control and Prevention (Centers for Disease Control) are the conditions in which people live, learn, work, and play that are determined by the distribution of money, power, and resources and that affect a wide range of health and quality of-life risks and outcomes” (Macias-Konstantopoulos et al., 2023, p. 907). The health care field is not a level playing field. Insurance has a major influence unfortunately. There is a great push from the administrative staff to make sure that all the paperwork is correctly filled out to get the hospital its money. So yes, the hospital is a business, but it becomes overshadowed by the politics of reassuring that some form of payment is also filed in the patient’s profile as well.

When the healthcare professional has direct patient contact, then they should not have to think about any sort of money exchange. Their focus is improving the patient’s current health care status. Providing health equity should be a given. Having worked in a county hospital, I was able to see how patients were obviously in the hospital because they were unfortunately the ones without insurance and also more so the ones who did not receive preventative care. Therefor they are now in worse shape than they would have been if they had received preventative care to begin with. The evolution of the advanced practice registered nurse will greatly benefit those who require preventative care but are just out of reach of the physician’s care. Having the option to seek care prior to desperately needing care would be extremely beneficial to the patient and extremely cost effective to the health care system.

Macias-Konstantopoulos, W. L., Collins, K. A., Diaz, R., Duber, H. C., Edwards, C. D., Hsu, A. P., Ranney, M. L., Riviello, R. J., Wettstein, Z. S., & Sachs, C. J. (2023). Race, Healthcare, and Health Disparities: A Critical Review and Recommendations for Advancing Health Equity. Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 24(5), 906–918. https://doi-org.lopes.idm.oclc.org/10.5811/westjem.5840

 

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