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Topic 1: In reviewing the Affordable Care Act, what are the potential effects of the options for insurance coverage in both the private and public sectors? How will this impact the discussion about population-based nursing?
The Affordable Care Act (ACA)’s individual mandate, which demanded that all Americans purchase some form of health insurance if they were not covered by their employer, had a sizeable impact upon dramatically increasing enrollment in healthcare plans. It also had a dramatic effect upon the structure of healthcare plans, since the law placed restrictions on the type of coverage available to Americans that did not exist previously. The expansion of the population covered by insurance, including sicker people who were not able to purchase healthcare before, likewise had a significant impact upon the need for population-based nursing. As more people enroll in healthcare insurance, it is vitally important to draw connections between the needs of different populations.
Population-based nursing focuses on similar health concerns or characteristics; for example, the dramatic rise in obesity overall in America and specific populations that are at higher risk for obesity and obesity-related conditions (“Population-Based Public Health Nursing Practice,” 2007). Instead of merely assessing individuals, population-based...
It is more important than ever before that individuals who are well counterbalance the costs of maintaining the health of sick people who are now newly enrolled in healthcare plans. It is also important now that more people are covered within the system to minimize costs by promoting health. Primary versus secondary and tertiary prevention is always preferable. Furthermore, health insurance plans in the future may need to emphasize lower-cost wellness initiatives and also consider empowering other types of qualified and trained providers, such as APRNs, to provide care to patients.
Topic 2: Identify a population-based problem of interest, such as obesity among children. After reviewing topical information in Healthy People 2020 and The Community Guide to Preventive Services, identify relevant outcomes related to this problem that will help guide your plans for intervention.
Although obesity is a significant concern for any population, obesity in children is particularly worrisome given the costs it may incur for the healthcare system as a whole as well as the profound personal costs it poses for the individual. Firstly, children have historically had less of a risk of being obese than adults, due to higher levels of activity, physical growth…
References
Population-based public health nursing practice. (2007). AC DPH - Public Health Nursing. Retrieved from: http://publichealth.lacounty.gov/phn/docs/Level%20of%20Care.pdf
Relationship between poverty and obesity. (2018). FRAC. Retrieved from: http://frac.org/obesity-health/relationship-poverty-obesity
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