Chapter 22: Public Health Policy and Finance

Study Guide

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Introduction

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Affordable Care Act (ACA)

Signed into law by President Obama in March 2010
Represents the largest change in the federal health policy since the passing of Medicare and Medicaid
Design was to reduce the cost of healthcare to both the individuals and the government by mandating heal

Public Health Policy

Policies that are specifically intended to direct or influence actions, behaviors, or decisions that influence the health of populations
Two way street for nurses

Advocacy

Active engagement ins strategies to effect polices that improve the health of populations, espically those who are experiencing disparities

Public Health Policy and the U.S. Healthcare System

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Market Economy

The prices of goods and services are set by supply and demand
A well functioning economy is one in which there are many buyers, many sellers, and complete information about the goods and services that are being exchanged

Public Health Policy and the U.S. Health-Care System --> National Health Policy --> Special Populations

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Special Populations

The US government directly provides healthcare for soldiers, veterans, members of federally recognized American Indian/Native American tries, and inmates of federal prisons
Special departments are created to service these individuals

The Legislative Process and Public Health Policy

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Policy

Advocating for the best interest of patients is second nature, but advocating for healthcare policies is often unfamiliar territory
In order to affect policy change, it is important that nurses familiarize themselves with the legislative process

Principles of Public Health Policy --> Evidence-Based Practice

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Evidence Based Practice

Important to support policies with bodies of evidence that show it will be effective

Funding Access to Care --> Government Health Insurance Programs --> Children's Health Insurance Program

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Summary Points

Public health policies are authoritative governmental decisions made in government, agencies, or organizations directed toward influencing actions, behaviors, or decisions that influence population health
Public health policy is intrinsically connected to