Public Health Chapter 9

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Ohio State University *

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2010

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Health Science

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Oct 30, 2023

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3

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Public Health Chapter 9: Public Health Policy Definitions Policy: set course of action Public policy: government actions affecting all Health policy: set actions aimed specifically at healthy outcomes for the individual or group Politics: influencing others to accept a policy Law: established rules and privileges Government Role in US Health Care Executive branch: suggests, administers, and regulates policy Legislative branch: identifies problems and proposes, debates, passes, and modifies laws to address those problems Judicial branch: interprets laws and their meanings o Stewart Machine Co. v. Davis Police power o For example, requiring immunization of children for entry to school Trends and Shifts in Governmental Roles Government’s role in health care o Shaped by the following: Citizens needs and demands Citizens beliefs and values These beliefs and values often clash with society’s sense of responsibility and need for equality for all citizens o Example: 1990’s debate over health care reform o Freedom of individuals must be balanced with governmental powers Government Health Care Functions Direct services Financing Information Policy setting Public protection
Federal Non-Health Agencies Department of Defense Department of Labor Department of Agriculture Department of Justice Healthy People 2020: An Example of National Health Policy Guidance Builds on Healthy People 2000 and 2010 Four overreaching goals: o Attaining high quality, longer lives free of preventable disease, disability, injury, and premature death o Achieving health equity, eliminating disparities, and improving the health of all groups o Creating social and physical environments that promote good health for all o Promoting quality of life, healthy development, and healthy behaviors across all life stages Federal Health Agencies US Department of Health and Human Services Health Resources and Services Administration Centers for Disease Control and Prevention National Institutes of Health Agency for Healthcare Research and Quality Centers for Medicare and Medicaid Services Legislation and Regulation Legislation Regulations o Board of nursing o Nurse practice act All nurses employed in community settings are subject to legislation and regulations Laws Specific to Nursing Practice Scope of practice
o Involves defining nursing, setting its credentials, and then distinguishing between the practices of nurses, physicians, and other health care providers Licensure o Especially important to nurses in community settings, who often practice with such autonomy Professional negligence (malpractice) o An act (or failure to act) that leads to injury of the patient The Nurse’s Role in the Policy Process Legislative action Regulatory action The process of regulation Nursing advocacy The Process of Regulation Advisory groups Special task forces Nurses means of influence o Writing letters o Speaking at public hearings o Attending the hearings o Testifying o Lobbying
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