Proposing Evidence-Based Change for Inequalities in Healthcare Access
Use the Template below
Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Then, conduct a comparative analysis of other, non-U.S. health care systems, focusing on the proposed change. Summarize the proposed change and your comparative analysis in a 5-page report.
Introduction
Note: Complete the assessments in the order in which they are presented.
Health care systems around the world provide useful models for analysis. Familiarity with different models and approaches to health care enables leaders to identify what works and what does not, as the basis for proposing a change. As we continue to evaluate the complex and fragmented system in the United States, it is important for nurse leaders to become familiar with the programs and systems that provide evidence-based quality care that is affordable and focused on continual improvement.
This assessment provides an opportunity to examine a local or regional health care issue from a global perspective.
Preparation
Your organization, in collaboration with the key stakeholders from the community, is funding an initiative to investigate potential improvements in the local or regional health care system. As a nurse leader attuned to the effects of health care policy and finance on the provision of affordable, high-quality care, you have been asked to join the task force conducting the study.
You know that an examination of other countries' health care systems can provide a solid, evidence-based foundation for evaluating outcomes and identifying benchmarks. Consequently, you have decided to undertake an analysis of selected, non-U.S. health care systems and compare them to each other and to the existing local or regional U.S. system to help inform decision making as the task force considers proposed changes.
In this assessment, you will propose a change to one aspect of your local or regional health care system or program. Conduct a comparative analysis of different health care systems and summarize your proposed change and findings from your analysis in a report to executive leaders. To prepare for your assessment, you are encouraged to begin thinking about the non-U.S. health care systems you might like to examine. In addition, you may wish to:
- Review the assessment requirements and scoring guide to ensure that you understand the work you will be asked to complete.
- Review guiding questions, which includes questions to consider and additional guidance on how to successfully complete the assessment.
Requirements
Complete this assessment in three steps:
- Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. (Charleston South Carolina)
- Conduct a comparative analysis of different health care systems, focusing on one aspect of the system you are proposing to change.
- Summarize your proposed change and the results of your comparative analysis in a report to executive leaders.
The summary report requirements outlined below, correspond to the grading criteria in the scoring guide for Proposing Evidence-Based Change, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Proposing Evidence-Based Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.
- Identify an aspect of a local or regional health care system or program that should be a focus for change.
- Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.
- Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States.
- Choose one of the following options for selecting the two systems or programs: (Charleston South Carolina
- Option 1: Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change.
- Option 2: Select two systems that both produce positive outcomes but take unique or innovative approaches to the problem.
- Compare the outcomes in each non-U.S. system with each other and with present outcomes in your local or regional health care system.
- Explain why specific changes will lead to improved outcomes.
- Determine the financial and health implications associated with the proposed changes.
- Address the implications of making the changes.
- Address the implications of not making the changes.
- Write clearly and concisely in a logically coherent and appropriate form and style.
- Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.
Document Format and Length
- Use the Summary Report Template. This APA Style Paper Tutorial [DOCX] can help you in writing and formatting your assessment. If you would like to use a different worksheet for your community health assessment, obtain prior approval from faculty.
- Your summary report should be 5 pages in length, not including the title page and references page.
- Be sure to apply correct APA formatting to all source citations and references.
Proposing Evidence-Based Change
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The existing healthcare system in Charleston, South Carolina, presents fundamental inequalities in healthcare access coupled with increased healthcare costs. Establishing and developing a universal healthcare system should be the focus of change in Charleston, South Carolina. This specific change is vital in addressing the abovementioned problems of inequalities in healthcare access and high healthcare costs and improving health outcomes. Despite their current socioeconomic status, universal healthcare ensures all Charleston residents have access to affordable and comprehensive healthcare. More importantly, the only way to realize health equity is by ameliorating and recognizing health inequities and systems supporting them (Befus et al., 2019). Such proposed change seeks to improve healthcare equity, enhance general health outcomes, and mitigate financial challenges in Charleston society.
Definition of desirable outcomes and limiting factors
Various significant desirable outcomes are involved in the implementation of universal healthcare universal in Charleston, South Carolina. One of the desirable outcomes of implementing universal healthcare is increased healthcare access. Universal healthcare would enhance access to essential healthcare services for Charleston residents, like screenings, preventive care, and treatment of chronic and acute conditions. Subsequently, this increased access would cause early detection and effective management of various health conditions, resulting in optimal health outcomes and enhanced life quality. Cost-effective care is another desirable outcome for implementing the universal healthcare system in Charleston, South Carolina. There would be an equitable distribution of healthcare costs across populations through implementing a universal healthcare system, decreasing the financial burden on families and people. This decrease would enhance patients' financial protection and affordability, ensuring no medical bankruptcies and fostering equitable healthcare access. In essence, considering the resource constraints, there are extensive social choices concerning expenditures on healthcare versus other initiatives like social protection and education, among others, which would be more cost-effective approaches to enhancing health and mitigating health disparities (Cookson et al., 2021). In addition, health equity is a desired outcome of universal healthcare system implementation. Incorporating universal healthcare in Charleston would be critical in addressing health inequalities by ensuring all residents have equal access to essential healthcare services despite their current socioeconomic status, ethnicity, and race. Essentially, this would enhance health equality and decrease inequalities in healthcare access in the community. Healthcare coverage expansions that leave rural communities and people experiencing poverty behind increase social disparities in the context of healthcare (Cookson et al., 2021).
Two significant factors hinder the realization of the above desirable outcomes, including financial implications and resistance to change. Introducing a universal healthcare system may encounter serious opposition from different parties interested in Charleston's existing healthcare system. Such resistance to change, coupled with political issues or difficulties, may hinder the successful incorporation of the proposed change. Policymakers and change teams should understand the complexities and features of the administrative context where the policy or modification will be operational (Campos & Reich, 2019). The development and implementation of a universal healthcare system would require enormous financial resources and a complete overhaul and restructuring of the existing financial system in Charleston. It would be challenging to find and assemble all the necessary financial resources and completely restructure the current financial system owing to the complex process involved. The allocated or available financial resources may be inadequate to facilitate the requirements of effective healthcare policy implementation, which presents a significant challenge to the performance of the policy (Campos & Reich, 2019). There would be a need to incorporate funding mechanisms such that sustainable funding is seamless and does not burden the taxpayers or the economy.
Analysis of Two Non-U.S. Healthcare Systems or Programs
A comparative analysis of non-U.S. healthcare will be fundamental in offering insights into the proposed change. The single-payer healthcare system of Canada and the social health insurance system of Germany provide essential insights into the proposed universal healthcare system of Charleston, South Carolina. Moreover, they represent varying approaches to the universal healthcare system and offer powerful lessons to incorporate the exact change in Charleston. The healthcare system in Canada assumes a single-payer system model, which is funded publicly and provides universal coverage for all the residents of Canada. The government solely pays for all the healthcare services, and the healthcare facilities or providers operate based on fee-for-service. The model uses a cost-minimization approach and offers significant cost savings (Bamforth et al., 2021).
The model has significant features and outcomes like increased healthcare access, health equity, and cost containment. The single-payer healthcare system facilitates seamless access to healthcare services for all Canadian citizens without considering their ability to pay. This facilitation has led to enhanced health outcomes and increased life expectancy as opposed to the U.S. The model successfully contained costs by focusing on administrative care, reducing administrative fees, and negotiating drug prices....
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