Final Exam requirements:
Briefly introduce a specific health disparity occurring in the United States, and discuss the following:
- The social determinant(s) of health (SDH) that most influence this disparity;
- How health care financing impacts this disparity;
- How the organization of health care delivery systems impacts this disparity;
- A specific state or federal health/public policy related to one of the social determinants of health that negatively impacts this disparity; and,
- Nursing’s role in changing this policy to improve the health disparity (Be specific! Where in the policy cycle would intervention be the most effective? What actions would be taken? How?
Each question (including introducing the health disparity) should be answered in a maximum of 300 words, and be supported by one current, peer-reviewed/scholarly article or the assigned textbooks (not included in the word count). A reference list in APA format should be included with the Final Exam.
|This criterion is linked to a Learning OutcomeHealth Disparity Identified|
All of the following elements are addressed: (1) Health disparity defined; (2) specific disparity identified according to differences that cannot be explained by variations in health care needs, patient preferences, or treatment recommendations; (3) support data for disparity is cited. (4) Broad governmental or NGO initiatives addressing the disparity; (5) Primary impact of the disparity is explored re: economic, quality of care, morbidity & mortality, and/or social justice.
|This criterion is linked to a Learning OutcomeSocial Determinants of Health|
All of the following areas are addressed: (1) SDH defined; (2) Disparity is explored as it occurs across one or more of the following dimensions: race/ethnicity, socioeconomic status, age, location, gender, disability status, citizenship, and/or sexual orientation; (3) Why must this SDH be addressed to achieve greater health equity?
|This criterion is linked to a Learning OutcomeHealth Care Financing|
All of the following areas are addressed: (1) Discuss how the reliance on employer-sponsored health insurance (ESI) in the United States impacts the identified health disparity; (2) Discuss the impact of Medicare and/or Medicaid (as appropriate) on the identified disparity. (3) The impact of Medical/Health Savings Accounts, and/or the impact of private insurance ‘incentives’ to maintain health or ‘disincentives’ for unhealthy lifestyle choices.
|This criterion is linked to a Learning OutcomeHealth Care Delivery System|
Discuss 3 aspect(s) of the health care delivery system that most impacts the identified health disparity (examples may include, but are not limited to: access to screening, preventive services, information technology/EHR, rural v. urban HC systems, access to primary care v ED care, distribution of HCPs, the strength/weakness of the Public Health care system in the US; the shift from inpatient to outpatient care; community-based and in-home care options; long-term/transitional care systems, the mental health care service systems, etc.)
|This criterion is linked to a Learning OutcomeHealth/Public Policy|
All of the following areas are addressed: (1)Identify a specific policy (state or federal; existing or under consideration) that impacts the social determinant(s) of health identified in Question 2 as playing a major role in perpetuating the health disparity identified. (2) Name the policy & it’s intended effect; (3) describe it’s actual effect; (4) and how/why it should be repealed or amended (if existing); or introduced and passed if not current legislation.
|This criterion is linked to a Learning OutcomeNursing’s Role|
Three *specific* ways individual nurses can become involved as advocates and/or allies to influence the policy suggestion are addressed. Two *specific* ways nursing organizations can be involved are addressed.
|This criterion is linked to a Learning OutcomeWriting Style/APA|
Scholarly writing style is evident; Maximum word count is not exceeded; In-text and reference list citations are formatted consistent with APA. No more than 3 different APA error-types are noted.
|Total Points: 100.0|
USE TEXTBOOK POLICY and POLITICS FOR NURSES second edition by Donna M. Nickitas, Donna J.Middaugh, Nancy Aries