NRS-440 Topic 1 DQ 2:EXPLAIN HOW HEALTH CARE REFORM HAS HELPED SHIFT THE FOCUS FROM A DISEASE-ORIENTED HEALTH CARE SYSTEM TO ONE OF WELLNESS AND PREVENTION
NRS-440 Topic 1 DQ 2:EXPLAIN HOW HEALTH CARE REFORM HAS HELPED SHIFT THE FOCUS FROM A DISEASE-ORIENTED HEALTH CARE SYSTEM TO ONE OF WELLNESS AND PREVENTION
Over the years, there have been several changes in the health care systems. A health care reform refers to a fundamental, purposeful, and sustained change that affects the who, how, and what of a health care system, to steer it inthe desired direction (Marušič & Rupel, 2017). These changes affect the ever-rising costs of health services, affordability and accessibility to care, and insurance coverage. The Affordable Care Act (ACA) of 2010 is one of the most significant reforms in the United States that has improved health care quality, reduced costs, and increased insurance coverage. Cherry and Jacobs (2019) assert that the ACA policy has components with a tremendous positive potentiality of lowering health costs and improving healthcare quality. Health care reforms have shifted the focus from disease-oriented to wellness and prevention.
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NRS-440 Topic 1 DQ 2:EXPLAIN HOW HEALTH CARE REFORM HAS HELPED SHIFT THE FOCUS FROM A DISEASE-ORIENTED HEALTH CARE SYSTEM TO ONE OF WELLNESS AND PREVENTION
ACA provides community and public health agencies with funds for primary preventive programs, shifting the focus from disease treatment. Reforms also offer guidelines on how people can live a healthy lifestyle. These include encouraging exercising and healthy living, tobacco-free lifestyles, mental health awareness, providing better access to preventative services such as immunizations and screenings, and eliminating health disparities. Additionally, the reforms have encouraged the building of safe communities and healthy living environments.
The health care system will continue with this shift to wellness and prevention. Hospitals are relocating and incorporating community-based care in their systems. They provide laboratory and radiological services within the communities. Patients are more likely to utilize the health care services brought near to their homes, heeding to the preventative care offered.
Nurses play various roles in supporting the shift to wellness and prevention. Nurses are better placed on educating communities on wellness and health measures, explaining the necessity of healthy living and interventions for healthy diets (Salmond & Echevarria, 2017). Nurses also assess the needs of the community and mobilize resources through advocating. Resources such as health care professionals to provide care and home aids to prevent falls for the elderly promote wellness and prevention strategies.
References
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NRS-440 Topic 1 DQ 2:EXPLAIN HOW HEALTH CARE REFORM HAS HELPED SHIFT THE FOCUS FROM A DISEASE-ORIENTED HEALTH CARE SYSTEM TO ONE OF WELLNESS AND PREVENTION
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Cherry, B., & Jacob, S. R. (2019). Contemporary Nursing: Issues, Trends, & Management (8th ed.). Mosby.
Marušič, D., & Rupel, V. P. (2017). Health care reforms. Slovenian Journal of Public Health, 55(3), 225–227. https://doi.org/10.1515/sjph-2016-0028
Salmond, S. W., & Echevarria, M. (2017). Healthcare transformation and changing roles for nursing. Orthopaedic Nursing, 36(1), 12–25. https://doi.org/10.1097/nor.0000000000000308
Assessment Description
Explain how health care reform has helped shift the focus from a disease-oriented health care system to one of wellness and prevention. Discuss ways in which health care will continue this trend and explain the role of nursing in supporting and facilitating this shift. In replies to peers, provide an example of wellness and prevention initiatives your organization or specialty area has in place.