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NURS 6050 Discussion 1 Evidence Base in Design Walden
Sample Answer for NURS 6050 Discussion 1 Evidence Base in Design Walden Included After Question
When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.
In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.
To Prepare:
Review the Congress website provided in the Resources and identify one recent (within the past 5 years) proposed health policy.
Review the health policy you identified and reflect on the background and development of this health policy.
By Day 3 of Week 7
Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.
A Sample Answer For the Assignment: NURS 6050 Discussion 1 Evidence Base in Design Walden
Title: NURS 6050 Discussion 1 Evidence Base in Design Walden
Ensuring Access to Abortion Act of 2022
One of the recent proposed health policies is tackling the controversial abortion issue and ensuring women’s right to reproductive health. “Ensuring Access to Abortion Act of 2022” is a bill that was sponsored by Lizzie Fletcher, a Democrat representative of Texas (117th Congress, 2021-2022). The proposed legislation was passed recently on the floor on 15th of July this year (117th Congress, 2021-2022). As far as this policy is concerned, anyone acting under state statute is prohibited from interfering with a woman’s ability to seek out-of-state abortion services. In essence, the bill would offer protection to those in need of abortion help, healthcare providers offering such services to patients from other states, and individuals assisting others in the matter of abortion.
Legislative efforts contribute to the development of the current proposed policy. In light of this abortion issue in the United States, the background and development of the current health policy comes in the wake of the Supreme Court’s ruling to upend Roe v. Wade that has led various states to establish their own abortion laws (Doud, 2022). The decision by the Supreme Court has made millions of Americans struggle to access abortion care, allowing females who can travel thousands of miles access it and forcing those who are not able to do it to carry a pregnancy against will (Davis, 2022). The current policy is projected to safeguard the right to travel while seeking access to abortion, prohibiting to hinder one’s ability to cross state borders for abortion services.
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The social determinant affecting this policy is the woman’s right to reproductive health and freedom. I suppose there is an evidence base to support the proposed policy as states with enacted restrictive abortion legislation far outnumber those with abortion-supportive laws (Doud, 2022). According to Davis (2022), it has been illegal in some states to seek abortion care in another state, hence limiting access to abortion services. Since the current policy removes the barriers on the movement within the country to terminate pregnancy, it seeks to expand the woman’s access to abortion and reproductive care. At the same time, the policy will include obligations to ensure women and girls do not undergo unsafe abortion (Cappiello et al., 2017). The ratification of the policy will alleviate the related health risks of insecure abortion elevated through inter-state travel restrictions.
A Sample Answer 2 For the Assignment: NURS 6050 Discussion 1 Evidence Base in Design Walden
Title: NURS 6050 Discussion 1 Evidence Base in Design Walden
I agree with your statement. The Biden-Harris administration released a Notice of Benefit and Payment Parameters Proposed Rule for the year of 2024 to advance the Affordable Care Act (ACA) and expand the access to health care services, simplifying choice and enhancing the plan selection process, easy enrollment in coverage. Increasing the access to healthcare has two major Essential Community Provider (ECP) that are to deliver critical care for Substance Use Disorder Treatment Centers and Mental Health Facilities.
President Biden released a strategy to address mental health crisis as part of the agenda by strengthening the capacity of the system with aim of providing psychiatrist, psychologist, and peers to paraprofessionals. According to The White House, they are planning the following below:
- Invest in behavioral health programs for medical providers.
- Inquire about new strategies to train a diverse group of paraprofessionals.
- Create a national certification program for peer specialists.
- Promote mental health for frontline health workers.
- Launch “988” crisis response line and strengthen the community-based crisis response.
- Expand the availability of evidence-based community mental health services.
- Invest in research on new practice models.
Expand the access to mental health care through their insurance coverage. It’s often the cost that is the reason why people stop accessing mental health care. Also providing support to people by creating safety environments. Addressing the determinants of mental and behavioral health, investing in community services, and fostering a culture and environment that promotes the well-being of mental and behavioral health including the recovery phase. Enhancement of the programs regarding prevention and ways to improve is needed as well as the implementation of the programs, especially to those who are at risk.
Reference
Affairs (ASPA), A. S. for P. (2022, December 12). HHS Releases Policies to Make Coverage More Accessible and Expand Behavioral Health Care Access for Millions of Americans in 2024. HHS.gov. https://www.hhs.gov/about/news/2022/12/12/hhs-releases-policies-to-make-coverage-more-accessible-and-expand-behavioral-health-care-access.html
The White House. (2022, March 1). FACT SHEET: President Biden to Announce Strategy to Address Our National Mental Health Crisis, As Part of Unity Agenda in his First State of the Union. The White House. https://www.whitehouse.gov/briefing-room/statements-releases/2022/03/01/fact-sheet-president-biden-to-announce-strategy-to-address-our-national-mental-health-crisis-as-part-of-unity-agenda-in-his-first-state-of-the-union/
A Sample Answer 3 For the Assignment: NURS 6050 Discussion 1 Evidence Base in Design Walden
Title: NURS 6050 Discussion 1 Evidence Base in Design Walden
Almost 50% of Americans will experience a behavioral health concern at some point in their lives, ranging from mood disorders to substance use issues. The shortage of behavioral health professionals is hindering individuals’ access to timely care. Certain populations bear a disproportionate burden due to workforce shortages, including but not limited to rural regions, economically distressed urban areas, Medicaid beneficiaries, individuals from diverse racial backgrounds, and LGBTQ communities. The impact of these shortages is particularly pronounced within these groups, exacerbating existing healthcare disparities (Commonwealth Fund, 2023).
Behavioral health integration (BHI) stands out as a highly effective approach to address and bridge the gaps in prevention and treatment within the realms of mental health and substance abuse (Hartnett et al., 2023). Addressing the mental health crisis and workforce shortage may benefit from increased funding for mental health programs, expanded education and training opportunities for mental health professionals, and destigmatizing mental health to encourage more individuals to pursue careers in the field. Additionally, integrating mental health services into primary care and promoting telehealth solutions can improve accessibility.
Reference
Commonwealth Fund, (2023, May). Understanding the U.S. behavioral Health Workforce Shortage. Retrieved from https://www.commonwealthfund.org/publication/explainer/2023/may/understanding-us-behavioral-health-workforce-shortage
Hartnett, T., Loud, G., Harris, J., Curtis, M., Hoagland, G.W., & Werber Serafini, M. (2023, December 4). Strengthening the integrated Care Workforce. Retrieved From https://bipartisanpolicy.org/report/strengthening-the-integrated-care-workforce/?gad_source=1&gclid=CjwkCAiA44OtBh-AOEiwAj4gpOcvAZQmYESmy-Lj5rt1C0M_ECAvhRngLVX5Om0DWLqH-VatAATVv4CeBoC3QsQAvD_BwE
A Sample Answer 4 For the Assignment: NURS 6050 Discussion 1 Evidence Base in Design Walden
Title: NURS 6050 Discussion 1 Evidence Base in Design Walden
The United States is an outlier in maternal medicine. We are one of the wealthiest countries and yet we have one of the worst maternal mortality rates, and it keeps rising. One of the reasons for this high statistic is the lack in maternal medicine equality in the U.S. “Differences in health insurance coverage and access to care play a role in driving worse maternal and infant health outcomes for people of color” (Hill et al., 2022). We as a nation do not provide adequate maternal care to all citizens. Impoverished and minority groups often have the worst maternal outcomes. “Pregnancy-related mortality rates among Black and ASIAN women are over three and two times higher, respectively, compared to the rate for White women” (Hill et al., 2022). This comes back to the lack of health insurance and access to care. Minorities in AMerica tend to seek less pregnancy care and when sought it is usually toward the end of a pregnancy. Fetal Maternal medicine is a topic that is talked about often, but the disparities are often left behind.
Many states look to change this by instituting review committees however their review process for causes is not consistent as seen in the fact that “49 states have formal maternal mortality review committees (MMRC) to investigate pregnancy-associated deaths, only nine states, Washington, D.C., and New York City consider racial disparities and equity in their assessments” (Tu, 2023). This is an issue as majority of maternal deaths are in the minority communities. Also, there are no regulations on these committees having to report their finding as noted that, “reviews are not consistently delivered by all committees. For instance, MMRCs in only 36 states reported their findings to the CDC between 2017 and 2019” (Tu, 2023). The means that 13 committees chose to not report their findings. This is a concern of great magnitude. How can we seek to fix the issue if we cannot see the disparities or the reviews of cases from committees who look into them across the United States.
This is where H.R. 4605 Healthy Moms and Babies Act proposal comes in. This act seeks to narrow the gap in healthcare disparities and provide new ways of access and guidance in the maternal health arena. They seek to establish programs and require maternal health services to those on Medicaid and enrolled in the CHIP program. They seek to expand access to telehealth services for prenatal and postpartum women on Medicaid. The act will establish an advisement group on the birthing process for healthcare professionals, requiring study on Medicaid coverage of doula services as well. In addition, one of the biggest things they are seeking through this Act is to require the Conters for Medicare and Medicaid services to develop guidance on ways to address social determinants of health for pregnancy and postpartum women to reduce maternal mortality for Medicaid and CHIP beneficiaries.
The Healthy Moms and Babies Act seeks to address one of the biggest reasons for the high rate of maternal fetal deaths in this Country. Medicaid deals with some of the most impoverished communities and if we can, through legislation, guarantee that we are providing access to care and narrowing the gap of inequality in healthcare then we as a nation must work to do so. It is a travesty that we as a country can be one of the wealthiest in the world, but we cannot protect our mothers and babies because we have not made the cause of mortality rate a priority.
References
Congress.gov | library of Congress. (2023). Congress.gov. https://www.congress.gov/
Hill, L., Artiga, S., & Ranji, U. (2022, November 1). Racial Disparities in Maternal and Infant Health: Current Status and Efforts to Address Them. Kaiser Family Foundation. https://www.kff.org/racial-equity-and-health-policy/issue-brief/racial-disparities-in-maternal-and-infant-health-current-status-and-efforts-to-address-them/
Tu, L. (2023, July 25). Why Maternal Mortality Rates Are Getting Worse Across the U.S. Scientific American. https://www.scientificamerican.com/article/why-maternal-mortality-rates-are-getting-worse-across-the-u-s/