Health Policy and Politics

by Milstead, Jeri A.

• ISBN13: 9780763751272
• ISBN10: 0763751278
• Edition: 3rd
• Format: Hardcover
• Copyright: 2007-11-07
• Publisher: Jones & Bartlett Learning

Summary

This text is appropriate for the following courses: Nursing or health policy course or policy component of a course in a graduate (master's or doctoral) nursing program Nursing or health policy course or policy component of a course in an undergraduate (baccalaureate) nursing program Health policy course or policy component of a course in a graduate program (e.g., public health, sociology, anthropology, allied health)

Table of Contents

Contributors	p. vii
Preface	p. ix
Acknowledgments	p. xvii
Advanced Practice Nurses and Public Policy, Naturally	p. 1
Introduction	p. 2
Changes in the Practice of Nursing	p. 2
The Emerging Political Role of Nurses	p. 5
Finding a Foundation in Theory and Research	p. 8
A New Organizational Paradigm	p. 10
The Changing Paradigm in Health Care	p. 12
What Is Public Policy?	p. 15
An Overview of the Policy Process	p. 21
A Bright Future	p. 25
Conclusion	p. 32
Agenda Setting	p. 41
Introduction	p. 42
The Nebraska Humane Care Amendment	p. 43
The National Center for Nursing Research Amendment	p. 46
Overview of Models	p. 48
Kingdon Model	p. 48
Importance of Contextual Dimensions	p. 52
Schneider and Ingram Model	p. 58
Conclusion	p. 60
Government Response: Legislation	p. 65
Introduction	p. 66
The Players	p. 66
The Process	p. 78
Research	p. 81
Putting Issues in Context	p. 81
Visibility	p. 82
Effective Communication	p. 83
Eleven Lessons Learned from Nine Years on Capitol Hill	p. 85
Conclusion	p. 88
Government Regulation: Parallel and Powerful	p. 91
Introduction	p. 92
Regulation Versus Legislation	p. 92
Health Professions Regulation and Licensing	p. 94
Methods of Professional Credentialing	p. 97
The State Regulatory Process	p. 101
The Federal Regulatory Process	p. 107
Emergency Regulations	p. 110
Locating Information	p. 111
Providing Public Comment	p. 114
Lobbying and Political Decision Making	p. 115
Strengths and Weaknesses of the Regulatory Process	p. 116
Current Issues in Regulation and Licensure	p. 117
The Future of Advanced Practice Nurse Regulation	p. 121
Conclusion	p. 125
Policy Design	p. 129
Introduction	p. 129
The Policy Process	p. 131
Review of Policy Research	p. 131
The Design Issue	p. 134
Policy Instruments	p. 136
Policy Design Model	p. 138
Behavioral Dimensions	p. 139
Conclusion	p. 141
Case Study in Policy Design	p. 141
Policy Implementation	p. 157
Introduction	p. 158
Policy Implementation Players	p. 159
Conclusion	p. 161
Case Study: Advanced Practice Nurses and Pain Management	p. 161
Case Study: Lead Poisoning in Children	p. 163
Case Study: Back to Sleep and Nothing But Baby Campaigns	p. 164
Program Evaluation	p. 171
Introduction	p. 172
Policy, Public Policy, and Social Programs	p. 173
Program Evaluation	p. 176
Accountability in Program Evaluation	p. 179
Theory: A Valuable Tool in Evaluation	p. 181
Ethics and Evaluation	p. 182
Suggestions to Reduce Ethical Dilemmas in Program Evaluation	p. 186
Program Evaluation Design Options	p. 188
Evaluation Reports: Sharing the Findings	p. 190
Conclusion	p. 193
The Internet and Healthcare Policy Information	p. 197
Introduction	p. 198
Information Literacy and Health Policy	p. 199
Key Health Policy-Related Sites on the Internet	p. 210
Impact of the Internet on the Process of Developing Health Policy	p. 215
Conclusion	p. 216
Policy Nurses Advance Policy Agendas in Many Arenas	p. 221
Introduction	p. 222
Policy Nurses in Nursing Associations	p. 222
Nurse in Washington Roundtable	p. 223
Nursing Specialties Advocacy	p. 223
Nurses in Washington Internship	p. 224
Advanced Practice Nurse Organizations' Advocacy	p. 225
The Nurse's Directory of Capitol Connections	p. 226
University Policy Courses	p. 227
Nightingale Policy Institute	p. 227
Conclusion	p. 229
Applied Healthcare Economics for the Noneconomics Major	p. 231
Introduction	p. 232
How Do Markets Work and What Is the Healthcare Market?	p. 232
Nurse Shortages	p. 233
Economic Rationality	p. 234
Information Economics	p. 234
Adverse Selection and Moral Hazard	p. 236
Externalities	p. 236
Opportunity Costs	p. 237
What Makes the U.S. Healthcare System and Economy Strong?	p. 238
Web Sites of Interest	p. 238
Case Study: The Economics of End-Stage Renal Disease	p. 240
Global Connections	p. 245
Introduction	p. 246
Global Issues	p. 246
Case Study: Implementation of Three Needle-Exchange Programs	p. 250
Case Study: Implementation of Three Needle-Exchange Programs through Application of the Milstead Model	p. 253
Conclusion	p. 264
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