Health Policy and Politics

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  • Edition: 4th
  • Format: Hardcover
  • Copyright: 2011-11-02
  • Publisher: Jones & Bartlett Learning
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Relied upon by faculty as a centerpiece for their health policy courses, the newly updated Fourth Edition of Health Policy and Politics: A Nurse’s Guide continues to expand on the relationship between health policy and politics as they relate to the field of nursing. A timely and relevant revision, the Fourth Edition includes a completely updated chapter on economics and contains the most current information on the politics surrounding health policy. Practicing clinicians and administrators will learn how health policy affects them and how to get politically active. Health Policy walks readers through the process of public policy making, including agenda setting, government response, program response, implementation, and evaluation and teaches nurses in advanced practice how to deliver quality health care by appropriate providers in a cost-effective manner.

Table of Contents

Prefacep. vii
Why a Fourth Edition?p. vii
Target Audiencep. viii
Using This Bookp. x
Acknowledgmentsp. xi
Contributorsp. xiii
Advanced Practice Nurses and Public Policy, Naturallyp. 1
Introductionp. 1
Changes in Nursing Education and Practicep. 3
Developing a More Sophisticated Political Role for Nursesp. 9
21st Century Organizationsp. 11
What Is Public Policy?p. 12
Why Nurses and Public Policy?p. 15
An Overview of the Policy Processp. 16
A Bright Futurep. 19
Conclusionp. 22
Discussion Points and Activitiesp. 23
Referencesp. 25
Agenda Settingp. 29
Introductionp. 29
Case Study 1: Immigration and Perinatal Carep. 30
Case Study 2: The National Center for Nursing Research Amendmentp. 32
Overview of Models and Dimensionsp. 33
Conclusionp. 41
Discussion Points and Activitiesp. 42
Referencesp. 43
Government Response: Legislation-Politics: Playing the Gamep. 45
Introductionp. 45
Political Involvement: Option Versus Obligationp. 46
Politics-What Is It Really?p. 47
Effective Lobbying: A Three-Legged Stoolp. 52
Trends and Toolsp. 62
Conclusionp. 66
Running for Elective Office-One Nurse's Experiencep. 66
Discussion Points and Activitiesp. 69
Referencesp. 70
Government Regulation: Parallel and Powerfulp. 73
Introductionp. 74
Regulation Versus Legislationp. 74
Health Professions Regulation and Licensingp. 75
Regulation of Advanced Practice Nursesp. 81
Current Issues in Regulation and Licensurep. 96
The Future of Advanced Practice Nurse Regulationp. 99
Conclusionp. 102
Discussion Points and Activitiesp. 103
Case Study 1: Regulation of Pronouncement of Death in Ohiop. 104
Case Study 2: Changes in Regulationsp. 106
Referencesp. 108
Policy Designp. 111
Introductionp. 111
The Policy Processp. 112
Review of Policy Researchp. 113
The Design Issuep. 114
Policy Instrumentsp. 115
Using Tools as a Looking Glass: Two Case Studiesp. 117
Case Study 1: Comparative Analysis of Pregnancy Outcomes in Two Countriesp. 118
Case Study 2: Polypharmacy Problemsp. 121
Bringing Policy to the Classroomp. 121
Conclusionp. 122
Discussion Points and Activitiesp. 122
Referencesp. 123
Implementationp. 125
Introductionp. 125
Implementation: The Processp. 126
Case Studies: Implementation and APRNsp. 129
Case Study 1: Direct Physician/Practitioner Supervision of Nursing Interventions and Practicesp. 130
Case Study 2: Developing and Implementing Innovative Models of Carep. 131
Case Study 3: Medicare Physician Fee Schedule Proposed Rulep. 131
Case Study 4: Home Health Care and Durable Medical Equipment (DME)p. 131
Case Study 5: Advancing Access to Care Through Full Utilization of APRNsp. 132
Implementation Strategies for the 2008 Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, & Educationp. 133
Case Study 6: Restricted Scope of APRN Practicep. 135
Referencesp. 136
Program Evaluationp. 137
Introductionp. 138
Policy, Public Policy, and Social Programsp. 139
Program Evaluationp. 141
Accountability in Program Evaluationp. 144
Theory: A Valuable Tool in Evaluationp. 146
Ethics and Evaluationp. 146
Program Evaluation Design Optionsp. 150
Evaluation Reports: Sharing the Findingsp. 152
Conclusionp. 154
Discussion Points and Activitiesp. 155
Case Study 1: Evaluating Clinic Servicesp. 155
Case Study 2: Clinic: For Episodic or Chronic Care?p. 156
Referencesp. 157
The Impact of Social Networking and the Internet on Healthcare Decisionsp. 161
Introductionp. 162
Social Networks: How They Have Changed Communicationp. 162
Social Networking and Healthcare Information: A Mixed Blessingp. 165
Beyond Informatics: Electronic Health Recordsp. 170
Information, Legislation, and Health Carep. 171
The Future of Healthcare Policy in the Age of Social Networkingp. 173
Case Study 1p. 174
Case Study 2p. 175
Referencesp. 175
Policy Nurses Advance Policy Agendas in Many Arenasp. 179
Introductionp. 179
Policy Nurses in Nurse Associationsp. 180
Connecting and Educating Policy Nursesp. 180
Advocacy for Advanced Practice Nurse Organizationsp. 182
Conclusionp. 186
Discussion Points and Activitiesp. 187
Referencep. 187
Additional Resourcesp. 187
Overview: The Economics and Finance of Health Carep. 191
Introductionp. 192
Economics and Finance: A Comparisonp. 193
Discussion Points and Activitiesp. 201
Case Study: The Impact of the Affordable Care Act on North Carolina's Uninsured Populationp. 202
Websites of Interestp. 204
Referencesp. 205
Global Connectionsp. 207
Introductionp. 207
Global Issuesp. 207
The Importance of Understanding the Cultural Contextp. 209
The Nurse Shortagep. 210
Nurse Involvement in Policy Decisionsp. 211
Case Study: The Resurgence of Poliop. 213
Conclusionp. 215
Discussion Points and Activitiesp. 216
Referencesp. 216
Indexp. 219
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