U.S. Health Policy and Practice: The Doctor of Nursing Practice and Patients With Multiple Chronic Conditions

2017 ◽  
Vol 10 (1) ◽  
pp. 50-55
Author(s):  
Kim Kuebler

The doctor of nursing practice (DNP) provides a link between health policy and practice. This article provides an overview of the current legislation influencing the care and management of the nation’s largest, fastest growing, and costliest patient population—those with multiple chronic conditions. The DNP who remains informed and knowledgeable about the legislative changes directing practice and reimbursement will be prepared to demonstrate quality and value in an era of transparency. A brief overview of merit incentive reimbursement and alternative payment models are described as the United States moves toward population-based health.

Author(s):  
Monika Mitra ◽  
Linda Long-Bellil ◽  
Robyn Powell

This chapter draws on medical, social, and legal perspectives to identify and highlight ethical issues pertaining to the treatment, representation, and inclusion of persons with disabilities in public health policy and practice. A brief history of disability in the United States is provided as a context for examining the key ethical issues related to public health policy and practice. Conceptual frameworks and approaches to disability are then described and applied. The chapter then discusses the imperativeness of expanding access to public health programs by persons with disabilities, the need to address implicit and structural biases, and the importance of including persons with disabilities in public health decision-making.


2015 ◽  
Vol 8 (1) ◽  
pp. 139-144
Author(s):  
Kim Kuebler

The ratio of people aged 65 years and older compared to people aged 20–64 years are expected to rise by 80% over the next decade. Currently, 70% of the American population is living with a chronic disease, and 2 out of 3 have multiple chronic conditions (MCC). The purpose of this review is to identify the current Federal Initiatives funded by the Affordable Care Act that are being used to demonstrate and promote the use of self-management practices in patients who are living with MCCs. Patients with MCCs who engage in self-management practices have shown to have a reduction in disease complications and exacerbations, less hospitalization and readmission rates, improved physical functioning, and adherence to their medical plan.


2015 ◽  
Vol 8 (1) ◽  
pp. 84-86
Author(s):  
Dawn Bucher

Adults are living longer with multiple chronic conditions. There are many challenges to providing comprehensive care to patients around the country in today’s system. This article, although personal, discusses some challenges seen by the writer but witnessed by many. It also looks at some challenges nurse practitioners have when practicing in multiple states across the country. Lastly, I offer my opinion on certification as a Diplomate of Comprehensive Care for all Doctor of Nursing Practice clinicians who provide comprehensive care in independent practice settings. It is time to provide safe, quality, comprehensive care to our patients in a reputable health care system.


2019 ◽  
Vol 40 (1) ◽  
pp. 167-185 ◽  
Author(s):  
Sarah E. Gollust ◽  
Erika Franklin Fowler ◽  
Jeff Niederdeppe

Television (TV) news, and especially local TV news, remains an important vehicle through which Americans obtain information about health-related topics. In this review, we synthesize theory and evidence on four main functions of TV news in shaping public health policy and practice: reporting events and information to the public (surveillance); providing the context for and meaning surrounding health issues (interpretation); cultivating community values, beliefs, and norms (socialization); and attracting and maintaining public attention for advertisers (attention merchant). We also identify challenges for TV news as a vehicle for improving public health, including declining audiences, industry changes such as station consolidation, increasingly politicized content, potential spread of misinformation, and lack of attention to inequity. We offer recommendations for public health practitioners and researchers to leverage TV news to improve public health and advance health equity.


2013 ◽  
Vol 22 (Suppl 1) ◽  
pp. A15.3-A16
Author(s):  
M Berry ◽  
J McCallum ◽  
D Ghersi ◽  
A Fitzgerald ◽  
J Clydesdale ◽  
...  

BMJ ◽  
2015 ◽  
pp. h4984 ◽  
Author(s):  
Mary E Tinetti ◽  
Gail McAvay ◽  
Mark Trentalange ◽  
Andrew B Cohen ◽  
Heather G Allore

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