Introduction
A macro perspective on health policy issues can be helpful to identify how problems become policy issues and how these issues result in the creation of health care policy. The neglected epidemic of Chronic Disease also known as non- communicable diseases are a controversial issue that needs to be addressed in the world. In this paper, the writer will provide an explanation of how this issue has resulted from a policy’s creation. Identify the steps in the state and federal policy development process. Furthermore, differentiate between policy development and implementation. Also, explain how stakeholders become involved in the process and why their voices often become a driver for change in health policy.
What is Chronic
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2011).
Policy Making Process. In healthcare, Chronic Disease epidemics cause many threats to the world. In response to the crisis, The Lancet NCD Action Group and the NCD Alliance has proposed five priority actions.
Which are: “Leadership, prevention, treatment, international cooperation, and monitoring and accountability—and the delivery of five priority interventions—tobacco control, salt reduction, improved diets and physical activity, reduction in hazardous alcohol intake, and essential drugs and technologies (The Lancet. 2011).”
The import involvements were chosen for their health paraphernalia, cost-value, small costs of implementation, and political and financial achievability. Tobacco control is the most urgent and immediate priority. They have propose a goal for 2040 that in essence the world would be free from tobacco where fewer than 5% of people engaged in tobacco use (The Lancet. 2011).
Policy problems are identified by many factors that include methods that include getting issues on the political agendas and removing them. The first step in the Policymaking Process is agenda setting. Agenda setting is all about decision-making in the first phase of the policymaking process. To be considered on the agenda, difficulties must arise to policymakers’ attention. Healthcare problems are highly visible, because the affect the nation, whereas major problems no relating to health are considered invisible to make the agenda (The
This assignment requires that I develop and thoroughly analyze a public policy in order to advocate for one that improves the health of the public and/or the nursing profession globally (local, state, national or international). To do this, I must reflect on several aspects of being a policy maker within the nursing profession. I was instructed to consider the following:
Seven in ten deaths in the United States, are attributable to chronic disease (“Leading Causes” 1). These diseases are not on account of bacteria or viruses, which could be treated with an appropriate prescription or vaccine. Chronic conditions are developed through unhealthy lifestyles and behaviors such as a lack of exercise, poor nutrition, poor sleeping habits, and substance use (e.g. tobacco). Consequently, seven in ten of every death can be prevented with changes in lifestyle. The CDC states that these conditions, “are among the most common, costly, and preventable of all health problems” (“Chronic Disease” 1). Although these conditions have clear and definite causes (knowing the exact reason and “cure” for them), they are becoming more prevalent rather than domesticated. According to Wu and Green, “Between 2000 and 2030 the number of Americans with chronic conditions will increase by 37 percent, an increase of 46 million people” (1). This increase comes with an increase in health care costs: the CDC reported that the U.S. spent three trillion dollars on health care in 2014 (“Health Expenditures” 1). 86% of these costs was associated with these conditions (“Prevention” 1). Despite there being a range of causes of why patients make these choices, one issue that may be less familiar to others is the lack of knowledge in preventative medicine among health care professionals. Current training standards are not adequately educating or equipping health care professionals
Not only has the cases of preventable chronic diseases increased over the years affecting half of the U.S population, they account for 86% of the health care costs. Programs and policies that address risk factors and causes of these diseases at their roots would not only promote public health but reduce the cost of health care both in treatment and hospitalization.
Health care reforms is one of the biggest issue for voters. With our aging population, complexity of illness and growing cost of health care, the government need a new approach to delivery of health care system. There is still a large population that are uninsured. There is mounting recognition that our country’s health system is greatly influenced by social determinants, socio-economic status, and environmental
Patient access to affordable health care is an ongoing issue in the United States. The first portion of the policy process involves three different stages, the formulation stage, legislative stage, and the implementation stage. Three main stages exist in the process to transform a topic into a policy (Morone, J. A., Litman, T. J., & Robins, L.S., 2008). Coupled with the implementation stage is an evaluation of all the stages to determine effectiveness and gather information for use in future public health care policy making. In the formulation stage, the ideas, concepts, and information steam from this process of policy making. The
In order to first start a policy process, the problem for which a policy is to be created must be identified and the policy holding a solution to the problem. Researchers and stakeholders will investigate the problem to identify if the policy will reach the policy making agenda. Policies must be to improve society’s health and wellbeing. In the United States (U.S.) public health related issues that require a formulation of a new policy and come from local, state, or federal legislations which ruling govern the provision of health care services and regulations. In this
The topic that I choose to write my policy brief on is Republican Health Policy. The article that I have selected is “What Would A republican Win Mean for Health Policy?” by Gail R. Wilensky. This article is a current event because of the Presidential elections that are taking place at the moment. As individuals are following the elections, it is important to know the changes that can occur depending on who is elected as the next president of the United States.
In united states, 45% of all citizens have at least one chronic disease (4) and there is growing evidence that as a person age, he is more prone to develop other chronic condition if he is suffering from one (5). According to cdc, Heart diseases, diabetes, stroke, obesity, cancer and arthritis are the most prevalent yet preventable chronic conditions leading to hospitalizations, disabilities and decreased quality of life (6).
According to The Center for Managing Chronic Disease at the University of Michigan (2011) website, chronic disease can be defined as any medical condition in which the treatment expectation is one of control, rather than cure. The website further states that up to 70% (1.7 million) of deaths in the United States can be attributed to chronic disease. This statistic is not limited to the United States. The World Health Organization (2014) website states chronic disease accounts for 60% of all deaths worldwide, and half of those deaths occurred in people under the age of 70. The diagnosis of a chronic disease impacts a person in
The United States spends a lot of money on health care and people are starting to notice. The passage of the Affordable Care Act (ACA) was not only supposed to make health care more accessible, but also more affordable. Despite that health care spending has continued to increase and people across the country are voicing a growing concern about what it costs to keep themselves and their families healthy. Politicians on both sides of the party lines speak often and with passion about this health care crisis in America. Everyone agrees that health care takes up too much of the economic pie, but despite the enormity of this problem no one can agree on just why that is and how exactly go about fixing this crisis.
The barriers to receiving effective public health treatment are nothing short of intimidating. Many people in the United States could die if they do not receive adequate public health that take care of their diseases. The government need to create available programs to deal with the increase of diseases and with the aging U.S. population. Invasive and debatable actions sometimes are needed it to find the causes of some diseases.
U.S. health care reform is currently one of the most heavily discussed topics in health discourse and politics. After former President Clinton’s failed attempt at health care reform in the mid-1990s, the Bush administration showed no serious efforts at achieving universal health coverage for the millions of uninsured Americans. With Barack Obama as the current U.S. President, health care reform is once again a top priority. President Obama has made a promise to “provide affordable, comprehensive, and portable health coverage for all Americans…” by the end of his first term (Barackobama.com). The heated debate between the two major political parties over health care reform revolves around how to pay for it and more importantly, whether it
Modern society is dealing with a health crisis that has been on the rise for years. Ongoing
The theoretical framework that is used in this paper is Collins’s framework, which he describes as a simple tool for policy making (Collins 2005). Collins’s framework is a framework specifically designed for health policies and is an adapted version of Bardach’s policy framework. Bardach proposes eight steps to create a policy; he calls this the ‘eight-fold-path’.
With seven billion people in the world, healthcare and healthcare infrastructure are increasingly important. Public health professionals are currently focusing on the following five topic areas to improve global health. By ensuring that everyone can have access to adequate care, the healthcare community can reduce premature mortality rates and the severity of epidemics.