Discussion: NRSE 6050 Health Policy
Discussion: NRSE 6050 Health Policy
Discussion: NRSE 6050 Health Policy
Question
NURS6050/NRSE6050/NURS5050 Policy and Advocacy for Improving Population
Health
Week 7 Discussion
Evidence Base in
Design
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.
The social determinants of health (i.e. the conditions in which people live and work) account for a significant proportion of an individual’s and a population’s health outcomes. Health inequities are disparities in health between populations, perpetuated by economic, social, and political forces. Although it is clear that efforts to improve the health of an individual or population must consider “upstream” factors, how this is operationalized in medicine and medical education is controversial. There is a lack of clarity around how health advocacy is delineated, how physicians’ scope of responsibility is defined and how teaching and assessment is conceptualized and enacted. Numerous curricular interventions have been described in the literature; however, regardless of the success of isolated interventions, understanding health advocacy instruction, assessment and evaluation will require a broader examination of processes, practices and values throughout medicine and medical education. To support the instruction, assessment and evaluation of health advocacy, a novel framework for health advocacy is introduced. This framework was developed for several purposes: defining and delineating different types and approaches to advocacy, generating a “roadmap” of possible advocacy activities, establishing shared language and meaning to support communication and collaboration across disciplines and providing a tool for the assessment of learners and for the evaluation of teaching and programs. Current approaches to teaching and assessment of health advocacy are outlined, as well as suggestions for future directions and considerations.
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.