Peer 1
In comparing the UK healthcare system to that of the US, UK seems to be doing better based on different objective indicators. The United Kingdom has shown great interest in learning from the US healthcare system, and this shows different healthcare ideas can be adopted through partnership and simply not through copying (Ham, 2005). Comparing the access to healthcare between these two, In the United States, there have been different barriers that have led to a challenge in accessing healthcare. The fact that the United States does not provide healthcare to the entire population affects the homeless and low-income earners. Checking on the insurance rate, the UK has its entire population Insured while in the US, 11.90% of the whole population are insured (Childers, 2016). This is a challenge to the US healthcare system that has failed to address the need for insurance cover to achieve better healthcare outcomes, especially to the low-income earners. Healthcare achievement in the US is very different from that of the UK even though healthcare delivery in the United States has shown clinical excellence and high responsive care to insured patients (Ham, 2005).
Secondly, checking on the issue of Private and Public services, it has been observed that the United States healthcare system is comprised of private services and this includes insurers and practitioners. The US federal government manages some of the healthcare facilities through collaborative arrangements and programs, and it is due to this that most of the public, private and non-profit organizations have together been able to improve healthcare outcomes (Himmelstein et al., 2014).In contrast, the UK has adopted a healthcare system that assures all its citizens can access through government sponsorship. In the UK, access to healthcare is considered a human right and most of the healthcare centers are under the government and even though there are Private healthcare facilities, they are few in number as compared to those under government control.
There are various challenges in resource allocation that affect the healthcare environment. Among the challenges are such as workforce shortages, lack of advanced technology, decrees from regulatory agencies to improve healthcare quality and patient safety and also the changes in patient population (Benne, et al., 2010). These forces provide an opportunity for advanced Nursing Professionals to design effective policies that would ensure service to all. Among these opportunities is to call for employment of enough healthcare providers, greater voice of nursing in healthcare policy and finally improving the image for nurses and their profession (Benne et al., 2010).
Peer 2
The healthcare system of the United States and the United Kingdom closely represent the extremes, the former has the largest private sector system, while the latter has one of the largest public-sector systems. The United States spends more on health care than any other nation while England is in the bottom among industrial countries. England has made major investments in its health care system, raising the total expenditure to 8.4% of the GDP in 2017, as compared with 16% in the United States (Kahn, Ketel & Rosenbloom, 2015). Healthcare in the U.S. is delivered almost exclusively by private sector providers. Hospitals are either owned by profit companies and by non-profit and charitable organizations. About 84 percent of the population has access to health care through the combination of private health insurance, Medicare, and Medicaid programs (Kahn, Ketel & Rosenbloom, 2015). The remaining 16 percent of the population (mostly working poor and their families) must depend on their own financial resources or charity care to pay for needed medical care (Kahn, Ketel & Rosenbloom, 2015). While both systems have world-class health outcomes, the U.K. health care system has far less variation in health outcomes across its population than does the U.S. In terms of financial fairness, the UK is also ranked higher than the U.S. (Kahn, Ketel & Rosenbloom, 2015).
This outcome is a direct result of the UK national tax-based system versus the private risk-based financing in the U.S. system. In addition, the U.K. system is the very low cost when compared both to other developed nations’ systems and to the extremely prohibitive cost U.S. system. The U.S. healthcare system ranks number one on responsiveness in the same WHO survey (Smith, Cuello, Zhang & Bruera, 2016). While the financially unconstrained U.S. system is quite responsive to its citizens “needs” and “wants”, the financially constrained U.K. system is much less responsive. In the UK system, tight control of funding and health resources have resulted in the intangible “wants” being constrained resulting in waiting lists for non-essential medical care and low marks from WHO for responsiveness.
Registered nurses can impact public policy through advocacy from a unique vantage point. Clinical experiences provide real-life examples illustrating the needs of patients and the outcomes of public policy on patient morbidity and mortality. Nurses should not underestimate their ability to influence access to appropriate, efficient, and effective quality care (Kahn, Ketel & Rosenbloom, 2015). They are in excellent positions to share with various constituencies the importance of appropriate healthcare services available to all United States (U.S.) citizens and residents. Advocacy involves the process of persuading someone to at least consider one’s point of view. The role of the nurse as an advocate in healthcare policy is not a new one. Providing information to elected officials can be a source of considerable influence and reward. As a member of the nursing profession involved in the policy development process, the nurse has the opportunity and the responsibility to provide accurate and up-to-date information (Smith, Cuello, Zhang & Bruera, 2016).
This opportunity requires that the nurse be prepared to discuss the issues factually, that information is based on credible research, and that facts be double checked and presented in a succinct manner using easily understandable language. The approach must be cordial and given in a spirit of cooperation with the hope of achieving the desired outcome or at least an acceptable compromise. The first step in the legislative process is for an individual to desire to address a certain issue or problem. The issue may be as simple as a desire to give public recognition to a person or event or else an issue of a more complex nature. That desire or idea needs to be communicated to a legislator or staff member who believes the idea or issue is worth addressing through the legislative process and who will work with legal counsel to develop a bill. Once the bill is developed, the legislator will approach colleagues to garner support for its introduction (Smith, Cuello, Zhang & Bruera, 2016). A bill is usually introduced only after some support for the proposed piece of legislation has been secured. An elected official who is well respected and who sits on a key committee can carry significant weight in this process and can best facilitate the bill’s advancement.
I need a respond for these 2 classmates. Response posts must be minimum 150 words eaach. Double space. References must be cited in APA format (6th)
This is the original exercise if you needed to see what is about
Review both resources provided below in addition to the assigned readings for this week and reflect on 2 key differences between the UK and US Health systems. What are key opportunities related to advocacy and politics interventions that can be taken by advanced practice nurses to improve our current health system?
Please refer to the resources identified below for details regarding UK Health System.
1. US and UK Health System Comparison- https://www.youtube.com/watch?v=R4Y0TKiwNgo
2. Peterson-Kaiser Health System Tracker- https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries
3. Summary of the American Health Care Act.pdf
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Peer Reply W 11
/in Uncategorized /by developerWhile there are many regimens for the treatment of H. pylori infection, significant efforts in research and innovation have been made as well. The latest research results indicate that the new triple therapy comprising of amoxicillin, protein pump inhibitor (PPI) and levofloxacin has recorded the highest rate of eradication of this bacterial infection (Woo and Robinson, 2015). Alternatively known as hybrid therapy, it delays the overall duration of amoxicillin treatment for about 14 days (Woo and Robinson, 2015). Essentially, the prolonged treatment accounts for a significant percentage of H. pylori eradication by this hybrid therapy as well.
The prevalence resistance worldwide to the triple therapy has enhanced more effort on vonoprazan-based therapy, particularly in regions with a significantly limited rate of clarithromycin resistance. With the evolution of vonoprazan therapy, the treatment options and generally the eradication of helicobacter pylori problems are broadened (Chey et al, 2017). More profoundly, switching the vonoprazan as an acid blocker for H. pylori means that there is a chance for a further reassessment of the triple therapy. It equally improves the efficacy of triple therapy through a significant reduction to the resistance in clarithromycin as previously noted. Additionally, concomitant therapy has also been introduced for the reduction of the metronidazole resistance estimated to be about 50% in Asian countries (Woo and Robinson, 2015). Concomitant therapy implies using conventional antibiotics to reduce resistance levels in triple therapy.
Patients should be advised against consuming contaminated food, water, and other consumables. Such factors exacerbate bacterial infection on the walls of the small intestine through releasing toxins and enzymes. Furthermore, it is imperative that the patient is advised to seek proper counseling. In addition, the interventions can be employed in the control, prevention, and management of H. pylori. Supporting and emphasizing programs on patient’s compliance with drugs, specifically, pharmacists will result in an increase in the number of patients who will be taking medication. While antibiotics are recommended, patients should be watchful of the side effects and report immediately to the healthcare facilities (Woo and Robinson, 2015). Patients are also encouraged to seek for medical checkups frequently. The earlier detection and treatment for this infection will result in a better positive result, unlike the late time action.
References
Chey, W. D., Leontiadis, G. I., Howden, C. W., & Moss, S. F. (2017). ACG clinical guideline: treatment of Helicobacter pylori infection. The American journal of gastroenterology, 112(2), 212.
Woo, T. M., & Robinson, M. V. (2015). Pharmacotherapeutics for advanced practice nurse prescribers. FA Davis.
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Peer Reply W 13
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Peer Reply
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Peer Response 19351615
/in Uncategorized /by developerPeer 1
In comparing the UK healthcare system to that of the US, UK seems to be doing better based on different objective indicators. The United Kingdom has shown great interest in learning from the US healthcare system, and this shows different healthcare ideas can be adopted through partnership and simply not through copying (Ham, 2005). Comparing the access to healthcare between these two, In the United States, there have been different barriers that have led to a challenge in accessing healthcare. The fact that the United States does not provide healthcare to the entire population affects the homeless and low-income earners. Checking on the insurance rate, the UK has its entire population Insured while in the US, 11.90% of the whole population are insured (Childers, 2016). This is a challenge to the US healthcare system that has failed to address the need for insurance cover to achieve better healthcare outcomes, especially to the low-income earners. Healthcare achievement in the US is very different from that of the UK even though healthcare delivery in the United States has shown clinical excellence and high responsive care to insured patients (Ham, 2005).
Secondly, checking on the issue of Private and Public services, it has been observed that the United States healthcare system is comprised of private services and this includes insurers and practitioners. The US federal government manages some of the healthcare facilities through collaborative arrangements and programs, and it is due to this that most of the public, private and non-profit organizations have together been able to improve healthcare outcomes (Himmelstein et al., 2014).In contrast, the UK has adopted a healthcare system that assures all its citizens can access through government sponsorship. In the UK, access to healthcare is considered a human right and most of the healthcare centers are under the government and even though there are Private healthcare facilities, they are few in number as compared to those under government control.
There are various challenges in resource allocation that affect the healthcare environment. Among the challenges are such as workforce shortages, lack of advanced technology, decrees from regulatory agencies to improve healthcare quality and patient safety and also the changes in patient population (Benne, et al., 2010). These forces provide an opportunity for advanced Nursing Professionals to design effective policies that would ensure service to all. Among these opportunities is to call for employment of enough healthcare providers, greater voice of nursing in healthcare policy and finally improving the image for nurses and their profession (Benne et al., 2010).
Peer 2
The healthcare system of the United States and the United Kingdom closely represent the extremes, the former has the largest private sector system, while the latter has one of the largest public-sector systems. The United States spends more on health care than any other nation while England is in the bottom among industrial countries. England has made major investments in its health care system, raising the total expenditure to 8.4% of the GDP in 2017, as compared with 16% in the United States (Kahn, Ketel & Rosenbloom, 2015). Healthcare in the U.S. is delivered almost exclusively by private sector providers. Hospitals are either owned by profit companies and by non-profit and charitable organizations. About 84 percent of the population has access to health care through the combination of private health insurance, Medicare, and Medicaid programs (Kahn, Ketel & Rosenbloom, 2015). The remaining 16 percent of the population (mostly working poor and their families) must depend on their own financial resources or charity care to pay for needed medical care (Kahn, Ketel & Rosenbloom, 2015). While both systems have world-class health outcomes, the U.K. health care system has far less variation in health outcomes across its population than does the U.S. In terms of financial fairness, the UK is also ranked higher than the U.S. (Kahn, Ketel & Rosenbloom, 2015).
This outcome is a direct result of the UK national tax-based system versus the private risk-based financing in the U.S. system. In addition, the U.K. system is the very low cost when compared both to other developed nations’ systems and to the extremely prohibitive cost U.S. system. The U.S. healthcare system ranks number one on responsiveness in the same WHO survey (Smith, Cuello, Zhang & Bruera, 2016). While the financially unconstrained U.S. system is quite responsive to its citizens “needs” and “wants”, the financially constrained U.K. system is much less responsive. In the UK system, tight control of funding and health resources have resulted in the intangible “wants” being constrained resulting in waiting lists for non-essential medical care and low marks from WHO for responsiveness.
Registered nurses can impact public policy through advocacy from a unique vantage point. Clinical experiences provide real-life examples illustrating the needs of patients and the outcomes of public policy on patient morbidity and mortality. Nurses should not underestimate their ability to influence access to appropriate, efficient, and effective quality care (Kahn, Ketel & Rosenbloom, 2015). They are in excellent positions to share with various constituencies the importance of appropriate healthcare services available to all United States (U.S.) citizens and residents. Advocacy involves the process of persuading someone to at least consider one’s point of view. The role of the nurse as an advocate in healthcare policy is not a new one. Providing information to elected officials can be a source of considerable influence and reward. As a member of the nursing profession involved in the policy development process, the nurse has the opportunity and the responsibility to provide accurate and up-to-date information (Smith, Cuello, Zhang & Bruera, 2016).
This opportunity requires that the nurse be prepared to discuss the issues factually, that information is based on credible research, and that facts be double checked and presented in a succinct manner using easily understandable language. The approach must be cordial and given in a spirit of cooperation with the hope of achieving the desired outcome or at least an acceptable compromise. The first step in the legislative process is for an individual to desire to address a certain issue or problem. The issue may be as simple as a desire to give public recognition to a person or event or else an issue of a more complex nature. That desire or idea needs to be communicated to a legislator or staff member who believes the idea or issue is worth addressing through the legislative process and who will work with legal counsel to develop a bill. Once the bill is developed, the legislator will approach colleagues to garner support for its introduction (Smith, Cuello, Zhang & Bruera, 2016). A bill is usually introduced only after some support for the proposed piece of legislation has been secured. An elected official who is well respected and who sits on a key committee can carry significant weight in this process and can best facilitate the bill’s advancement.
I need a respond for these 2 classmates. Response posts must be minimum 150 words eaach. Double space. References must be cited in APA format (6th)
This is the original exercise if you needed to see what is about
Review both resources provided below in addition to the assigned readings for this week and reflect on 2 key differences between the UK and US Health systems. What are key opportunities related to advocacy and politics interventions that can be taken by advanced practice nurses to improve our current health system?
Please refer to the resources identified below for details regarding UK Health System.
1. US and UK Health System Comparison- https://www.youtube.com/watch?v=R4Y0TKiwNgo
2. Peterson-Kaiser Health System Tracker- https://www.healthsystemtracker.org/chart-collection/quality-u-s-healthcare-system-compare-countries/#item-post-op-clots-better-u-s-comparable-countries
3. Summary of the American Health Care Act.pdf
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Peer Response 19358615
/in Uncategorized /by developerPeer 1
The state where I plan to practice as a nurse practitioner is Florida. In terms of contraceptives under the Comprehensive Family Planning Act, statue 381.0051, states that their “access to service prohibitions except as otherwise provided that no medical agency or institution of this state or unit of local government shall interfere with the right of any patient or physician to use medically acceptable contraceptive” (Daley, 2016, p. 34). Furthermore, the act further claims that there are also allowances made and highlighted inside the statue that enables to treat medical complications apart from pregnancy that may be attributed toward to using contraceptive methods (Daley, 2016).
The laws and regulations that govern abortion in Florida tend to be more severe and restrictive compared to other states. “In 2013 Governor Ron Scott signed legislation requiring that doctors performing an abortion offer emergency health care when the baby is in some way born alive. This law is really a first degree misdemeanor that’s punishable with a year in prison along with a fine of $1000” (Sharma, Frederiksen, Malcolm, Rollison & Carter, 2018). Health care professionals and employees must highlight and report all instances towards the department of health. This can be a prime illustration of the significance and the seriousness of the laws and regulations that govern abortion in Florida. These laws and regulations broadly cover patients with and without use of insurance. The condition of Florida comes with an infant and mortality rate of 6 for each 1000 live births as stated by the connected press. The bond between contraceptive access and also the infant mortality rate appear to become congruent. But, there’s no definitive conclusion the two are associated.
Poverty is linked to the maternal and infant mortality, and issues such as diabetes, obesity, asthma and depression. The rates in Florida were 6.0 in 2016 for infant mortality compared to 7.2 as the national rate.
Peer 2
After having conducted a detailed investigation regarding the selected case, it turned out that Florida experiences a high increase in the aspect of infant and maternal mortality rates. Without a doubt, this statistic cannot be underestimated under any pretext, as such situation remains rather alarming. Comparing this data with the general numbers received within other states, it is worth admitting that infant and maternal mortality rates in Florida are 1.5 times higher than in any other state or region of the U.S (March of Dimes Foundation, 2018). That is why there is a growing necessity in analyzing such state of things from different perspectives and providing a comprehensive understanding of such a dramatic situation.
According to the resented investigation, such medical program as Medicaid appears to regulate the nursing sphere and cover the healthcare expenditures of the low-income patients. It is worth remarking that around 65% of patients use this insurance, while around 30% of them are women (Hajizadeh, 2014). Relatively speaking, the program covers only 1/3 risks and dangers among the women related to the contraception and abortion (Hajizadeh, 2014, p. 301). Subsequently, the medical treatment of women with and without an appropriate insurance differs significantly on a daily basis.
As a result, the risks concerning the high mortality among infants have a tendency to augment. Conventionally, this state of things is interdependent with the number of regulating external factors, including healthcare environment, clinical setting and economic well-being of the patients (Hajizadeh, 2014, p. 280). Due to such a complicated situation, the local government is called to take into an accurate consideration the dependence of infant mortality rates on the inefficient healthcare system and on the lack of proper medical services.
All in all, it can be stated that the external factors and a scarcity of financial funding provoke numerous difficulties not only in the context of preventive strategies related to contraception and abortion among the women but also aggravate the medical situation in this state in general.
-I need a respond for these 2 classmates. Response posts must be minimum 150 words each. Double space. References must be cited in APA format (6th)
This is the original activity if you needed
Select the state where you plan to practice as a nurse practitioner and/or nurse leader and investigate the state’s policies on access to contraception and abortion for women with insurance and those without. What are the state’s infant and maternal mortality rates? Discuss the possible relationship between these factors.
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Peer Review Analyzing Research Article
/in Uncategorized /by developerAnalyzing a Research Article
Note: Please complete this discussion before completing the assignment in this unit.
For this discussion, select one of the peer-reviewed
In your initial post:
Post according to the Faculty Expectations Response Guidelines. Be sure to include at least one APA-formatted citation (in-text plus full reference). The citation should be from materials you have read during this unit. It may be from course textbooks, assigned readings, or an outside source.
Overprescribing antiobics
References
Brink, A. J., Messina, A. P., Feldman, C., Richards, G. A., Becker, P. J., Goff, D. A., … & Alliance, N. A. S. S. (2016). Antimicrobial stewardship across 47 South African hospitals: an implementation study. The Lancet Infectious Diseases, 16(9), 1017-1025.
Dobson, E. L., Klepser, M. E., Pogue, J. M., Labreche, M. J., Adams, A. J., Gauthier, T. P., … & Task, S. C. P. A. S. (2017). Outpatient antibiotic stewardship: Interventions and opportunities. Journal of the American Pharmacists Association, 57(4), 464-473.
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Peer Reviewed Articles About Research Studies
/in Uncategorized /by developerChoose two scholarly, peer-reviewed articles about research studies. One article must be an example of a qualitative research study; the other must be a quantitative example.
Write a 600 word statement which includes:
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Peer Reviewed Description Provided
/in Uncategorized /by developerUsing proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not
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Peer Rply W12 Db9
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Peer Summary Interview
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