NUR370: Week 5 Discussion: System-Based Health Disparities

I’m stuck on a Nursing question and need an explanation.

Step 1 Post a response to the discussion board. In your post, address the following prompts:

  • Define a systems-based perspective in relationship to health inequalities/disparities.
  • Describe the potential nursing role in addressing health inequalities/disparities at the system level.
  • Provide an example from your geographic area about which inequities could most benefit from a systems-based approach.

Step 2 Read other students’ posts and respond to at least two of them by Friday at 11:59pm MT.

In your response, identify one aspect of your peers’ explanation of the nurse’s role in addressing health inequalities/disparities at the system level with which you agree and one aspect with which you have a different opinion. Share the aspect with which you agree with your peer and explain why. Then, share the different opinion you have and explain the reason behind your different opinion, using an example.

Use your personal experience, if it’s relevant, to support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support opinions.

Cite any sources in APA format.

Peer Discussion 1 (Rachel)

Systems based thinking requires nurses and other health care professionals to see “the big picture” in relation to patient-care, and improving health outcomes through ensuring continuity of care for patients in all health care settings. This requires establishing relationships, effective communication skills, and collaboration amongst all interdisciplinary team members involved in patient care. Public health nurses must use a systems-based approach in order to work with their communities to promote health, and prevent disease and disability. Reducing health disparities requires nurses to advocate for equitable health care access by eliminating socioeconomic and geographic barriers (“Health,” 2020).

As part of the initiative to address health disparities in the King County region(s), public health leaders established a goal to provide patient-centered care through increased access to primary care and social services, as well as improve care coordination through integration of physical and behavioral health care services (“King,” 2020). All too often, patients struggling with mental illness only seek care during an emergent or acute crisis. This ineffective and fragmented delivery of care is costly, and uses up unnecessary resources in an already understaffed and overworked health care system (“At-risk,” 2020). A community health center specific to my region is called International Community Health Center (ICHS). It provides care for thousands of patients each year in 11 different locations throughout King County with the goal to provide culturally competent health care services to improve wellness in King County’s diverse communities (“International,” 2017). In addition to providing on-site medical and dental services, the Shoreline medical and dental clinic also provides access to nutrition programs (such as WIC), an on-site pharmacy, and a young adult clinic, catering to 14-26-year olds and provides low-cost/free access to behavioral and reproductive health services. This helps improve continuity of care through access to multiple health care services all in the same primary care setting.

Resources

At-risk and vulnerable populations: Week 4. (2020). Denver College of Nursing. https://media.pearsoncmg.com/pls/us/edaff/13234559…

Health inequalities: Week 5. (2020). Denver College of Nursing. https://media.pearsoncmg.com/pls/us/edaff/13234559…

International community health services. (2017). International Community Health Services. https://www.ichs.com/about/

King County community health needs assessment. (2020). King County Public Health- Seattle and King County.

https://www.kingcounty.gov/depts/health/data/commu…

Peer Discussion 2 (Angelica)

In society, health inequalities are affected by an individual’s socioeconomic situation, level of education and environment. These health inequalities also affect a group’s health disparity. In order to change a groups health disparity and inequality a systemic approach is needed just like an interdisciplinary approach is needed for an individualized care. My community is heavily populated with hispanics and would most benefit from a systems-based approach.“The Centers for Disease Control and Prevention has cited some of the leading causes of illness and death among Hispanics, include heart disease, cancer, unintentional injuries (accidents), stroke, and diabetes”(U.S Department of Health and human services office of minority health. para. 6).

In this case, in order to address the issue of diabetes in hispanics a systemic approach is needed. On the individual level patient teaching is important. The disease process, signs and symptoms, complications of the disease process and the ways to manage this chronic illness needs to be taught. The health care team needs to stress the importance of preventative care such early screening. An individualized assessment needs to be conducted with each health care visit. Nurses must coordinate with the individual on making their medication available in accordance with their preferred pharmacy. Social workers need to be involved in providing an individual with available resources and coordinate with them ways to maintain ongoing care. This can include providing visiting nurse services, or arranging transportation via access -a -ride. The government needs to provide individuals with accessibility to affordable care. Due to the fact that many hispanics live in a poor economic area many do not have access to health insurance or can’t afford to pay the premiums. The government needs to provide legislation on lowering the cost of insurance by adjusting their annual budget. Another thing the government needs to do is insure health care provided in clinics and hospitals are all up to standards everywhere despite the geographic location. By using the systemic approach the individual, the care team, the organization and the government work together to address the health issues of the community. There needs to be constant feedback and interaction among these parts in order to have an effective health care system.

Reference

Profile: Hispanic/Latino Americans.(2019). U.S Department of Health and human services office of minority health. Retrieved from https://www.minorityhealth.hhs.gov/omh/browse.aspx?lvl=3&lvlid=64#:~:text=Some%20other%20health%20conditions%20and,obesity%20than%20non%2DHispanic%20whites.

CHOOSE YOUR WRITER