9# Chapter 13 policy making and community health advocacy

9# Chapter 13 policy making and community health advocacy how do you identify population health? - Correct Answer • Disparities in health outcomes • Favorable comparisons • Unfavorable comparisons what are the importance of public health nurses in Social policy and health outcomes - Correct Answer Policy competence, or an understanding of policy formulation, implementation, and modification, is important for public health nurses because of the ability to influence both the policy process and the impact of policies on the clients. What is a health policy - Correct Answer Health policy consists of the rules, regulations, legislation, and funding that we, as members of the public, choose to invest in providing, regulating, and researching health care for our fellow Americans. What are four major stages of health policy? - Correct Answer Four major stages: - Formulation: goals, problems, and potential solutions - Adoption: authorized selection and specifications of means to achieve goals, resolve problems, or both - Implementation: policy put to use - Evaluation:comparisonofpolicyoutcomesor effects with intended or desired effects Policy plan of action? public policy? health policy? what is the governing framework - Correct Answer • Plan of action or agent outlining steps or actions to implement stated goal or objective • Public policy: issued by national state or local governments • Health policy: policy that constitutes the governing framework (structure, process, and outcomes) for providing health services on a local, state, national, or even international level - Distributive or redistributive - Regulatory health policy: competitive or protective Public policy - Correct Answer • Process similar to advocacy or political action • Involves: overlap, reordering of priorities, mobilization of resources, and development of stakeholders • Issues of timing, funding, and politics • Is the following statement true or false? • Adoption is the first step in health policy development. - Correct Answer Answer • False • Rationale: Social justice is considered the foundation of public health nursing. Policy examples - Correct Answer • Legislation • Regulation • Policy modification Levels of Jurisdiction - Correct Answer • Local • State • National health policy issues - Correct Answer • Policy problem • Solution • Interested parties • Relative power and influence Relational framework - Correct Answer • Problem • Policies/solutions • Politics • Implementation • Evaluation PPPSIE Kingdon's framework - Correct Answer • Problem • Focusing events *window of opportunity • Policy solution Current public health advocacy such as grassroots efforts lobbying special interest groups professional organizations - Correct Answer • Grassroots efforts—political movement driven by community members • Lobbying—influencing policy makers • Special interest groups—individuals who share a common interest and work toward politically to achieve goals • Professional organizations—members of a profession; can be considered a special interest group • Is the following statement true or false? • Advocacy is the foundation for public health nursing. - Correct Answer • False • Rationale: Formulation is the first step in health policy development. Special interest groups - Correct Answer • Individuals who share a common interest and work politically to make their goals a reality Advocacy and lobbying - Correct Answer • Advocacy for our clients is always important, but professional advocacy through affiliation and activity in our professional nursing organizations is also vital so that we, as PHNs, may have a "collective voice." Influencing policy - Correct Answer • Be honest • Start early • Know what you want • KISS • No permanent enemies, no permanent friends • Know your opponents • Compromise • There is strength in numbers • Work at the local level • Thank you What is the definition of power - Correct Answer Power can be defined as the ability to act or produce an effect, possession of control, or authority or influence over others. What is the term empowerment mean - Correct Answer • The term empowerment has been used to explain a process of assisting communities to come together to express their values and ideas to those outside the community. Question • Is the following statement true or false? • Money is a key factor underlying measures to influence policy. - Correct Answer Answer • True • Rationale: A major influence on policy and being able to influence it is money. What is the affordable care act? and what are examples - Correct Answer Mandate health insurance coverage for all US citizens, via a required minimal health insurance package, a mandate on employer provision of health insurance or employer contribution to a marketplace of insurance options for individuals to access, and government provision of subsidies for long income people without employer insurance coverage. • Examples - Healthy and Safe Community Environment - Clinical Community Preventive Services - Empowering People - Elimination of Health Disparities Communication with legislatives - Correct Answer • Volunteer • Share with policymakers and legislators