Developing Organizational Policies and Practices

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Analysis of a Pertinent Healthcare Issue

NURS 6053N- Interprofessional Organizational and Systems Leadership

Analysis of a Pertinent Healthcare Issue

The coronavirus has highlighted many pertinent healthcare issues. Nurse burnout, staffing shortages, and lack of proper supplies to name a few. One major issue is health inequities. The purpose of this paper is to describe the health inequities in healthcare and how it’s being addressed in organizations.

What are health iniquities?

While the term disparity is often translated to mean racial or ethnic differences, other aspects of inequality exist in the United States, especially in health. When a safety effect is shown to a greater or lesser degree across groups, there is variation. It is important to recognize the impact that social determinants have on health outcomes of specific populations. Healthy People work towards improving the health of all groups.

HealthyPeople.gov states disparities are "a particular type of difference in health which is closely related to social, economic, and/or environmental disadvantage. Health disparities directly impact sections of the population who have systematically experienced greater barriers to health based on their racial or ethnic group; religion; socioeconomic status; gender; age; mental health; cognitive, sensory or physical disability; sexual orientation or gender identity; geographical location; or other characteristics historically linked to discrimination or exclusion” (n.d.).

How is it being addressed?

Hardmen and Spelten suggest that self-management support (SMS) interventions may affect populations with low socioeconomic systems (SES) in different ways (2020). More individualized treatment may be needed over longer periods of time. SES could be used as a predictor of 'high risk' to identify those requiring an earlier or more intensive intervention. SMS strategies that were guided only by self-efficacy were criticized as being too individualistic. The relationship between self-efficiency and self-management capacity is lower in disadvantaged communities. 'One size fits all' programs had fewer benefits, and in some cases increased disparity. For the low SES population, obstacles linked to capital and condition demands are much greater. Many SMS initiatives will increase the workload, especially those needing daily attendance or homework. Approaches are rarely tried to reduce patient workload or increase access to resources. Telephone consultations, problem-solving of particular barriers, integrating healthcare with social services can all reduce the burden of treatment and maximize resources, authors say.

Conclusion

Healthy people strive to improve the health of all groups. All contribute to an individual's ability by race or ethnicity, sex, sexual identity, age, disability, socioeconomic status, and geographic location to achieve good health. This study indicates that SMS approaches could in various ways impact communities with low SES. SES may be used as a 'high risk' indicator to classify those who need early or more aggressive intervention.

Reference

Disparities. (n.d.). Retrieved June 21, 2020, from https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities

Hardman, R., Begg, S., & Spelten, E. (2020). What impact do chronic disease self-management support interventions have on health inequity gaps related to socioeconomic status: a systematic review. BMC Health Services Research, 20(1), 150. https://doi-org.ezp.waldenulibrary.org/10.1186/s12913-020-5010-4

Subica, A. M., & Brown, B. J. (2020). Addressing Health Disparities Through Deliberative Methods: Citizens’ Panels for Health Equity. American Journal of Public Health, 110(2), 166–173. https://doi-org.ezp.waldenulibrary.org/10.2105/AJPH.2019.305450