chapter 1 Flashcards
major changes in healthcare in the 21st century
- development of patient/client-centered care
- increased use of technology
- increased personal responsibility
the goal for patients
self management
social determinants of health
social conditions in which people
- live
- income
- social status
- eduction
- literacy level
- home and work environment
- support networks
- gender
- culture
- availability of health services
healthcare disparities
differences in healthcare and health outcomes experienced by one population compared with another
core functions of the government in healthcare
- assesses healthcare issues
- intervenes by developing relevant healthcare policy that provides access to services
- ensures that services are delivered and outcomes are achieved
patient protection and affordable care act (PPACA)
provides affordable health insurance coverage to most americans
- lower costs
- improve access to primary are
- preventive care and prescription benefits
- cover pre-existing conditions
- extend young adults’ coverage
health information technology
comprehensive management of health information and its exchange between consumers, providers, government, and insurers in a secure manner
- electronic health records
public health nursing
population-based practice, defined as a synthesis of nursing and public health within the context of preventing disease and disability and promoting and protecting the health of the entire community
who is the population for public health nursing
client or unit of care
public health nursing primary obligation
achieve the greatest good for the greatest number of people or people as a whole
who sets the scope and standards for all professional nursing practice
the american nurses association
public health intervention wheel
actions taken on behalf of individuals, families, communities, and systems to protect or improve health status
roots of public health nursing
- early civilization
- middle ages
- english poor law
- variety of reforms in 1800s
- victorian times
- district nursing
Lemuel Shattuck
activist first to identify major public health issues
- established a state health department and local boards
Dorothea Dix
activist for prison conditions and mental hospital conditions, active in MA
