Class 7 Health Policy Flashcards
Goal directed decision making about health that is the result of an authorized, public decision making process.
Those actions, non-actions, directions, and/or guidance related to health that are decided by governments
Goal directed decision making by leaders about health
Health policy
Government actions designed to achieve one or more objectives.
Public policy
Affects entire population & individuals
Influenced by economics, political party, prevailing social values
Can be a source of political conflict
Scope of Health policy
The federal government is responsible for:
A. Health care for Inuit and First Nations peoples
B. Health care for Senior citizens
C. Regulation of products & pharmaceuticals
D. Health care for International visitors
E. Research funding
Provincial governments are responsible for:
A. healthcare for federal prisoners
B. Funding healthcare for their residents
C. Workplace health & safety
D. Dental coverage
Major attributes to health policy
- Decisions are made by authorized government institutions such as legislatures or courts or by government-authorized entities (i.e., state boards of nursing).
- The decision-making process is subject to public review and public input.
- Health policies address a public policy goal.
Minor attributes to health policy
- Health policies are subject to ongoing review by governing institutions and by the public.
- Health policy goals change according to changes in political and social values, trends, and attitudes.
Which are Attributes of health policy?Select all that apply
A. Decisions made by government institution
B. No public input in decision making process
C. Policy meets a public policy goal
D. Rarely reviewed
E. Health policy goals change with political & social trends
a?
c
e
What influences the policy process?
Participative governance
Values
Dynamic tension between cost, quality & access
What Influences on Policy processParticipative Governance
- voting
- CNA
- legislative?
- ???
- ???
How does provincial legislation regulate nursing practice?
CRNM!
CRNM set standards of practice
Nurses implement health policy
- Addresses health concerns;
- what governments decide to do or not to do;
- the choices made by a society or social entities that relate to public goals and
priorities, as well as the choices made for allocating resources to those goals and priorities
Public policy
- are the result of a government’s interest in promoting optimal health in populations
- is determined through laws, regulatory actions, judicial decisions, and administrative actions of government agencies
- affected by numerous cultural and social trends that arise from technological change, shifting demographics, economic pressures, and consumer demands = decentralized
Health policy
Major attributes of health policy:
- Decisions are made by authorized government institutions such as legislatures or courts or by government-authorized entities (i.e., state boards of nursing).
- The decision-making process is subject to public review and public input.
- Health policies address a public policy goal.
Minor attributes of health policy:
- Health policies are subject to ongoing review by governing institutions and by the public.
- Health policy goals change according to changes in political and social values, trends, and attitudes.
process of developing health policy – read page 515 – 516 of Keller & Ridenour (2021)
The Policy Process
I. Agenda setting: a health-related issue is identified, usually as a problem; helping frame the issue(means creating a particular perspective for the issue); → negotiation and debate as well as the mobilization of support from interested politicians and interest groups
II. Policy formulation: different policy interventions are proposed and considered
III. Policy adaptation: proposed intervention is selected
IV. Policy implementation: carrying out the proposed intervention
V. Policy evaluation: determining if the policy achieved the desired policy goals
have authority delegated by the state legislature to make rules, and these rules have the force of law.
Regulatory boards
Promote welfare of the public
Directed at a wide variety of social concerns
Primary goal is not necessarily health, but still has an impact on health
Ex. Government policies that address obesity may result in legislation or regulation that governs the sale of high-fat/high-sugar content foods available in public schools
SOCIAL POLICY
Not always public policy
govern the workplace
Policy and procedure manual of their unit or clinic or home agency; organization might have specific ______ develpped for their workplace
Ex. Organization might have it developed for their workforce that relate to the prevention of obesity; such as providing exercise facilities onsite
INSTITUTIONAL POLICY
approach would improve our population’s health and well-being. And better health promotes economic growth, productivity and prosperity, helps children do well in school, and allows citizens to be more productive and engaged in their communities. As well, a healthy population requires less government support for social services and health care.
Health in All Policies