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NSG321 : Population Healthcare
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NSG321 : Population Healthcare
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Course Code: NSG321
University: Wilkes University
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Country: United States
Question:
Discussion Point 1: What are the key determinants of population health–list at least three and relate them to a successful population health model, such as the Triple Aim model discussed in Chap 13-14? What are the key determinants of population health in your current (or past) clinical practice?Discussion Point 2: For some example and measure, the book lists “reducing ER visits” (Chap 14, p 288), propose the macro-, meso- and microlevel goals for the measure with description of your rationale.student #1:Discussion Point 1: What are the key determinants of population health–list at least three and relate them to a successful population health model, such as the Triple Aim model discussed in Chap 13-14? What are the key determinants of population health in your current (or past) clinical practice?Discussion Point 2: For some example and measure, the book lists “reducing ER visits” (Chap 14, p 288), propose the macro-, meso- and microlevel goals for the measure with description of your rationale.student #21. What are the key determinants of population health–list at least three and relate them to a successful population health model, such as the Triple Aim model discussed in Chap 13-14? What are the key determinants of population health in your current (or past) clinical practice?2. For some example and measure, the book lists “reducing ER visits” (Chap 14, p 288), propose the macro-, meso- and microlevel goals for the measure with description of your rationale.
Answer:
Discussion Point 1: What are the key determinants of population health–list at least three and relate them to a successful population health model, such as the Triple Aim model discussed in Chap 13-14? What are the key determinants of population health in your current (or past) clinical practice?
The three key determinants of health include physical environment, individual behavior and the socioeconomic factors (Nash et al., 2016). At the place of my work, the most common determinants of health are individual behaviors. Majority of the clients that I have had to handle are drug addicts. This has really affected their health (www.coloradohealthinstitute.org, 2017). However, there are strategies that can be used to limit such behaviors and improve the population health. The triple Aim model is an example. Its objective is assist healthcare providers meet the needs of their patients.Discussion Point 2: For some example and measure, the book lists “reducing ER visits” (Chap 14, p 288), propose the macro-, meso- and micro level goals for the measure with description of your rationale
For my assignment, I chose absenteeism since this is one of the greatest challenges at my current place of practice. This is common among diabetic patients.
Meso-level-there should be a state mandate or rather policies that address absentees. The policy should be clear to leaders of the hospitals on what they should do in regards to the mentioned problem.
Macro-level-The clinic should set up its own policies that address absenteeism.
Micro-level-There should be a specialized individual to educate the patients on the policies of absenteeism and their general health effects.
Response to Student One
I really like your introduction since you have set the stage by introducing the three major functions of measurement in health. You have stated improvement, accountability and finally research as the purposes of measurement in population health. You have gone a step further and explained what each of the three objectives mean. You have stated improvement as a means to learn while accountability focus on reporting, oversight, comparison, choice, reassurance and finally motivation for change (www.coloradohealthinstitute.org, 2017). You have linked research on knowledge. You have really integrated many ideas in the first paragraph into very educative information.
About the determinants of health, you highlighted housing, work environments and finally income and education. I like this determinants since they are basic to everyone. You have gone some miles and provided examples of the effects of low standards of education as a determinant of health in Pueblo while providing contrast to the healthy and wealthy residents of Versus Douglas due to the high levels of education that they have attained. This real examples are quite good as they give the readers easy time to understand your information. You have also provided the Triple Aim Model and Chronic Care Model as tools that nurses can use to design the type of care needed by patients.
On point two, you have clearly proposed the necessary meso, macro and micro level goals for measures and you have as well described their rationale. In conclusion, you have made sure that you provide all the important information according to the instructions and I find your assignment very informative.
Response to Student Two
I really like your introduction. This is because you have gone straight to the point and introduced the determinants of health of your choice. You selected smoking, access to sugar and lack of exercise as your determinants of health. This is very noble since this are common amongst different people. I like that part where you have said that negative behavioral patterns in relation to mentioned determinants of health contribute to premature deaths. You have also linked and provided a reference of the Nash et al to show that this is not your original idea and it is good when writing a scientific assignment. I also like that part where you have provided the measures of care experience Nash et al (2016). This are very important as they assist the nurses to evaluate the type of care they accord different patients. You mentioned six of them in your assignment that include effectiveness, safe, patient centered, timely, equitable and efficient. These measures are very vital and all the nurses should take into account during their regular practice. I like your conclusion since you have related costs of healthcare and behavioral aspects. Negative behaviors are bound to increase costs of healthcare and you have provided increased smoking and consumption of excess sugar as an example. Healthy behaviors on the other hand reduce costs of healthcare and you have linked this with regular exercise. In general, I like your assignment, it is very precise and within the instructions yet very informative.
References:
Mapping Data A to Z: Social Determinants. (2017). Retrieved from https://www.coloradohealthinstitute.org/research/mapping-data-z-social-determinants
Nash, D. B. (2016). Population health: Creating a culture of wellness. Burlington, MA: Jones & Bartlett Learning.
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