Historical Perspectives of U.S. Health Care Policy Development under the Presidential Leadership

2002 ◽  
Vol 5 (2) ◽  
pp. 121-141
Author(s):  
Chanho Choi
Keyword(s):  
Health Care ◽  
Policy Development ◽  
Local Governments ◽  
Health Care Policy ◽  
Presidential Leadership ◽  
Policy Formulation ◽  
Federal State ◽  
Care Policy ◽  
Historical Perspectives ◽  
State And Local

This study aimes to understand the process of historical changes of U.S. health care policy for the past 200 years, and is primarily concerned with presidential leadership to influence health care policy formulation after 1970s. With this aim in view, first of all, this paper examines the shift of governmental roles on health care policy formulation over time, and what are the major ways in which presidents have been involved in the formation of health care policy? Based upon this investigation, this paper shows that the relationship among federal, state, and local governments has undergone dramatic change, and presidential roles are essential in developing an understanding of both future prospects for health care policy changes and past decisions.

Financing Health Care for the Medically Indigent Child

PEDIATRICS ◽  
1987 ◽  
Vol 80 (6) ◽  
pp. 957-960
Author(s):  
Keyword(s):  
Health Care ◽  
Ambulatory Care ◽  
Local Governments ◽  
Federal State ◽  
Policy Statement ◽  
Care Needs ◽  
Quality Health Care ◽  
Financial Barriers ◽  
Care Plans ◽  
State And Local

Children should not be denied access to the health care system because of financial barriers or preexisting medical conditions, and yet evidence suggests that for millions of children this is the case. The American Academy of Pediatrics (AAP) in its 1986 "Medicaid Policy Statement" and its 1983 "Principles of Child Health Financing" espoused the belief that all children have a right to receive comprehensive and quality health care. Regrettably, no national policy exists which addresses medical indigency among children and their families. Although most state legislatures have considered the indigent care issue, they have focused primarily on hospitals1 uncompensated care burdens and not on ambulatory care needs. Moreover, because of budget implications and the lack of federal revenues, these state initiatives appear to be limited measures and are not intended to support comprehensive, long-range health care plans for the medically indigent. Data show that lack of ambulatory care, is a significant problem for medically indigent children. Comparisons of average numbers of visits to physicians for uninsured and insured children point to measurable service gaps.1 In particular, medically indigent children are not receiving the primary preventive care promulgated by the AAP and its "Recommendations for Preventive Pediatric Health Care." The AAP believes that equitable financing solutions for the medically indigent child must be developed immediately. The purpose of this statement is to inform AAP Fellows and health policymakers of the growing numbers of underserved children and to recommend remedial action by the federal, state, and local governments, as well as the private sector.

Citizen Participation in the Reform of Health Care Policy: A Case Example

1996 ◽  
Vol 9 (2) ◽  
pp. 31-35 ◽  
Author(s):  
Dianne MacFarlane
Keyword(s):  
Health Care ◽  
Citizen Participation ◽  
Policy Development ◽  
Health Care Policy ◽  
Policy Reform ◽  
Care Policy ◽  
Term Care ◽  
Policy Development Process ◽  
Hard Evidence ◽  
The 1960S

The trend toward greater citizen participation in health care policy reform has its roots in the consumerism of the 1960s. This era witnessed the beginning of a dispersion of power in health care and an increase in the number and variety of stakeholders involved in the policy development process. Using the reform of Ontario's long-term care policy as a case example, this paper offers observations about the benefits and challenges of participative policy-making. Despite the challenges and the paucity of hard evidence pointing to benefits, the author concludes that broad citizen participation in health care policy reform is a desirable goal. However, the capacity for genuine collaboration remains underdeveloped and requires more systematic refinement.

Health Care Policy Development: A Critical Analysis Model

2010 ◽  
Vol 50 (1) ◽  
pp. 55-58 ◽  
Author(s):  
Jean E. Logan ◽  
Carolyn D. Pauling ◽  
Debra B. Franzen
Keyword(s):  
Health Care ◽  
Policy Development ◽  
Critical Analysis ◽  
Health Care Policy ◽  
Analysis Model ◽  
Care Policy

scholarly journals Antibiotic Resistance Policy and the Stewardship Role of the Nurse

2018 ◽  
Vol 20 (1) ◽  
pp. 8-17 ◽  
Author(s):  
Kenneth C. Wiley ◽  
Hendel J. Villamizar
Keyword(s):  
Health Care ◽  
Antibiotic Stewardship ◽  
Health Care Policy ◽  
Scientific Evidence ◽  
Animal Husbandry ◽  
The United States ◽  
World Health ◽  
Federal State ◽  
Prescribing Practices ◽  
State And Local

Government policy, at all levels, should reflect current scientific evidence to curb the spread of multidrug-resistant organisms (MDROs) and to promote healthier lives for citizens and the global community. The World Health Organization estimates that approximately 63,000 Americans die annually of infections from MDROs. Annual spending in the United States used to combat MDRO infections surpassed $35 billion in 2015. This article is a review of U.S. policy regarding MDROs and focuses on several means with which nurses can implement antibiotic stewardship within their practices to stall the creation and global spread of antibiotic-resistant organisms. Nurses are vital to successfully implementing methods of antibiotic stewardship as they are at the center of multidisciplinary health care teams and have the greatest direct patient contact of all members within the team. Methods of antibiotic stewardship include limiting the use of antibiotics within animal husbandry industries, promotion of health care policy in line with antibiotic stewardship standards, and adopting more stringent clinical prescribing practices of antibiotics used in human therapies. Application of these improvements to U.S. federal, state, and local facility policies is in line with current scientific evidence and will provide a framework for cohesive partnerships with nations and institutions abroad that also struggle with the spread of MDROs in their own communities.

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