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Running Head: ASSIGNMENT 1

Global Healthcare Comparison Matrix and Narrative Statement


[Name of Author]
[Name of Institute]
ASSIGNMENT 2

Global Healthcare Comparison Matrix and Narrative Statement

Part 1: Global Healthcare Comparison Matrix

Global
Healthcare Universal Health Coverage
Issue
Description The World Health Organization (WHO) primarily focuses on the
improved quality access of healthcare services to all individuals.

Country United States China

Describe the Fee-for-Service Policy: National Essential Medicines


policy in each This policy is a traditional sort Policy (NEMP):
country related in which the healthcare This policy promotes the
to the identified insurance companies pays for affordability and availability of
healthcare issue the people who covered within the essential medicines with
the policy (WebMD, 2018). reduced economic burden on the
recipients of healthcare (Ding &
Wu, 2017).
What are the This policy allows variety of This policy reduces patient’s
strengths of this choice of healthcare providers economic burden through selling
policy? and organization. A patient can all medicines at zero markup. It
consult to any healthcare also reducers patients visit to
provider and organization with high level hospitals (Ding & Wu,
respect to his healthcare needs 2017).
(Bizmatic, 2018).

What are the The weaknesses include that the This policy does not include all
weaknesses of policy is quite expensive. medicines but the healthcare
this policy? Moreover, this policy does not providers only have to choose
cover any preventive measures from the National Essential
associated programs (Bizmatic, Medicines List (NEML) and the
2018). supplementary provincial
essential medicines list (Ding &
Wu, 2017).
Explain how the The social determinants of The universal health coverage
social health put significant impact on associates with social health
determinants of the universal health coverage in determinants. For example, the
health may US. For instance, following the employment rate of Heilongjiang
impact the statistics of 2018, Alaska has is 4.21% which makes it difficult
specified global 6.5% unemployment and many to achieve their healthcare needs
health issue. (Be citizens are working at lower (Statista, 2019).
specific and wages (Statista, 2019).
provide Therefore, it is quite difficult
examples) for these individuals to afford
ASSIGNMENT 3

high expenditure of healthcare.


How has each Government is sincerely The president of China, Xi
country’ working on resolving this issue. Jinping centralize the healthcare
government The previous president needs of its citizens. Therefore,
addressed cost, implemented Affordable Care he approved Healthy China 2030
quality, and Act (ACA) to promote plan, which outlined by China’s
access to the insurance so that maximum state council and Central Party
selected global number of Americans could Committee (WHO, 2018). This
health issue? receive care apart from its plan will develop long term
expense (Béland, Rocco, & healthcare strategic planning and
Waddan, 2016). Moreover, promotes healthcare services to
Trump tries to associate citizens.
Congress with US healthcare,
which will reduce Medicare
expense (Rice, Unruh, van
Ginneken, Rosenau, & Barnes,
2018).

How has the The fee-for-service policy The NEMP provides essential
identified health provided insurance that helps medications to patients, which
policy impacted the insurers in access to quality fulfill patient’s needs at greater
the health of the healthcare services, whenever extent (Ding & Wu, 2017).
global they need. For instance, a Therefore, it complies with the
population? (Be person with insurance can global agenda of Universal
specific and immediately receive care if he Health Coverage.
provide suffered from any incident such
examples) as infectious disease like cancer.
Under fee-for-service the person
will receive complete and
quality care.
Describe the This policy restricts each nurse This policy puts significant
potential impact and healthcare provider in impact on nurses and doctors
of the identified provision of quality services because under this policy nurses
health policy on and value care (Bizmatic, and doctors are allowed to
the role of nurse 2018). prescribe drugs from the NEML
in each country. (Ding & Wu, 2017). Therefore,
they have to be careful while
prescribing drugs. Prescription of
false drug may cause severe
damage to patient.
Explain how The universal health coverage The China’s local health
global health puts significant impact on local organization and policies
issues impact healthcare organization and significantly impact from
local healthcare policies. For example, if the Universal Health coverage. Most
organizations individuals of a local area prefer of the organization primarily
and policies in their local healthcare works to promote healthcare
both countries. organization for their healthcare delivery to all patients and create
ASSIGNMENT 4

(Be specific and needs. However, for specialized policies as NEMP made in
provide care these individuals require to Tianjin (Ding & Wu, 2017).
examples) more to other organizations,
which is not possible for all
individuals
(Tangcharoensathien, Mills, &
Palu, 2015). Therefore, the
universal health coverage
provides quality care to all
individuals from their local
healthcare organization. Due to
which the quality of these
organizations up rises and they
will develop more impactful
policies.
General Under fee-for-service policy, This policy has great significance
Notes/Comment the US healthcare industry tries in achieving the Universal Health
s to overcome financial load. Coverage agenda.
However, this policy is
expensive enough that it only be
applied on certain population.
Therefore, a better policy is still
required that promotes
Universal Health Coverage in
US.
ASSIGNMENT 5

Part 2: Narrative Statement

1. Explain how you would advocate for the incorporation of a global


perspective or lens into your local practice and role as a nurse leader.
Following the policies of US and China, I advocate the Universal Health
Coverage issue following the NEMP of China. As a nurse, I will ensure the provision of
right medicine with broader outcomes. My skills would also be affected with the
selection of medicine with broader outcomes but reduced side effects.

2. Explain how the incorporation of a global perspective or lens might impact


your local practice and role as a nurse leader.
The incorporation of global perspective would impact my practices through the
quality of provided services. Moreover, the outcomes and time period for each patient to
recover would also impact my role as a nurse leader.

3. Explain how the incorporation of a global perspective or lens into your local
practice as a nurse leader represents and contributes to social change. Be
specific and provide examples.
The incorporation of Universal Health Coverage in my practices brings great
social change because being a nurse I directly comes in contact with patient. I would
better help them in understanding their health needs and improve their social
determinants such as their lifestyle. If the patients understand their needs and changes
their lifestyle and similar other social habit that are easy to change then their overall
health coverage would be greater.
ASSIGNMENT 6

References

Béland, D., Rocco, P., & Waddan, A. (2016). Obamacare and the politics of universal
health insurance coverage in the United States. Social Policy &
Administration, 50(4), 428-451.
Bizmatic. (2018). What Is Fee for Service in Healthcare? Retrieved from
https://prognocis.com/what-is-fee-for-service-in-healthcare/
Ding, L., & Wu, J. (2017). The impact of China’s National Essential Medicine Policy and
its implications for urban outpatients: a multivariate difference-in-differences
study. Value in Health, 20(3), 412-419.
Rice, T., Unruh, L. Y., van Ginneken, E., Rosenau, P., & Barnes, A. J. (2018). Universal
coverage reforms in the USA: From Obamacare through Trump. Health
Policy, 122(7), 698-702.
Statista. (2019). State unemployment rate in the U.S. as of February 2019 (seasonally
adjusted). Retrieved from https://www.statista.com/statistics/200017/state-
unemployment-rate-in-the-us/
Statista. (2019). Unemployment rate in urban China in 2017, by region. Retrieved from
https://www.statista.com/statistics/278354/unemployment-rate-in-china-by-
region/
Tangcharoensathien, V., Mills, A., & Palu, T. (2015). Accelerating health equity: the key
role of universal health coverage in the Sustainable Development Goals. BMC
medicine, 13(1), 101.
ASSIGNMENT 7

WebMD. (2018). Fee-for-service (FFS). Retrieved from https://www.webmd.com/health-


insurance/terms/fee-for-service
World Health Organization (WHO). (2018). Healthy China 2030 (from vision to action).
Retrieved from https://www.who.int/healthpromotion/conferences/9gchp/healthy-
china/en/

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