This outcome is a direct result of the UK national tax-based system versus the private risk-based financing in the U.S. system. In addition, the U.K. system is the very low cost when compared both to other developed nations’ systems and to the extremely prohibitive cost U.S. system. The U.S. healthcare system ranks number one on responsiveness in the same WHO survey (Smith, Cuello, Zhang & Bruera, 2016). While the financially unconstrained U.S. system is quite responsive to its citizens “needs” and “wants”, the financially constrained U.K. system is much less responsive. In the UK system, tight control of funding and health resources have resulted in the intangible “wants” being constrained resulting in waiting lists for non-essential medical care and low marks from WHO for responsiveness.
Registered nurses can impact public policy through advocacy from a unique vantage point. Clinical experiences provide real-life examples illustrating the needs of patients and the outcomes of public policy on patient morbidity and mortality. Nurses should not underestimate their ability to influence access to appropriate, efficient, and effective quality care (Kahn, Ketel & Rosenbloom, 2015). They are in excellent positions to share with various constituencies the importance of appropriate healthcare services available to all United States (U.S.) citizens and residents. Advocacy involves the process of persuading someone to at least consider one’s point of view. The role of the nurse as an advocate in healthcare policy is not a new one. Providing information to elected officials can be a source of considerable influence and reward. As a member of the nursing profession involved in the policy development process, the nurse has the opportunity and the responsibility to provide accurate and up-to-date information (Smith, Cuello, Zhang & Bruera, 2016). This opportunity requires that the nurse be prepared to discuss the issues factually, that information is based on credible research, and that facts be double checked and presented in a succinct manner using easily understandable language. The approach must be cordial and given in a spirit
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- Fall '19
- Hayward Healthcare Systems, Inc