1. In creating a new community-based health program, what program development model would you use and why? What recommendations would you suggest to make the program successful and sustainable? Provide examples and relevant literature to support your response.
2 or more references (within 7 years)
2.In reviewing the Affordable Care Act, what are the potential effects of having the option for insurance coverage in both the private and public sectors? How will this impact the discussion about population-based nursing? Provide examples and relevant literature to support your response.
2 or more references within 7 years
Expert Solution Preview
Community-based health programs play a vital role in improving the health status of communities around the world. When designing a new community-based health program, it is essential to choose the appropriate program development model to ensure its success and sustainability. This response will outline the program development model that I would use and provide recommendations to ensure program success and sustainability.
1.1 Program Development Model:
The PRECEDE-PROCEED model is a useful tool for developing new community-based health programs. The model encompasses eight stages, which are divided into two parts: the PRECEDE (Predisposing, Reinforcing, and Enabling Constructs in Educational Diagnosis and Evaluation) and the PROCEED (Policy, Regulatory, and Organizational Constructs in Educational and Environmental Development) phases. The PRECEDE phase focuses on assessing the community’s needs, identifying health problems, and determining the factors that affect health behaviors. The PROCEED phase emphasizes the development and implementation of interventions and the evaluation of the program’s effectiveness.
To ensure the success and sustainability of the program, it is crucial to engage the community in the planning, implementation, and evaluation process. This means involving community members in the needs assessment, program design, and execution. Additionally, it would be beneficial to partner with local organizations, such as government agencies, non-profits, or faith-based organizations, to ensure the success and sustainability of the program.
Furthermore, it is essential to use evidence-based interventions that have been successful in other similar settings. For instance, if the community’s health problem is obesity, evidence-based interventions such as community-based physical activity programs, farmer’s markets, and nutrition education classes can be incorporated. Finally, evaluating the program’s effectiveness regularly will ensure that it is meeting its objectives and making an impact.
The Affordable Care Act (ACA) was established to ensure that all citizens have access to affordable, quality healthcare. The ACA has the potential to influence the discussion about population-based nursing because it provides access to both private and public sector insurance coverage. This response will discuss the potential effects of having the option for insurance coverage in both the private and public sectors and how this will impact the discussion around population-based nursing.
2.1 Potential effects:
Having the option for insurance coverage in both private and public sectors may result in improved access to healthcare services for citizens. The ACA provides subsidies for eligible citizens to purchase insurance through the Health Insurance Marketplace or the state Medicaid program, increasing the number of citizens with health coverage. Moreover, with the public sector insurance option, citizens can access affordable healthcare services that are not available in the private sector.
However, there may also be potential negative effects. For example, private insurance providers may decide not to participate in the Health Insurance Marketplace, reducing the number of options available to citizens. Additionally, individuals who do not qualify for Medicaid but cannot afford private insurance may remain uninsured.
2.2 Impact on population-based nursing:
Population-based nursing focuses on improving the health status of populations by addressing health determinants such as access to healthcare, healthy behavior, and health promotion. The ACA’s option for insurance coverage in both private and public sectors will impact population-based nursing positively. With more citizens insured, population-based nursing will have more opportunities to provide health promotion and disease prevention services to a larger population.
Furthermore, population-based nursing can partner with insurance providers and healthcare organizations to provide health education programs tailored to specific populations. Population-based nursing can also develop policies that ensure the availability of affordable and quality healthcare services to all populations, addressing health disparities.
In conclusion, the ACA’s option for insurance coverage in both private and public sectors presents both challenges and opportunities. Population-based nursing can leverage this option to improve health outcomes and reduce health disparities.