Assignment: Global Healthcare Comparison Matrix and Narrative Statement

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
Select at least one additional country to compare to the U.S. for this Assignment.
Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
Review and download the Global Health Comparison Matrix provided in the Resources. (see attached)

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
Explain the strengths and weaknesses of each policy.
Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
Explain how the health policy you selected might impact the role of the nurse in each country.
Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
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

Required Readings

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 194–208)
Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., Kurth, A. E., … Woith, W. (2018). Expanding nursing’s role in responding to global pandemics. Nursing Outlook, 66(4), 412–415.
Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017). Global action on the social determinants of health. BMJ Global Health, 3(1).
Sandoval-Almazana, R., & Gil-Garcia, J. R. (2011). Are government internet portals evolving towards more interaction, participation, and collaboration? Revisiting the rhetoric of e-government among municipalities. Government Information Quarterly, 29(Suppl. 1), S72–S81.
World Health Organization (WHO). (2021). World Health Organization (WHO). http://www.who.int

Solution:

Global Health Comparison Grid Template

Use this document to complete the Module 6 Assessment Global Healthcare Comparison Matrix and Narrative Statement

Global Healthcare Issue	The issue selected for discussion and comparison is the Universal Health Coverage
Description	The World Health Organization (WHO) is assisting nations in developing their health systems to achieve and maintain universal health coverage, as well as tracking progress.
Country	United States	China
Describe the policy in each country related to the identified healthcare issue	Fee-for-service In this policy, the care providers receive fees for each service they provide to patients. Regardless of the quality of care, the physicians are compensated for volume and quantity(Reid, Damberg,& Friedberg, 2019).	The China National Essential Medicines Policy (NEMP). The policy was established to ensure the constant distribution of medicines and other essentials to health care facilities across the country at a low cost and without profit (Mao, Huang, & Chen, 2019).
What are the strengths of this policy?	Patients receive excellent service, and the provider can suggest improvements strategies for better outcomes. Clinicians can charge a fair price for a service and be flexible enough to provide precise help to different patients.	Increase the number of people who use medical services across the country. R regulates the drug costs and ensures no-profit delivery of pharmaceuticals to healthcare facilities. It cut both outpatients and inpatient costs at the grassroots level.
What are the weaknesses of this policy?	The policy increases inpatient and outpatient costs. The health system in the US is more costly than in other countries	Adequate access to prescription drugs leads to misuse and overuse. Overuse of injections is frequent in Chinese healthcare facilities, particularly primary care facilities (Xiang, Yang, Wang, Ye, & Zhang, 2012). Injections are not only wasteful of medical resources, but they also raise the danger of infection by viruses such as hepatitis C and AIDS.
Explain how the social determinants of health may impact the specified global health issue. (Be specific and provide examples)	In a fee-for-service environment, social needs are economically unsustainable. While fee-for-service payment incentivizes clinicians to provide more services to consumers, value-based care focuses on keeping patients out of doctors’ offices, pushing providers to work on societal issues that worsen or cause serious health problems. For example, Ikegami (2015) found that physicians tend to deliver more and unnecessary services to maximize their income. Also, the policy has led to excess out-of-pocket spending for individuals with chronic patients. Fong (2019) pointed out that certain chronic diseases exert a greater financial toll on the elderly especially with the fee-for-service program.	Cost-related non-adherence (CRN) is common among people with low income, and it can have serious health effects on populations with chronic infections. With the affordability of drugs, it is possible to meet the primary social health needs of many poor people. adhere to therapeutic recommendations

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