Select a population health concern from Healthy People 2020/2030 (https://www.healthypeople.gov/2020/topics-objectives). Use this Health Disparities Grid to document information on health disparities related to the healthcare issue you selected.
By completing this grid, you will develop a more in-depth understanding of how social determinants, race, gender, ethnicity, and other factors affect population health and contribute to health disparities.
|Identify a population health concern (i.e. HIV, cardiovascular disease, diabetes, obesity, etc.||Cardiovascular diseases|
|Health Disparity #1||Health Disparity #2|
|Explain how social determinants (see Artiga et al., 2020, Figure 1), race, ethnicity, or other subgroup status contributes to two health disparities related to the selected health concern.||Access to healthcare coverage for African Americans is limited. They lack affordable, quality, respectful and culturally sensitive services (U.S. Department of Health and Human Services, 2020). This causes higher rates of mortality from CVD due to preventable complications.||Due to racism and discrimination, African Americans are prone to poor employment opportunities with lower incomes (U.S. Department of Health and Human Services, 2022). Lower income leads to an inability to cover the expenses of accessing healthcare services.|
|What is the impact of the health disparity on the health of the overall population? (Example: How do health disparities in HIV affect the general U.S. population?)||According to CDC (2021), Black Americans, Hispanics, American Indians and native Hawaiians have the highest mortality rates of heart diseases, increased heart failure cases, and higher readmission rates.||Payments of medical bills and expenses are compromised because of poor income (Ndugga & Artiga, 2021). Also, this causes a decrease in the number of medical checkups hence the rising numbers of CVD cases among Hispanics and blacks.|
|What is the U.S. government doing to decrease the health disparities related to the selected health condition?||Issuance of the executive order by President Biden in February 2021 on Restoring Faith in Our Legal Immigration Systems and Strengthening Integration and Inclusion Efforts for New Americans, which initiate strategies that enhance access to healthcare services for all (House, 2022).||Biden- Harris administration ensured the memorandum of agreement to implement Public law 102-447 was signed (House, 2022). This ensured fair employment and job opportunities.|
|What governmental policies should be changed to reduce health disparities for this health issue?||The affordable healthcare act should extend its eligibility and inclusion criteria to ensure that everyone is able to purchase health insurance coverage.||Federal U.S equal opportunity commission should be adequately funded and staffed in order for them to carry out its mandate.|
Part 2: Write a 1-page narrative of the nurse’s role in resolving health disparities. Be sure you use at least 2-3 course resources and 2-3 outside resources.
- What can nurses do to help close the health disparity gap for the selected health concern?
Due to a scarcity of healthcare practitioners or health centres in their area, absence of insurance, financial hardship, or failure to afford services, many people are unable to obtain health care. Access to care is increased in a wide range of settings where nurses work to close this gap. Some of these situations include home visits, federally qualified health centres (FQHCs), nursing homes and school health. The nurses in FQHCs can provide comprehensive healthcare services ranging from preventive, promotive, rehabilitative, and referrals when necessary to ensure increased access (National Academies of Sciences, 2021). In addition, home visits ensure equitable access to quality healthcare services for everyone regardless of race, social or ethnic group, leading to improved health outcomes.
- What organizations or agencies could nurses work with to reduce disparities in healthcare?
Nurses can work with the community preventive services task force (CPSTF) to promote its mandate of engaging with community health workers in the prevention of cardiovascular diseases. The task force aims to ensure the provision of culturally appropriate healthcare services, health education, counselling, promoting linkages of people to healthcare and regular screening programs, including blood pressure, to improve health outcomes. Nurses should ensure that non-privileged communities are able to access the services.
- What changes, if any, do you see occurring in the U.S. that will close the disparity gap in the future?
Increasing collaboration among the National Prevention Strategy, Federal Interagency Health Equity Team, and Convergence Partnership will promote a healthier and equitable environment for everyone (Duncan & Parker, 2016). To significantly boost the implementation of a health equity lens and incorporate it across the federal government, profound partnerships between NPS, FIHET, and Convergence Partners are needed.
CDC. (2021, September 27). Heart disease Facts. Centres for Disease Control and Prevention. https://www.cdc.gov/heartdisease/facts.htm
Duncan, V., & Parker, K. (2016). Building a Culture of Health Equity at the Federal Level. NAM Perspectives, 6(3). https://doi.org/10.31478/201603a
House, T. W. (2022, October 7). FACT SHEET: Biden-Harris Administration Delivers New Memorandum of Agreement to Streamline Employment and Job Training Funding for Tribal Nations. The White House. https://www.whitehouse.gov/briefing-room/statements-releases/2022/10/07/fact-sheet-biden-harris-administration-delivers-new-memorandum-of-agreement-to-streamline-employment-and-job-training-funding-for-tribal-nations/
National Academies of Sciences, E. (2021). The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. In nap.nationalacademies.org. https://nap.nationalacademies.org/catalog/25982/the-future-of-nursing-2020-2030-charting-a-path-to
Ndugga, N., & Artiga, S. (2021, May 11). Disparities in health and health care: 5 key questions and answers. Kaiser Family Foundation. https://www.kff.org/racial-equity-and-health-policy/issue-brief/disparities-in-health-and-health-care-5-key-question-and-answers/
U.S. Department of Health and Human Services. (2020). Health Care Access and Quality – Healthy People 2030 | health.gov. Health.gov. https://health.gov/healthypeople/objectives-and-data/browse-objectives/health-care-access-and-quality
U.S. Department of Health and Human Services. (2022, June 22). Heart Disease and Stroke | Healthy People 2020. Wayback.archive-It.org. https://wayback.archive-it.org/5774/20220413181905/https://www.healthypeople.gov/2020/topics-objectives/topic/heart-disease-and-stroke.
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