Health Economics and Analysis

These are some potential topics that you may wish to consider exploring in your paper. However, you are more than welcome to explore/come up with topics on your own that do not encompass this list.

a. Healthcare implications of the opioid epidemic:

i. Opioid-related mortality has been particularly high among the middle aged non-Hispanic White population with less than a college degree compared to other racial/ethnic groups. What factors/mechanisms can help explain this disparity? ii. Neonatal Abstinence Syndrome (NAS) has been increasing in the United States. However, in many states substance use among pregnant women is considered a criminal offense. This has caused many pregnant women to avoid seeing health care providers for fear of being prosecuted and/or losing custody of the child. What are some implications of these criminal justice focused prenatal substance use polices on the rates of infants born with NAS?

b. Provider reimbursement for mental health services: i. The literature has documented evidence that mental health service providers (psychologist, psychiatrist) are reimbursed at a lower rate compared to other medical professionals/specialists for the same type of services provided to patients. In addition, many individuals with mental health conditions have reported difficulties in finding a specialized mental health provider for treatment that would accept their health insurance. Is low reimbursement of mental health providers related to the low acceptance rate of health insurance by them?

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Discussion: Diversity and Health Assessments May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained�from her observations and her personal experience as a black woman�that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, �Many black women are fat because we want to be� (Randall, 2012). Randall�s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity. In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion. CASE STUDY: EB is a 68-year-old black female who comes in for follow-up of hypertension. She has glaucoma and her vision has been worsening during the past few years. She lives alone and is prescribed four hypertension medications (Hydralazine 50 mg PO Q8H, Metoprolol XL 200 mg PO Q12H, Lisinopril 40 mg PO daily, and HCTZ 25mg PO daily ). She brings in her medication bottles and she has some medication bottles from the previous year full of medications. She is missing one medication she had been prescribed and says she may have forgotten it at home. Her BP in clinic today is 182/99 with HR of 84. To prepare: � Reflect on your experiences as a nurse and on the information provided in this week�s Learning Resources on diversity issues in health assessments. � By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the �Course Announcements� section of the classroom for your case study assignment. � Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you. � Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient�s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. � Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information? Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. NOTE: THIS IS THE LINK TO DOWNLOAD THE BOOK

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