St Thomas University History and Processes of Healthcare Policy Analysis

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Introduction:
The history, structure, and process of health-care policy and politics in nursing and the healthcare delivery system in the United States are essential aspects to understand for medical college students. This knowledge helps them gain a comprehensive understanding of the context in which they will provide care and the systems they will navigate throughout their careers. In this answer, we will analyze the history, structure, and process of health-care policy and politics in nursing and the healthcare delivery systems in the United States.

Answer:
The history of health-care policy and politics in nursing and the healthcare delivery system in the United States is marked by significant milestones and evolutions. In the early 20th century, healthcare in the United States was largely unregulated, with limited access, particularly for vulnerable populations. The emergence of organized nursing and public health movements paved the way for improved healthcare policies and the establishment of systems aimed at meeting the healthcare needs of the population.

One of the major milestones was the establishment of Medicare and Medicaid in 1965, which increased healthcare access for older adults and low-income individuals and families. This was followed by the passage of the Affordable Care Act (ACA) in 2010, which aimed to reform the healthcare system and improve access, affordability, and quality of care for all Americans.

The structure of health-care policy and politics in nursing and the healthcare delivery system in the United States involves multiple stakeholders and layers of governance. The federal government plays a significant role through agencies like the Centers for Medicare and Medicaid Services (CMS) and the Department of Health and Human Services (HHS). These agencies develop and implement policies and regulations that shape healthcare delivery across the country.

At the state level, departments of health and state legislatures have responsibilities in regulating healthcare delivery within their jurisdiction. Additionally, professional nursing organizations, advocacy groups, and healthcare associations exert influence through lobbying efforts and policy recommendations.

The process of health-care policy and politics in nursing and the healthcare delivery system in the United States involves a complex interplay of factors. Policymaking often involves a series of steps, including agenda setting, policy formulation, implementation, and evaluation. Stakeholders from various sectors, including nursing and healthcare organizations, government officials, researchers, and patient advocates, actively participate in the process by offering their expertise and perspectives.

To evaluate the effectiveness and impact of healthcare policies, numerous metrics are used, including access to care, healthcare outcomes, costs, and patient satisfaction. Ongoing monitoring and evaluation of policies provide valuable feedback for policymakers and stakeholders and inform future policy decisions.

In conclusion, the history, structure, and process of health-care policy and politics in nursing and the healthcare delivery system in the United States are dynamic and ever-evolving. Understanding this context is crucial for medical college students as they prepare to navigate the complex healthcare landscape and advocate for their patients.