LSSC Promoting Equity and Improving Health Outcomes Discussion Replies – Description
Respond to two peers
Post #1
Crystal Herschberger
Hello class,
H-M: Florida is one of 11 states to decline Medicaid expansion under the Affordable Care Act, leaving 800,000 low-income residents without health insurance. Health policy advocates in Florida are pushing for voters to decide the issue at the ballot box to get around opposition in the Statehouse. Sponsors did not submit the required number of signatures to qualify for the ballot by the deadline on February 1, 2022. Which of the three basic human values important in public health decision-making does this strategy exemplify? If the voters decide Medicaid expansion will occur despite political opposition in the state legislature, would this be an example of distributive justice? Explain your answer.
The three basic human values that guide public health decision-making consist of self-determination, well-being, and equity (Rector & Stanley, 2022). Self-determination empowers a collaboration in which decisions are made together rather than for a person or community by those in legislation. It allows them to express their views to help decide policies that directly affect them. Well-being includes people having a choice that is associated with their preferences and values. It allows for understanding of different views and promotes options that are beneficial to them. Equity promotes fairness among all and provides access that is balanced and unbiased. These three values describe autonomy and fair treatment, in which the context of Medicaid expansion would provide low-income residents with access to healthcare. In return, it can help to prevent harm and offer benefits, provide funding for goods and services, and present options that pertain to their own values and beliefs. There are principles that allocate economic benefits and burdens in a society, defining distributive justice and include need, equality, ownership, and opportunity (Elenbaas & Mistry, 2021). Distributive justice would describe voters deciding on Medicaid expansion. By providing an equal opportunity for all people to have access to healthcare services and programs it allocates resources to where it is most needed. By having this balanced approach, those who are in need are provided for.
Crystal Herschberger
Elenbaas, L., & Mistry, R. S. (2021). Distributive justice in society and among peers: 8- to 14-year-olds’ views on economic stratification inform their decisions about access to opportunities. Developmental Psychology, 57(6), 951–961. https://doi.org/10.1037/dev0001188Links to an external site.
Rector, C., & Stanley, M. (2021). Evidence-based practice and ethics. In C. Rector, & M. Stanley (Eds.), Community and public health nursing (10th ed., pp. 83-86). Wolters Kluwer.
Post #2
A-G: Review your County Health Ranking in the following report: CHR2022_FL_Links to an external site.. Discuss one primary, one secondary, and one tertiary level of prevention to address one of the health issues identified for your county.
Amy Green
Hi all,
According to Rector and Stanley (2022), healthcare can be divided into levels of prevention, primary, secondary, and tertiary. Primary prevention is measures taken to prevent a disease or condition from occurring, such as instructing a class on healthy eating habits for adults that are overweight or obese. Secondary prevention involves identifying a disease or condition at the earliest possible moment. This would be accomplished through health screening such as A1C levels to identify pre-diabetes or mammograms to detect breast cancer. Tertiary prevention involves restoring function and reducing the seriousness of established diseases. An example of tertiary prevention would be the management t of a chronic disease such as HIV or diabetes or a patient attending cardiac rehabilitation following a myocardial infarction.
According to the Countyhealthrankings.org (2023) website, Marion County, Florida, has several areas that require work to address significant disparities. One area that would be great for primary prevention would be smoking. According to Countyhealthrankings.org, the smoking rate in Marion County is 21%, versus the 16% average in Florida. Per Stucki et al. (2019), programs such as smoking cessation competitions result in fewer participants smoking at the end of the competition period. One area of concern in Marion County that would benefit from secondary prevention is sexually transmitted diseases. Through county-led screening programs, more people could be screened for STDs and the diseases identified and treated sooner. Finally, for tertiary prevention, Marion County would benefit from a nursing or social work staff that works directly with patients to reduce hospital readmissions for established illnesses. In Marion County, the rate of preventable hospital stays is greater than both the Florida and national averages.
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