- Using epidemiological data, describe a health-related problem in a population.
- Explain and outline the complexities (organization, structure and function) of the healthcare system and their impact on the health inequities and access barriers in this vulnerable populations
- Demonstrate how the concepts of population health thinking address the SDOH, health disparities, and healthcare outcomes
- Differentiate the role of the advanced nurse leader in analyzing data and outcomes to develop the best-evidence needed to improve access and healthcare access and outcomes in the population
The advanced nurse specialist’s role will continue to be developed as we progress through the course. Use the information and knowledge you have from week 1-4 to develop this content.
Section ONE includes the following headings and information.
- Introduction-Synthesize the information you have developed each week in your discussion post, and the knowledge you gained from your peers, to write the introduction for your paper.
- Be sure to use epidemiological data and describe the epidemiologic importance of the identified health problem focus, in the U.S. (e.g. how it contributes to morbidity and mortality, cost of treatment, economic burden to community).
- State the Healthy People 2030 goal and objective(s) for the health problem
- Include how the complexities of the organization, structure and function of the healthcare system impact the health inequities and access barriers in this vulnerable population
- Use concepts of population health thinking to address the SDOH, health disparities and population health outcomes.
- State the purpose of your paper
Due
Submit assignment by 11:59 PM, Saturday
Guidelines
- APA7th required
- Include Title Page and 3-4 Scholarly References
- Minimum word limit is 1000 words
- Maximum word limit is 1500 words
Title: Addressing Health Inequities and Access Barriers in Vulnerable Populations: A Population Health Approach
Introduction
The United States faces a multitude of health-related challenges, with certain populations disproportionately bearing the burden of disease and experiencing barriers to accessing healthcare services. Through the lens of epidemiological data, this essay aims to explore one such health-related problem prevalent in the U.S. and elucidate the complexities within the healthcare system that contribute to health inequities and access barriers in vulnerable populations. Drawing upon concepts of population health thinking, we will analyze the social determinants of health (SDOH), health disparities, and healthcare outcomes. Furthermore, we will delineate the role of advanced nurse leaders in leveraging data and evidence to enhance healthcare access and outcomes for these populations.
Epidemiological Importance of the Identified Health Problem
The identified health problem for this analysis is cardiovascular disease (CVD), a leading cause of morbidity and mortality in the U.S. According to the Centers for Disease Control and Prevention (CDC), CVD accounts for approximately 655,000 deaths annually, making it the leading cause of death in the country (CDC, 2022). Moreover, CVD poses a significant economic burden, with direct and indirect costs surpassing $200 billion annually (Virani et al., 2021).
Healthy People 2030 sets forth specific objectives to address CVD, aiming to reduce the prevalence of heart disease and stroke-related deaths and decrease the economic burden associated with CVD (Healthy People, 2021). However, achieving these objectives is hindered by the complexities within the healthcare system.
Complexities of the Healthcare System and Their Impact on Health Inequities
The healthcare system in the U.S. is characterized by fragmentation, inequities, and barriers to access, particularly for vulnerable populations such as racial and ethnic minorities, low-income individuals, and rural communities. Structural factors, including limited healthcare infrastructure in underserved areas and disparities in health insurance coverage, contribute to disparities in CVD outcomes (Kanjilal et al., 2006). Additionally, social determinants such as socioeconomic status, education, and access to healthy foods and safe environments, exacerbate disparities in CVD incidence and outcomes (Havranek et al., 2015).
Population Health Thinking and Addressing SDOH
Population health thinking provides a comprehensive framework for addressing SDOH, health disparities, and population health outcomes. By recognizing that health extends beyond the healthcare system and is influenced by social, economic, and environmental factors, population health strategies emphasize upstream interventions to promote health equity. For instance, interventions targeting education, income inequality, and community resources can mitigate the impact of SDOH on CVD outcomes (Gottlieb et al., 2016). Furthermore, collaborative efforts involving healthcare providers, public health agencies, and community organizations are essential for implementing multilevel interventions that address the root causes of health disparities.
Role of Advanced Nurse Leaders in Improving Healthcare Access and Outcomes
Advanced nurse leaders play a crucial role in addressing health inequities and improving healthcare access and outcomes for vulnerable populations. Through data analysis and evidence-based practice, nurse leaders can identify disparities in CVD care and develop tailored interventions to address the unique needs of underserved communities. For example, advanced practice nurses can collaborate with community health workers to provide culturally competent care, implement risk factor screening programs, and facilitate access to affordable medications and lifestyle interventions. Additionally, nurse leaders can advocate for policy changes that promote health equity, such as expanding Medicaid coverage and increasing funding for preventive services in underserved areas.
Conclusion
In conclusion, addressing health inequities and access barriers in vulnerable populations requires a multifaceted approach that incorporates epidemiological data, population health thinking, and the expertise of advanced nurse leaders. By understanding the complexities within the healthcare system and addressing the social determinants of health, we can work towards achieving the Healthy People 2030 objectives for reducing CVD morbidity and mortality. Through collaboration and advocacy, nurse leaders can drive positive change and improve health outcomes for all members of society.
References:
Centers for Disease Control and Prevention. (2022). Heart Disease Facts. Retrieved from https://www.cdc.gov/heartdisease/facts.htm
Gottlieb, L. M., Wing, H., Adler, N. E. (2016). A systematic review of interventions on patients’ social and economic needs. American Journal of Preventive Medicine, 51(5), 1-14.
Havranek, E. P., Mujahid, M. S., Barr, D. A., Blair, I. V., Cohen, M. S., Cruz-Flores, S., … & Rosal, M. (2015). Social determinants of risk and outcomes for cardiovascular disease: A scientific statement from the American Heart Association. Circulation, 132(9), 873-898.
Healthy People. (2021). Heart Disease and Stroke. Retrieved from https://health.gov/healthypeople/objectives-and-data/browse-objectives/heart-disease-and-stroke
Kanjilal, S., Gregg, E. W., Cheng, Y. J., Zhang, P., Nelson, D. E., Mensah, G., & Beckles, G. L. (2006). Socioeconomic status and trends in disparities in 4 major risk factors for cardiovascular disease among US adults, 1971-2002. Archives of Internal Medicine, 166(21), 2348-2355.
Virani, S. S., Alonso, A., Benjamin, E. J., Bittencourt, M. S., Callaway, C. W., Carson, A. P., … & Grundy, S. M. (2021). Heart disease and stroke statistics—2021 update: A report from the American Heart Association. Circulation, 143(8), e254-e743.