Global Healthcare Comparison Matrix and Narrative Statement
If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.To Prepare:Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.Select at least one additional country to compare to the U.S. for this Assignment.Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.Review and download the Global Health Comparison Matrix provided in the Resources.BELOW IS THE ASSIGNMENT PArt 1 and 2 but part 1 answers will be filled into the template and then part 2 needs to be written.The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)Part 1: Global Health Comparison MatrixFocusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.Explain the strengths and weaknesses of each policy.Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.Explain how the health policy you selected might impact the role of the nurse in each country.Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.BELOW IS PART 2 QUESTIONPart 2: A Plan for Social ChangeReflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examplesPLEASE FIND BELOW THE GRADING RUBILearning ResourcesRequired ReadingsMilstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.Chapter 11, “The Impact of Globalization: Nurses Influencing Global Health Policy” (pp. 194-208)Corless, I. B., Nardi, D., Milstead, J. A., Larson, E., Nokes, K. M., Orsega, S., Kurth, A. E., … Woith, W. (2018). Expanding nursing’s role in responding to global pandemics. Nursing Outlook, 66(4), 412-415.Donkin, A., Goldblatt, P., Allen, J., Nathanson, V., & Marmot, M. (2017). Global action on the social determinants of health. BMJ Global Health, 3(1). doi:10.1136/bmjgh-2017-000603. CORE SKILL: comparative health-systems analysis — using another country’s approach to a shared problem as a MIRROR that reveals the assumptions built into your own system.
STRUCTURE OF THE MATRIX: select a global health issue that is ALSO a domestic issue (this comparability is what makes the comparison meaningful) — maternal mortality, antimicrobial resistance, mental health access, vaccine hesitancy, non-communicable disease burden, health workforce shortage, climate and health.
THEN COMPARE ACROSS: how the issue manifests in each country; the POLICY response; the political and social context that produced that policy; the funding mechanism; measurable outcomes; and the role of nursing.
THE ANALYTICAL FRAME that elevates this beyond a table: health systems differ FUNDAMENTALLY in how they answer three questions — who is covered, what is covered, and who pays. Know the archetypes: BEVERIDGE (tax-funded, government-provided — UK NHS); BISMARCK (social insurance, employer/employee contributions, private providers — Germany, Japan); NATIONAL HEALTH INSURANCE (single public payer, private providers — Canada, Taiwan); and OUT-OF-POCKET (much of the low-income world). The US is a HYBRID of all four operating simultaneously for different populations — Medicare is national health insurance, the VA is Beveridge, employer coverage is Bismarck, and the uninsured are out-of-pocket. That observation is the single most illuminating thing you can say about US health policy in a comparative frame, and it explains much of the system’s complexity and administrative cost.
THE OUTCOMES DATA TO CITE: the US spends far more per capita than any peer nation while performing worse on life expectancy, maternal mortality, infant mortality, and avoidable mortality. That gap is the empirical anchor of the whole assignment. Handle the explanation carefully and evenhandedly — contributing factors credibly include administrative complexity, higher prices (not higher utilization — this is the crucial and widely misunderstood point: Americans do not consume MORE care, they PAY MORE per unit), fragmented coverage, and social determinants outside the health system entirely.
GLOBAL HEALTH BODIES AND FRAMEWORKS: the WHO, the UN SUSTAINABLE DEVELOPMENT GOALS (especially SDG 3), UNIVERSAL HEALTH COVERAGE, the social determinants of health framework (Marmot), and the Global Strategy on Human Resources for Health.
CULTURAL COMPETENCE / THE OPENING QUESTIONS: the prompt’s questions about eye contact, about naming a poor outcome aloud, and about personal contact are pointing at the fact that COMMUNICATION NORMS AND ILLNESS BELIEFS ARE NOT UNIVERSAL — direct disclosure of a terminal prognosis is an ethical requirement in some cultures and a cruelty in others. The lesson is cultural HUMILITY, not a lookup table of national customs (which would itself be the error).
NARRATIVE STATEMENT: what does the comparison reveal about YOUR system’s assumptions, and what could be adapted — with an honest assessment of what would NOT transfer, and why (political feasibility, scale, existing institutions). A recommendation that ignores transferability is not a recommendation.
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