© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 1

2 8 C H A P T E R HEALTH POLICY

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 3 Health Policy  Government decisions about health  Relates to the healthcare system  Involves patients, caregivers, and organizations

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 4 Goals of Health Policies  To help citizens make health-related choices  To provide a healthy environment for everyone

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 5 Government Levels of Health Policy  Can involve only a single level of government  Example—local health department regulations  Can involve more than one level

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 6 Examples of Multi-level Policies  Vaccines for children  State Children’s Health Insurance Program  Tuberculosis management  Secondhand smoke exposure (Table 8-1)

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 7 Healthy People 2010  Federal initiative to improve health  Goals and objectives for health promotion/disease prevention  Figure 8-3 and Table 8-2

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 8 Healthy People 2010  Basis and rationale for many health policies (Figure 8-4)  Coordinates public health actions at all levels

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 9 Healthy People in Healthy Communities. A Systematic Approach to Health Improvement (courtesy of United States Department of Health and Human Services, 2001) Healthy People 2010 (cont.)

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 10 Healthy People 2010 Policy Influences  Promotes community-level interventions for individual health issues  Example—reducing tobacco use and secondhand smoke  Example—fighting obesity (Table 8-3)

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 11 Protecting Vulnerable Populations  Groups who have poor health or are at risk  Government plays an important role in their health

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 12 Vulnerable Populations  Immigrants and Homeless  Infants and Children  Elderly  Mentally ill  Long-term care residents  Populations with chronic illnesses

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 13 Special Interest Groups  Diverse, powerful stakeholders in policy development  They lobby and create political action committees  Insider vs. Outsider Strategies (Table 8-4)

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 14 Non-occupational Groups  Non-healthcare groups that influence health policy  Examples: AARP, Mothers Against Drunk Driving

© 2010 Cengage Learning. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part. 15 Examples of Healthcare Groups  Pharmaceutical industry  American Medical Association  American Nurses Association  The Nightingales (Figure 8-8)