Review both resources provided below in addition to the assigned readings for this week and reflect on 2 key differences between the UK and US Health systems. What are key opportunities related to advocacy and politics interventions that can be taken by advanced practice nurses to improve our current health system? Please refer to the resources identified below for details regarding UK Health System. 1. US and UK Health System Comparison- 2. Peterson-Kaiser Health System Tracker- 3.
The comparison of the healthcare systems in the United Kingdom (UK) and the United States (US) reveals significant differences in structure, financing, and outcomes. Two key differences can be identified: (1) the presence of a universal healthcare system in the UK, and (2) the divergent approaches to financing.
In the UK, the National Health Service (NHS) provides universal coverage to all residents, irrespective of their socio-economic status or employment status (Peterson-Kaiser Health System Tracker). This means that everyone has access to healthcare that is free at the point of service, funded through general taxation (Peterson-Kaiser Health System Tracker). This differs significantly from the US healthcare system, where healthcare coverage is primarily provided through private health insurance plans (Peterson-Kaiser Health System Tracker). Consequently, in the UK, individuals do not face the financial burden of healthcare costs, while in the US, many individuals are left uninsured or underinsured due to the high costs associated with private health insurance.
Another significant difference between the two systems is the approach to financing. In the UK, healthcare expenditure is predominantly funded by the government through taxation, primarily through general taxation and National Insurance contributions (Peterson-Kaiser Health System Tracker). This centralized financing system allows for a more equal distribution of healthcare resources, ensuring that everyone has access to quality care regardless of their ability to pay. In contrast, the US healthcare system relies heavily on private financing, with employers and individuals bearing the brunt of healthcare costs through employer-sponsored health insurance and out-of-pocket payments (Peterson-Kaiser Health System Tracker). This fragmented financing structure often leads to inequities in access to care, with those who have limited financial means facing significant barriers to healthcare services.
Given these key differences, there are several opportunities for advocacy and political interventions that can be taken by advanced practice nurses (APNs) to improve the current health system in both the UK and the US.
In the UK, APNs can advocate for improved access to healthcare services by addressing the issue of healthcare workforce shortages. The NHS has faced challenges in meeting the growing demand for healthcare services due to a shortage of healthcare professionals, particularly in primary care (Peterson-Kaiser Health System Tracker). APNs can lobby for increased funding and support for the education and training of advanced practice nurses, as well as advocate for policies that incentivize healthcare professionals to work in underserved areas or specialties.
APNs in the UK can also advocate for increased investment in preventive care and public health initiatives. While the NHS provides comprehensive healthcare coverage, there is still a need for proactive measures to prevent and manage chronic diseases. By advocating for policies that prioritize preventive care, APNs can promote healthier lifestyles and reduce the burden of chronic diseases on the healthcare system.
In the US, APNs can play a crucial role in advocating for healthcare reform to ensure access to affordable and equitable care for all individuals. One key opportunity is to support the expansion of Medicaid, particularly in states that have not yet expanded the program under the Affordable Care Act (Peterson-Kaiser Health System Tracker). APNs can engage in political advocacy to raise awareness about the benefits of Medicaid expansion and the impact it can have on improving access to healthcare services for low-income individuals.
APNs in the US can also advocate for policies that promote primary care and care coordination, as a means to improve healthcare outcomes and reduce healthcare costs. By advocating for increased reimbursement rates for primary care services and supporting the integration of primary care and mental health services, APNs can contribute to a more efficient and effective healthcare system.
In conclusion, the comparison of the healthcare systems in the UK and the US highlights key differences in universal coverage and financing. Advanced practice nurses have opportunities to intervene and advocate for improvements in both systems. These opportunities include addressing healthcare workforce shortages, promoting preventive care initiatives, supporting Medicaid expansion, and advocating for policies that strengthen primary care and care coordination. By leveraging their expertise and influence, APNs can contribute to the advancement of healthcare systems towards greater accessibility, affordability, and equity.