Module 4- Evidence Base In Design Discussion
Module 4- Evidence Base In Design Discussion
Respond to at least two of your colleagues* on two different days by either supporting or respectfully challenging their explanation on whether there is an evidence base to support the proposed health policy they described.
Discussion response #1: Hope Solomon
According to Rosenberg et al. (2019), mental-related health issues have become a significant concern in the US. This trend has prompted diverse players to actively participate in devising a lasting solution to strategies to deliver quality care to mentally identified patients and those with substance abuse-related issues. In agreement with your point, it is critical for government agencies and other stakeholders in the health industry to devise a mechanism to improve mental health care and prioritize such services just as primary care has been addressed. One approach to reverse this trend and improve substance abuse and mental health services is through adopting policies such as ‘The health policy, S.Res.518’ presented by Senator Warnock Raphael on February 17, 2022 (S.Res.518 – 117th Congress, 2021–2022)Module 4- Evidence Base In Design Discussion.
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Adopting the policy would be an integral basis for providing prevention services to Americans. Early identification and intervention actions for the population at risk would be critical in providing successful mental health care, integrated services and treatment for people identified with mental relate issues (Rosenberg et al., 2019). As you have mentioned, an estimated 52 million people living with mental illnesses is a worrying statistic. In turn, the government and other stakeholders should intensively invest in strategies, mental health experts, and programs to cater to mental health needs in the country. With the problem (mental illness) affecting more youth and the working group, there is a dire need to find a remedy to the worrying trend of increasing substance abuse, and suicidal rates, among other adversaries Module 4- Evidence Base In Design Discussion.
References
Rosenberg, L., Mojtabai, R., Barry, C., & Olfson, M. (2019). Medication treatment for substance Abuse/Medication and substance abuse: The authors reply. Health Affairs, 38(4), 695-695,695A. https://doi.org/10.1377/hlthaff.2019.00112
S.Res.518 – 117th Congress (2021–2022): A resolution expressing the sense of the Senate that in order to effectively address the high prevalence of individuals suffering from mental health conditions and substance use disorders, the United States needs to make historic financial investments into mental health and substance use disorder care and finally acknowledge such care as a priority in health care equal to physical health, and for other purposes. (n.d.). Congress.Gov | Library of Congress. Retrieved July 12, 2022, from https://www.congress.gov/bill/117th-congress/senate-resolution/518
Discussion response #2: Molly Lutgen (Evidence Base in Design)
Healthcare evolution has focused on increased affordability, accessibility of patient-based care, and utilization of evidence-based care (Fletcher, 2022). With an increasing focus on quality, the adoption of the Affordable Care Act has revolutionized the healthcare industry with an increased focus on care practices that promote the overall well-being of the population at low cost and higher quality of care. In agreement with your argument, birth control initiatives under the AAC policy would be of various and multiple benefits. It would empower women in terms of the reproduction age and time and increase access to family planning services to millions of American women without insurance coverage Module 4- Evidence Base In Design Discussion.
Additionally, adopting birth control practices would significantly reduce unintended and teenage pregnancies, which have had multiple diverse impacts on public health. Reducing obstacles to fordable birth control measures improves women’s quality of life. One approach to ensure innovation and adoption of EBP practices in women’s health is through legislation, which would be used to legalize practices and women’s reproductive rights. The focus and choice of the topic are great; additional research would be required to depict the link between the evidence-based practice and improved accessibility and quality of services concerning birth control.
References
Fletcher, J. (2022). Where to get free or low-cost birth control: What to know. https://medicalnewstodat.com/articles/free-birth-control#factors-in-access
Health care issues and the proposed policies that aim to improve healthcare issues are complex and multifaceted. Various factors affect healthcare issues and policies, such as the economy, religion, social movements, education, and availability of resources. In turn, solutions to lower healthcare costs and provide all Americans with accessible, affordable, quality care is quite challenging. Using evidence-based practice data and literature via electronic health records is essential to gathering the information needed to devise a health policy (Milstead & Short, 2019)Module 4- Evidence Base In Design Discussion.
The health policy I choose to discuss aligns with current political issues regarding women’s rights. H.R 7894- Affordability is Access Act (117th Congress 2021-2022) is a prosed bill requiring health plans, group, and individual insurance coverage to provide over-the-counter contraceptives. The bill would ensure timely access to affordable birth control without cost-sharing for daily use. Furthermore, birth control, regulated by the Food and Drug Administration, would not require a prescription and be affordable and easy to obtain (Congress.gov)Module 4- Evidence Base In Design Discussion.
The birth control benefit enacted under the Affordable Care Act (AAC) was a significant step in increasing access to birth control. It has empowered many women to decide for themselves when to have children. However, still, some barriers make it harder for some people to access and afford birth control, such as lack of insurance, gaps in coverage, and difficulty accessing healthcare providers (Congress.gov). While many birth control options are generally covered by insurance or affordable without coverage with a prescription, not all forms of birth control are included. For many uninsured women, visiting a clinic, even a community clinic such as Planned Parenthood is not an affordable option. Passing the H.R 7894 bill may help more women access free birth control without a clinic visit and the need for a prescription (Fletcher, 2022)Module 4- Evidence Base In Design Discussion.
There is a significant evidence base to support this policy. Unintended pregnancies have a considerable impact on public health. Women with unintended pregnancies have a higher risk of morbidity and mortality and experience substantial financial difficulties. Although any woman is at risk for unintended pregnancy, rates are often higher among those with a lower income, minorities, adolescents, and people living in poverty (Troutman et al.,2020). Decreasing barriers to affordable birth control options without a prescription could benefit many women and young girls with limited resources. Supporters of the bill argue that legislation could help support women’s reproductive rights at a time when those rights are at risk (GovTrack, 2022)Module 4- Evidence Base In Design Discussion.
References
Congress.Gov. (n.d.). H.R. 7894-affordability is access act. https://www.congress.gov/bill/117th-congress/house-bill/7894
Fletcher, J. (2022). Where to get free or low-cost birth control: What to know. https://medicalnewstodat.com/articles/free-birth-control#factors-in-access
GovTrack. (2022, June 23). H.R. 7894: Affordability is access act. https://www.govtrack.us/congress/bills/117/hr7894/summary
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Jeri A. Milstead, Nancy M. Short & Jeri A. Milstead, Nancy M. Short. (2019). Health policy and politics (6th ed.). Jones & Bartlett Learning.
Troutman, M., Rafique, S., & Plowden, T. (2020). Are higher unintended pregnancy rates among minorities a result of disparate access to contraception? Contraception and Reproductive Medicine, 5(1). https://doi.org/10.1186/s40834-020-00118-5 Module 4- Evidence Base In Design Discussion