Discussion Board Response

Learning Goal: I’m working on a nursing discussion question and need an explanation and answer to help me learn.

I need to write a response to this posting about The Comparison of Health Outcomes and Healthcare Spending in the United States Versus Other Countries and follow the directions below…

  1. Your reply must be thoughtful, well presented, in complete sentences and applicable to the topic at hand (not just “I agree or disagree”). Reply should be approximately 100-250 words. Ideas include but are not limited to the following:
  • An alternative opinion (please provide a reference for your opinion if needed). For example, if you discuss something you read in another article that differs from the article on which you are commenting, cite the article for reference.
  • You can discuss applicable clinical interactions (positive or negative) regarding the topic that you may have seen in practice (remember HIPPA- no patient identifiers).
  • You may discuss how this article may apply to clinical practice of APNs.
  • You may discuss what you learned from the article that may inform your future practice.

Comparison of Health Outcomes and Healthcare Spending in the United States Versus Other Countries

Striking disparities in healthcare spending between the United States (U.S.) and other high-income countries globally remain a public health concern given the considerable variances in health outcomes. According to Papanicolas et al. (2018), healthcare spending in the U.S. grossly outpaces spending when compared to the United Kingdom, Canada, Germany, Australia, Japan, Sweden, France, the Netherlands, Switzerland, and Denmark. In 2016, it was reported that “the United States spent 17.8% of its [Gross Domestic Product] GDP on healthcare (range of the other countries, 9.6%-12.4%; mean of all 11 countries, 11.5%) …and had almost double the health spending per capita (mean, $9403) compared with the other countries (range, $3377-$6808; mean of all 11 countries, $5419)” (Papanicolas et al., 2018, p.1027). Despite expected commensurate improvements in health outcomes from spending approximately twice as much per capita on medical care, research indicates that the U.S. consistently had the poorest population health outcomes in domains such as life expectancy and infant mortality (Papanicolas et al., 2018). Aside from comparable healthcare utilization rates, chief drivers responsible for differences in health outcomes between these countries are largely attributable to factors associated with healthcare spending and the affordability of care: prices of labor and goods, physician and hospital services, pharmaceuticals, diagnostic tests, and administrative costs—all of which collectively hinder access to care (Papanicolas et al., 2018). As elicited, this article illustrates the significant impact healthcare spending has on advanced nursing practice. The cumulative bankrupting effects of healthcare spending in the U.S. greatly influence clinical practice as these financial constraints disrupt the continuity of care and force patients to navigate the consequential effects of skyrocketing healthcare expenditures by practicing non-traditional, life-threatening measures such as delaying or forgoing medical care—further impacting patient morbidity and mortality negatively. Therefore, advanced practice nurses (APN) are entrusted with the responsibility of mastering the tedious balance between cost and benefit in order to provide preventative healthcare that sustainably optimizes patient outcomes before conditions exacerbate and incur greater financial expenses for patients.

Papanicolas, I., Woskie, L. R., & Jha, A. K. (2018). Heath care spending in the United States and other high-income countries. JAMA319(10), 1024-1039. https://doi.org/10.1001/jama.2018.1150 (Links to an external site.)

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