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Fundamentals of Nursing, 11th Edition Patricia A. Potter, RN, MSN, PhD, FAAN Anne Griffin Perry, RN, MSN, EdD, FAAN Patricia A. Stockert, RN, BSN, MS, PhD Amy Hall, RN, BSN, MS, PhD, CNE Chapter 2 The Health Care Delivery System Health Care Delivery System ...

Fundamentals of Nursing, 11th Edition Patricia A. Potter, RN, MSN, PhD, FAAN Anne Griffin Perry, RN, MSN, EdD, FAAN Patricia A. Stockert, RN, BSN, MS, PhD Amy Hall, RN, BSN, MS, PhD, CNE Chapter 2 The Health Care Delivery System Health Care Delivery System  Four challenges facing nursing  Aging baby boomer generation  Shortage and uneven distribution of physicians  Rate of nurses’ retirements  Uncertainty of health care reform 3 Traditional Levels of Health Care  Preventative  Primary  Secondary  Tertiary  Restorative  Continuing health care 4 Integrated Health Care Delivery (1 of 4)  Primary and preventive health care services  Primary health care Focus on improved health outcomes for an entire population Requires collaboration among health professionals, health care leaders, and community members  Health promotion programs Designed to reduce the incidence of disease  Preventive care Focused on reducing and controlling risk factors for disease 5 Integrated Health Care Delivery (2 of 4)  Secondary and tertiary care  Hospitals  Intensive care  Mental health facilities  Rural hospitals  Discharge planning 6 Integrated Health Care Delivery (3 of 4)  Restorative care  Home care  Rehabilitation  Extended care facilities 7 Integrated Health Care Delivery (4 of 4)  Continuing care  Nursing centers or facilities  Assisted living  Respite care  Adult day care centers  Palliative and hospice care 8 Issues in Health Care Delivery for Nurses (1 of 4)  Health care costs and quality  Patient satisfaction  Nursing shortage  Competency 9 Issues in Health Care Delivery for Nurses (2 of 4)  Patient-centered care  Respect for patient’s values, preferences, and expressed needs  Coordination and integration of care  Information and education  Physical comfort  Emotional support and alleviation of fear and anxiety  Involvement of family and friends  Continuity and transition  Access to care 10 Issues in Health Care Delivery for Nurses (3 of 4)  Magnet recognition program ®  Nursing-sensitive outcomes  Technology in health care  Robotics  Telemedicine 11 Issues in Health Care Delivery for Nurses (4 of 4)  Health care disparities  Economic stability  Education  Health and health care  Neighborhood and built environment  Social and community context 12 The Future of Health Care  Current system is in a constant state of change  Predictions include that the health care system of the future will be consumer-centered  Use of telehealth and digital care will increase  Office visits will decrease  Artificial intelligence will be increasingly used to assist in early detection and better understanding of disease progression 13

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