Nursing in Other Countries
Public Health Care in the U.S. & Another Country
A. Review each of the following definitions and roles of nurses who practice in the public health setting.
The core functions of public health
The specialist in Public Health Nursing
The difference between a nurse whose practice is community-based vs. a community-oriented nurse.
B. Read about our current U.S. public healthcare system, national health guidelines or health organizations. Some examples for resources include:
U.S. Department of Health and Human Services (Links to an external site.)
Health Resources and Services Administration (Links to an external site.)
Agency for Healthcare Research and Quality (Links to an external site.)
Centers for Medicare and Medicaid Services (Links to an external site.)
C. Read about public healthcare in another country (such as a country in Asia, Africa, South America, or Europe).
Submission: Written Assignment (in APA format) for Discussion Board:
1. Describe and contrast public health and healthcare in the U.S. with public health and healthcare in one other country (such as in Asia, Africa, South America, Europe, or Canada). You should have a thorough paragraph (at least 4-5 sentences per paragraph) for each country (the U.S. and the one country you choose to study).
2. Describe and compare the roles of the nurse, or health professional, in each country. This should be 1-2 paragraphs (at least 4-5 sentences per paragraph).
Support your answer with at least two references. DO NOT USE THE COURSE TEXTBOOK AS THE ONLY RESOURCE. CITE ANY REFERENCES IN APA FORMAT. This assignment should be written in APA format (including title and reference pages). It should be uploaded into the Discussion Board as a Word or Pages document for correct formatting. Initial post should be submitted by 10AM on due date (or points will be deducted), so classmates have time to respond prior to midnight deadline. Respond to at least two classmates’ posts. You will not be able to view posts made by classmates until after you post your initial discussion summary.
Comparison of Healthcare Systems
The public healthcare system in the United States shares some similarities with systems of the other countries, and in a way, differs in some aspects. One of the highly-rated healthcare systems competing against the United States is the German healthcare system. The German health system uses the universal multi-payer system, encompassing private health insurance and statutory health insurance for low-income earners. The employers and employees both contribute towards the healthcare system through a 7.5% cut on earnings (Estes et al., 2018). This system increases health accessibility, reduces out-of-pocket costs, and raises the quality of community health. In the United States, the healthcare service is paid through government programs such as Medicare and Medicaid, private health insurance plans, and out-of-pocket funds. The US spends 16% of its GDP on healthcare, with the health costs per individual being very high compared to 11% of Germany (Schreck, 2022). This shows that the cost of treatment and uninsured population using out-of-pocket payments in the US is high compared to Germany
In both Germany and United States, healthcare providers, especially nurses, play common roles in enhancing the health of the citizens. The nurses play a key role in disease prevention, where they educate and manage patients in the healthcare facilities. Germany is not listed as one of the countries allowing full authority of ANP practice, while the United States, like most of its states, is adopting the full authority of nursing practice. Most of the states in the United States are privileged to prescribe medications, including opioids. This has improved access to healthcare. The value of community healthcare workers in the United States is heightened compared to Germany. In Germany, nurses deliver care through hospitals, geriatric centers, and other healthcare centers, but rarely in community-based public health.
Estes, C., Anstee, Q. M., Arias-Loste, M. T., Bantel, H., Bellentani, S., Caballeria, J., … & Razavi, H. (2018). Modeling NAFLD disease burden in China, France, Germany, Italy, Japan, Spain, the united kingdom, and the united states for the period 2016–2030. Journal of hepatology, 69(4), 896-904.
Schreck, R. I. (2022, January 24). Overview of Health Care Financing. Merck Manuals Consumer Version. https://www.merckmanuals.com/home/fundamentals/financial-issues-in-health-care/overview-of-health-care-financing