Discuss coverage for medications in the two healthcare systems.

NURSING SCIENCE

734.3.4: Healthcare Utilization and Finance – The graduate analyzes financial implications related to healthcare delivery, reimbursement, access, and national initiatives.
Introduction:

It is essential that nurses understand the issues related to healthcare financing, including local, state, and national healthcare policies and initiatives that affect healthcare delivery. As a patient advocate, the professional nurse is in a position to work with patients and families to access available resources to meet their healthcare needs.

Requirements:
A. Compare the U.S. healthcare system with the healthcare system of Great Britain by doing the following:

1. Compare access between the two healthcare systems for children, people who are unemployed, and for people who are retired.
a. Discuss coverage for medications in the two healthcare systems.
b. Determine the requirements to get a referral to see a specialist in the two healthcare systems.
c. Discuss coverage for preexisting conditions in the two healthcare systems.
2. Explain two financial implications for the patient with regard to the healthcare delivery differences between the two countries.

B. When you use sources to support ideas and elements in a paper or project, provide acknowledgement of source information for any content that is quoted, paraphrased or summarized. Acknowledgement of source information includes in-text citation noting specifically where in the submission the source is used and a corresponding reference, which includes:
Author
Date
Title
Location of information (e.g., publisher, journal, or website URL)

Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section.

Note: When using sources to support ideas and elements in an assessment, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the assessment.

Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the APA Guidelines section.
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The candidate does not identify 1 country from the given list whose healthcare system will be compared to the U.S. healthcare system.
Not applicable.
The candidate identifies 1 country from the given list whose healthcare system will be compared to the U.S. healthcare system.

A2. Access

The candidate does not provide an appropriate comparison of access between the two healthcare systems for children, people who are unemployed, and for people who are retired.
The candidate provides an appropriate comparison, with insufficient detail, of access between the two healthcare systems for children, people who are unemployed, and for people who are retired. The candidate provides an appropriate comparison, with sufficient detail, of access between the two healthcare systems for children, people who are unemployed, and for people who are retired.

A2a. Coverage of Medications

The candidate does not provide a logical discussion of coverage for medications in the two healthcare systems.
The candidate provides a logical discussion, with insufficient detail, of coverage for medications in the two healthcare systems. The candidate provides a logical discussion, with sufficient detail, of coverage for medications in the two healthcare systems.

A2b. Referral to See a Specialist

The candidate does not accurately determine the requirements to get a referral to see a specialist in the two healthcare systems.
Not applicable.
The candidate accurately determines the requirements to get a referral to see a specialist in the two healthcare systems.

A2c. Coverage for Preexisting Conditions

The candidate does not provide a logical discussion of the coverage for preexisting conditions in the two healthcare systems.
The candidate provides a logical discussion, with insufficient detail, of the coverage for preexisting conditions in the two healthcare systems.
The candidate provides a logical discussion, with sufficient detail, of the coverage for preexisting conditions in the two healthcare systems.

A3. Finance Implications for Healthcare Delivery

The candidate does not provide a logical explanation of 2 financial implications for the patient with regard to the healthcare delivery differences between the two countries.
The candidate provides a logical explanation, with insufficient detail, of 2 financial implications for the patient with regard to the healthcare delivery differences between the two countries. The candidate provides a logical explanation, with sufficient detail, of 2 financial implications for the patient with regard to the healthcare delivery differences between the two countries.

B. Sources

There is evidence of quoted, paraphrased or summarized content without acknowledgement of source information. This level is also appropriate if task instructions require the candidate to quote, paraphrase or summarize content from a source to complete the assessment, and this has not yet been done. The candidate provides required acknowledgement of source information for quoted, paraphrased and summarized content. However, in-text citations and/or source information is incomplete or inaccurate with respect to author, date, title and the location of the information (e.g., publisher, journal or website URL). The candidate provides source information for all quoted, paraphrased and summarized content. Source information appears to include accurate and complete acknowledgement of source information regarding the author, date, title and location of the information (e.g., publisher, journal or website URL) as well as appropriate in-text citation. This level is also appropriate if there is no evidence of quoted, paraphrased or summarized content, and it is not required by the instructions.