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- Title
Reclaiming Health Policy: Models for Graduate-Level Education and Military--Civilian Teamwork.
- Authors
Barry, Kevin Michael; Robb, Douglas J.
- Abstract
Introduction: Too few health professionals engage in policy. This has weakened the field of healthcare and its ability to advocate for patients. Meanwhile, opposing interests have filled this vacancy and begun shaping health policy in their favor, at the expense of patient care and general human health. To reclaim health policy, health professionals must get "smart" on policy and "strong" through collaboration. Such a workforce could safeguard healthcare against exploitative interests and shape the field in the interests of our patients. We offer two models to make tomorrow's workforce "smart" and "strong" in order to protect the field. Model 1 proposes a model of policy education to be taught in healthcare programs. The intent is to generate a workforce of vigilant future professionals, confidently able to effect change. Model 2 impresses the need for civilian healthcare to strengthen ties to military healthcare and vice versa (mil-civ collaboration). This will make health professionals better able to influence health policy. Conclusion: A policy-equipped and collaborative workforce could effectively advocate for patients and stymie opposing interests to ultimately reclaim US healthcare. However, if US healthcare does not address its flagging influence over health policy, it may face an internal collapse due to rapid and unfavorable changes now unfolding. Either direction, policy is at the center of it all. This content adds to the literature with original models and with previously unpublished accounts from the highest echelons of military healthcare leadership. Leadership accounts detail how, despite great opposition, mil-civ relations during the wars in Iraq and Afghanistan changed policy and saved an untold number of lives--from driving down Troop fatalities, which led to the lowest Troop fatality rate (after injury) in combat history, to driving forward new national policies that have saved civilian lives and are poised to save many more. These advancements are currently jeopardized and many gaps exist. Engagement and collaboration are critically needed.
- Subjects
AUTONOMY (Psychology); COLLEGE teachers; COMMUNICATION; CONTINUUM of care; FIELDWORK (Educational method); GRADUATE students; HEALTH promotion; INDUSTRIES; HEALTH insurance; INTERPROFESSIONAL relations; LABOR supply; LEADERSHIP; MATHEMATICAL models; CASE studies; MEDICAL care; MEDICAL quality control; MEDICAL personnel; HEALTH policy; MEDICAL practice; MILITARY medicine; MENTORING; NURSING research; NURSING specialties; PATIENT advocacy; PATIENTS; PHARMACEUTICAL industry; PROBLEM solving; PROFESSIONAL employee training; PUBLIC health; QUALITY assurance; TOBACCO; GRADUATE education; TEAMS in the workplace; WOUNDS &; injuries; THEORY; PEER relations; SOCIAL media; CONSUMER activism
- Publication
Annual Review of Nursing Research, 2018, Vol 36, Issue 1, p151
- ISSN
0739-6686
- Publication type
Article
- DOI
10.1891/0739-6686.36.1.151