Kozier & Erb's Fundamentals of Nursing 10th Edition by Shirlee Snyder,Audrey Berman,Geralyn Frandsen

Exercise 3

Nurses are, and should be, taking an active role in influencing the direction of health care. Recognizing that there are finite limits to the amount of money and health care providers available, desirable outcomes often compete for resources. Consider a clinical situation such as the so-called "drive-through (or 24-hour) mastectomies" in which clients are moved through the acute care (hospital) system extremely quickly compared to previously. The ANA's Health System Reform Agenda (ANA, 2008) states that (a) health care should be provided ln settings that provide treatment and follow-up care that is reasonably priced with copayments based on the person's ability to pay; (b) health care should be available during convenient hours, locations, and waiting times to accommodate working families, people with disabilities, and people across the life span; and (c) health care services should be culturally appropriate, respectful of clients and their families, and inclusive of client involvement in treatment decisions.
How might different community-based frameworks manage the clinical example?