The nursing instructor is explaining the present economic challenges in health care to students in a community health course. What should the instructor emphasize as being important for the students to be aware of?
1. Passage of the Affordable Care Act
2. Consumer presence on the boards of nursing associations and regulatory agencies
3. Diagnostic-related groups (DRGs)
4. Advances in science and technology
Correct Answer: 1
Rationale 1: With the passage of the Affordable Care Act (ACA) in 2010, health care delivery shifted in focus from acute care to primary preventive care and treatment of chronic conditions using health care teams and information technology. Other forces include consumer demands, family structure, and science and technology. DRGs are a classification system that categorically establishes pretreatment billing based on diagnosis. Although this is an aspect of economic factors affecting nursing, it is not the underlying cause of more personnel being employed in community-based settings.
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