2019 – new Brazilian government implemented other social, educational, and environmental policies that may threaten health.

Creation of a new secretary dedicated to primary care.

2. What is being done to reduce disparities?

-Ensure human rights and universal access for vulnerable groups
-Health policies

-Creation of the Special Secretariat for Indigenous Health 

-Development of local primary care services; mobile clinics for the homeless, floating health units in river communities, and indigenous health teams

 

1.    What major innovations and reforms have recently been introduced?

-       Minimum staffing requirements for nurses in hospitals. Maximum patients per nurse has been defined

-       Aiming to reduce mandatory contributions that individuals contribute monthly

-       Health insurance is mandatory

 

2.    What is being done to reduce disparities?

-       National initiative of not-for-profit contributions to sickness funds to allow those who cannot contribute themselves to be allowed to access healthcare. Sickness funds support 22,000 health-related programs in nurseries, schools, and other settings.

 

3.    What is the role of the nurse in advancing health in these countries?

-       More autonomous and can advocate for patients and express disagreements about treatments with doctors 

-       Advocate for better requirements for nursing ratios

-       Focused and defined ratio for ICU, geriatric, cardiac and trauma surgery

 

4.    What surprised you about your findings and how does this compare to your own countries?

-       More autonomy

-       Mandatory health insurance

-       Sickness funds

 

Since June 2016, the NHIA has stepped up efforts aimed at strengthening primary care through delivery system integration and the establishment of a referral system. The six components of this new strategy are:

More than 3 million economically disadvantaged Taiwanese (12.8% of the population) have full access to NHI services

In the last year the government has lowered income threshold to allow more people to become eligible for the premium subsidies. 

programs to integrate health and social care services (in progress)

the hospital patient centred integrated care programs 

What is the role of the nurse in advancing health in these countries?

nurses provide preventive care and educated to lower the number of people needing to access healthcare 

bridge the gap - nurses shift focus on low priority patients whilst doctors can attend to high priority patients. 

What surprised you about your findings and how does this compare to your countries?

Percentage of people that have full access to healthcare is significantly lower then Australia 

13.6 million (Australia) on PHI compared to 3 million (Taiwan)

 

 2. Aim to facilitate easier access to health care 

3. Aid in increasing health literacy 

4. Primary (and specialist) care tends to be physician-centered, with nurses and other health professionals playing a relatively small role. 
- Vaccine can be selected

 

1.     What are the goals of your strategy?

To provide healthy, ready prepared meals and snacks for students at the school throughout lockdown by the end of the first week of lockdown. 

2.     Would your proposed intervention from last week work? Why or why not? Provide evidence to support this.

Maybe no – not everyone has access to cars or to pick things up.

 

3.     Who else do you need to engage with for your strategy to work?

Local grocers, services such as meals on wheels.

 

4.     How would you evaluate your strategy?

Tally the number of people who pick up the groceries. Send out a survey to the families.

 

5.     What resources do you need to make your intervention suitable?

Money, 

1. Goals of the strategy 

2. Barriers:

3. Local councils, school staff - help with funding, aid in delivery to far areas 

4. Evaluation - level of participation, food leftover, get the children's view

5. Interventions: 

Make care packages for each child, and deliver them throughout the neighbourhood via, car, van etc. Care packages includes activities to keep them active and connected throughout the week, as well as easy meals to prepare as well as healthy snacks. We also thought of a "pick up" table where the children's families can come and pick up foods, snacks, etc that will be available in the area.