Coburn 1e

Contents

About the Authors iv Contributors vi Reviewers ix Preface xi Acknowledgments xv

Changing Landscape of Healthcare in the United States 1

UNIT 1

1 Ambulatory Nursing: An Overview 3 History 3 Defining Ambulatory Care 5 Social, Economic, and Policy Influences 7 Ambulatory Nursing Roles: An Overview 8 Comparison: Ambulatory and Acute Care Nursing 12 Summary 15 2 Healthcare Delivery 18 The 19th Century 18 The 20th Century 19 The 21st Century 20 Care Delivery Models 26 Registered Nurse Roles in Ambulatory Care 32 Future of Ambulatory Care Nursing 36

3 Social, Economic, and Policy Influences on Ambulatory Care 40 Social Determinants of Health 41 Public Health and Social Determinants of Health 41 Public Health Efforts for Populations in the 21st Century 42 Ambulatory Care for Specific Vulnerable Populations: Applications of Population Health 44 Implications of Social Determinants of Health on Ambulatory Care Nursing Practice 46 Summary 47

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