title: The impact of the Affordable Care Act on health education: perceptions of leading health educators.
abstract: The health care system in the United States is being overhauled by major legislation, the Patient Protection and Affordable Care Act (ACA). This study's goal was to provide insight into the perceived impact and changes that could occur within the health education profession as a result of this health care reform legislation. Seven leaders of the health education profession participated in this qualitative research study. Six semistructured, exploratory interviews were conducted, and one participant provided written responses to the interview questions. A thematic analysis of the content of the interviews yielded five themes: (a) a fragmented sick-care system, (b) ACA becomes law: the participants' reactions, (c) ACA becomes law: the profession's reactions, (d) impact on the profession, and (e) health education in 2020. This article describes the fourth theme, the impact of the ACA on the health education profession. Leaders of the health education profession believed that the ACA creates a more favorable environment for health education practice. The positive elements of this legislation, however, will need to be protected, strengthened, and verified, through the work of health education professionals. As more mandates within the law are enacted over time, the impact on the profession, more than likely, will shift.
authors.affiliation: 1Independent program evaluator, Navasota, TX, USA.
authors.forename: Christine L
authors.initials: CL
authors.lastname: Gastmyer
authors.forename: B E Buzz
authors.initials: BE
authors.lastname: Pruitt
mesh_terms: D001291:Attitude of Health Personnel; D005260:Female; D006266:Health Education; D040441:Health Educators; D006801:Humans; D008297:Male; D058991:Patient Protection and Affordable Care Act; D036301:Qualitative Research; D014481:United States
keywords: health care policy; health education profession; prevention; public health