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Public Affairs, Public Policy and Public Administration

Public health services and systems research

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Scale And Scope Effects In Public Health Delivery: Estimating Gains From Regionalization, Glen P. Mays Jun 2012

Scale And Scope Effects In Public Health Delivery: Estimating Gains From Regionalization, Glen P. Mays

Glen Mays

OBJECTIVES: Current approaches to health system reform under the Affordable Care Act include efforts to enhance the delivery of public health services that promote health and prevent disease and injury on a population-wide basis. The nation’s public health delivery system comprises nearly 3000 local public health agencies that vary widely in size, resources, and capabilities. Economic pressures, workforce shortages, and new national accreditation standards are leading these agencies to explore mechanisms for pooling resources and expertise across local jurisdictions to enhance delivery and improve population health. This analysis uses longitudinal observations on a national sample of local public health agencies …


Expanding The Evidence Base For Accreditation And Qi: Progress In Practice-Based Research Networks, Glen Mays Jun 2012

Expanding The Evidence Base For Accreditation And Qi: Progress In Practice-Based Research Networks, Glen Mays

Glen Mays

Studies that examine the implementation and impact of quality improvement strategies in public health are underway through the Public Health Practice-Based Research Networks.


The Science Of Public Health Practice: Using Pbrns For Delivery System Research In Public Health Settings, Glen Mays May 2012

The Science Of Public Health Practice: Using Pbrns For Delivery System Research In Public Health Settings, Glen Mays

Glen Mays

PBRN research tests strategies for improving the delivery of services that promote health and prevent disease and injury on a population-wide basis.


Investing In A Healthier Future: Iom Dissemination Workshop, Glen Mays Apr 2012

Investing In A Healthier Future: Iom Dissemination Workshop, Glen Mays

Glen Mays

This session discusses strategies for implementing new financing strategies and funding mechanisms for public health services.


Patterns Of Interaction In Public Health Research Networks: Insight From Network Analysis, Glen Mays Apr 2012

Patterns Of Interaction In Public Health Research Networks: Insight From Network Analysis, Glen Mays

Glen Mays

OBJECTIVES: Studies from the past three decades have found evidence of wide variation in public health practices and policies across states and communities despite an expanding evidence base of efficacious public health strategies, suggesting gaps in implementation and translation processes. Practice-based research networks (PBRNs) are expected to accelerate research participation and translation. This study uses social network analysis methods with twelve Public Health PBRNs to study processes influencing the implementation and translation of research within diverse public health settings. DATA and METHODS: A cross-sectional network analysis survey was validated and fielded with participants in two cohorts of public health PBRNs …


Using State And Local Health Survey Data To Advance Practice-Based Research, Glen Mays Apr 2012

Using State And Local Health Survey Data To Advance Practice-Based Research, Glen Mays

Glen Mays

State and local health survey data can be used to evaluate the implementation and impact of public health delivery innovations in real-world practice settings.


Estimating Medical Cost Offsets Attributable To Public Health Spending, Glen Mays Feb 2012

Estimating Medical Cost Offsets Attributable To Public Health Spending, Glen Mays

Glen Mays

Uncertainty about the magnitude and timing of economic returns associated with spending on public health services has contributed to policy debates about the optimal role of the federal government in financing these services.


Public Health Spending, Preventable Outcomes, And Medical Cost Offsets: Questions For Health Reform, Glen Mays Feb 2012

Public Health Spending, Preventable Outcomes, And Medical Cost Offsets: Questions For Health Reform, Glen Mays

Glen Mays

Uncertainty continues to surround the health and economic effects that can be expected from increased federal spending on public health and prevention strategies. Recent research provides some insight into the question of whether spending on public health strategies can offset the need for future spending on medical care.


Current Research Projects Of The Public Health Pbrn Program, Glen P. Mays Dec 2011

Current Research Projects Of The Public Health Pbrn Program, Glen P. Mays

Glen Mays

The Robert Wood Johnson Foundation’s Public Health Practice-Based Research Networks Program supports research on the organization, financing, and delivery of public health services using the infrastructure of practice-based networks (PBRNs). A Public Health PBRN brings multiple public health agencies into collaboration with an academic research partner to design and conduct studies in real-world practice settings. The program supports research through several different mechanisms, including (1) large-scale Research Implementation Awards (RIAs) conducted by established networks; (2) Quick-Strike Research Fund (QSRF) awards that support short-term, time-sensitive studies on emerging issues; and (3) supplemental Research Acceleration and Capacity Expansion (RACE) awards designed to …


Driving Qi With Research: Findings From Public Health Pbrns, Glen Mays Dec 2011

Driving Qi With Research: Findings From Public Health Pbrns, Glen Mays

Glen Mays

Public health agencies are increasingly experimenting with quality improvement (QI) strategies designed to enhance the effectiveness and efficiency of their efforts. Does QI work in public health, and if so for whom and under what circumstances? What QI strategies work best for which types of public health process failures, and at what cost? Research underway through the Public Health Practice-Based Research Networks (PBRN) Program is examining these types of questions to build an evidence base for public health QI.


Overview Of The Public Health Pbrn Program, Glen Mays Dec 2011

Overview Of The Public Health Pbrn Program, Glen Mays

Glen Mays

The Public Health Practice-Based Research Networks Program is a national program of the Robert Wood Johnson Foundation that supports the development of research networks for studying the comparative effectiveness, efficiency and equity of public health strategies deployed in real-world practice settings. A practice-based research network (PBRN) brings multiple public health agencies together with research partners to design and implement studies of population-based strategies that prevent disease and injury and promote health. Participating practitioners and researchers collaborate to identify pressing research questions of interest, design rigorous and relevant studies, execute research effectively, and translate findings rapidly into practice. As such, PBRNs …


The Science Of Public Health Delivery: Evidence, Uncertainties & Research Needs, Glen Mays Nov 2011

The Science Of Public Health Delivery: Evidence, Uncertainties & Research Needs, Glen Mays

Glen Mays

Policy initiatives to reform the nation's health system increasingly recognize the need to incorporate public health and prevention strategies. The nation's delivery system for public health, however, varies widely across states and communities in its structure, authority, and capabilities. This session examines research from the growing field of public health services and systems research to identify directions for improving public health delivery.


Estimating The Value Of Public Health Services & Systems: Evidence, Uncertainties, And Research Needs, Glen Mays Nov 2011

Estimating The Value Of Public Health Services & Systems: Evidence, Uncertainties, And Research Needs, Glen Mays

Glen Mays

The Affordable Care Act authorized the largest expansion in federal funding for public health services and delivery systems in decades. These provisions, designed to support programs and services that promote health and prevent disease and injury on a population-wide basis, remain controversial because of uncertainties regarding their effectiveness in improving health and constraining medical cost growth. This session examines a series of recent studies to shed light on the health and economic value of spending on public health.


Disparities Research In Public Health Pbrns, Glen Mays Nov 2011

Disparities Research In Public Health Pbrns, Glen Mays

Glen Mays

Public health agencies are well positioned within the health system to play key roles in addressing oral health issues on a population-wide basis, However, current evidence reveals wide geographic variation in the delivery of public health interventions for oral health promotion. This session explores the factors contributing to this variation, and it highlights studies underway through the Public Health Practice-Based Research Networks (PBRNs) to produce more and better evidence about public health delivery and impact.


Leading Improvement Through Inquiry: Practice-Based Research Networks In Public Health, Glen Mays Nov 2011

Leading Improvement Through Inquiry: Practice-Based Research Networks In Public Health, Glen Mays

Glen Mays

The field of public health has surged in public visibility and attention in recent years due to its potential to mitigate leading risks to human health and wellbeing. Advances in prevention research provide an expanding toolbox of programs, policies, and interventions to reduce health risks. As these advances occur, uncertainties loom large regarding how best to deliver efficacious public health strategies to the populations at greatest risk. The nation's local, state, and federal public health agencies—together with their peers and partners in the private and public sectors—represent a vast yet diffuse delivery system of actors charged, to greater or lesser …


Using Pbrn Research To Inform Policy And Practice, Glen Mays Oct 2011

Using Pbrn Research To Inform Policy And Practice, Glen Mays

Glen Mays

This brief provides examples of how findings from RWJF-supported research projects underway through the public health PBRNs and the larger field of PHSSR are being used to inform public health practice and policy.


Building A Sustainable Pbrn: Securing Ongoing Funding, Glen Mays Sep 2011

Building A Sustainable Pbrn: Securing Ongoing Funding, Glen Mays

Glen Mays

Practice-based research networks require a diversified mix of funding to sustain their activities in research production and translation.