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Articles 1 - 30 of 63
Full-Text Articles in Medicine and Health Sciences
The Public Health Pbrn Program: A Summative Report, Glen P. Mays
The Public Health Pbrn Program: A Summative Report, Glen P. Mays
Glen Mays
This report provides a six-year summary of the work of the Public Health Practice-Based Research Networks Program, supported by the Robert Wood Johnson Foundation.
The National Longitudinal Survey Of Public Health Systems: Selected Findings And Applications For Monitoring The Affordable Care Act, Glen P. Mays
Glen Mays
This presentation reviews the National Longitudinal Survey of Public Health Systems and its applicability for monitoring the effects of the Affordable Care Act on public health delivery within the U.S.
2012 Año Europeo Del Envejecimiento Activo Y La Solidaridad Intergeneracional Una Mirada Multidimensional A Un Fenómeno Global, Diego A. Bernardini
2012 Año Europeo Del Envejecimiento Activo Y La Solidaridad Intergeneracional Una Mirada Multidimensional A Un Fenómeno Global, Diego A. Bernardini
Diego Bernardini MD, PhD
No abstract provided.
Estimating The Costs Of Public Health Services: Progress On The Institute Of Medicine Recommendations, Glen P. Mays
Estimating The Costs Of Public Health Services: Progress On The Institute Of Medicine Recommendations, Glen P. Mays
Glen Mays
The National Academy of Sciences Institute of Medicine recommended in 2012 that the federal government undertake work to identify the components and costs of a "minimum package" of public health programs, services, and capabilities that should be available in every American community. This presentation summarizes work that is currently underway through the Robert Wood Johnson Foundation-supported Public Health Practice-Based Research Networks (PBRN) Program to estimate the costs of public health delivery.
Return On Investment In Prevention And Public Health: Overview And Opportunity, Cezar Brian C. Mamaril
Return On Investment In Prevention And Public Health: Overview And Opportunity, Cezar Brian C. Mamaril
Cezar Brian C Mamaril
No abstract provided.
New Health Delivery Networks: Merging Public Health And Health Care Systems, Glen P. Mays
New Health Delivery Networks: Merging Public Health And Health Care Systems, Glen P. Mays
Glen Mays
Incomplete coordination between medical care and public health delivery systems can result in significant missed opportunities for improving population health and constraining overall resource use. This lecture uses insight from the field of public health services and systems research (PHSSR) to examine: (1) why medical care and public health systems often fail to connect; (2) what are the potential health and economic consequences of these failures; and (3) what are the opportunities for connecting medical care and public health delivery to improve population health.
Who Benefits From Public Health Spending And How Long Does It Take: Estimating Community-Specific Spending Effects, Glen Mays
Glen Mays
Objectives: Spending on public health and prevention strategies varies widely across states and communities. The Patient Protection and Affordable Care Act of 2010 (ACA) authorized the largest expansion in federal public health spending in decades, with the goals of improving population health and helping to moderate growth in medical care spending. To produce evidence needed to inform these investments, this study (1) estimates the effects of public health spending patterns within communities on preventable mortality and subsequent medical care spending; and (2) uses the methods of local instrumental variables developed by Heckman and Vytlacil and Basu to estimate how the …
Recessions, Risks, And Reforms: Changes In Interorganizational Efforts To Improve Public Health, Glen Mays
Recessions, Risks, And Reforms: Changes In Interorganizational Efforts To Improve Public Health, Glen Mays
Glen Mays
Research Objective: The Affordable Care Act created new incentives for hospitals, insurers, employers, public health agencies, and others to contribute to activities designed to promote health and prevent disease an injury. At the same time, the economic recession has constrained government and private sector spending on health and health care, necessitating changes in the scope and scale of public health delivery. This study uses data from the 1998-2012 National Longitudinal Survey of Public Health Systems to examine: (1) the extent and nature of change in inter-organizational contributions to public health activities, with a focus on hospitals, insurers, employers, and primary …
Update On Public Health Financing And Economics Studies From The Phssr And Pbrn Programs, Glen Mays
Update On Public Health Financing And Economics Studies From The Phssr And Pbrn Programs, Glen Mays
Glen Mays
As part of the Public Health Financing Roundtable at APHA, this session provides an update on public health financing and economics studies underway through the Public Health Services and Systems Research (PHSSR) Program and the Public Health Practice-Based Research Networks (PBRN) Program, supported by the Robert Wood Johnson Foundation.
Providing Pathways To Coverage: A Case-Evaluation Of The Outreach And Enrollment Model At A Federally Qualified Health Center Network In South Central Florida., Jodi Ray, Margeaux A. Chavez
Providing Pathways To Coverage: A Case-Evaluation Of The Outreach And Enrollment Model At A Federally Qualified Health Center Network In South Central Florida., Jodi Ray, Margeaux A. Chavez
Margeaux A Chavez
Objectives: Assess the outreach and enrollment strategies implemented by Florida Community Health Centers, Inc. (FCHC) to enroll eligible but not insured community members in Medicaid and other benefits programs.
Methods: Researchers conducted semi-structured interviews with 24 staff members and patients, conducted ethnographic observations, administered a short staff survey, and collected outreach related print materials for analysis. FCHC, Inc. provided enrollment numbers to compliment qualitative interview data about the program’s impact. Data were analyzed using Atlas.ti.
Results: Results suggest that FCHC’s outreach and enrollment model increases healthcare access for eligible, low-income and hard-to-reach patients in their service area who face barriers …
Public Health Services And Systems Research: Building The Science Of Public Health Delivery, Glen Mays
Public Health Services And Systems Research: Building The Science Of Public Health Delivery, Glen Mays
Glen Mays
The extreme heterogeneity in how public health activities are organized, financed, and implemented across U.S. states and communities provides compelling opportunities for research on the comparative effectiveness and efficiency of public health delivery. This talk highlights some of the most compelling and policy-relevant opportunities for research on public health organization and financing issues, and examines some of the ongoing studies in the field.
Environmental, Human, And Socioeconomic Characteristics Of Pedestrian Injury And Death In Las Vegas, Nv, Courtney Coughenour, Jennifer Pharr, Tim Bungum
Environmental, Human, And Socioeconomic Characteristics Of Pedestrian Injury And Death In Las Vegas, Nv, Courtney Coughenour, Jennifer Pharr, Tim Bungum
Courtney Coughenour
No abstract provided.
Cost Estimation Methods And Foundational Public Health Capabilities, Glen Mays
Cost Estimation Methods And Foundational Public Health Capabilities, Glen Mays
Glen Mays
The National Academy of Sciences Institute of Medine recently recommended that the federal government identify the components and costs of a "minimum package of public health services" and "foundational public health capabilities" that should be universally available across the U.S. This presentation reviews costing methods that can be used for identifying the costs required to establish "foundational public health capabilities" at state and local levels within the U.S. public health system.
Building The Science Of Delivery: Advances In Public Health Services And Systems Research, Glen Mays
Building The Science Of Delivery: Advances In Public Health Services And Systems Research, Glen Mays
Glen Mays
Studying variation and innovation in public health delivery can identify pathways for improving the organization, financing, and implementation of programs and policies that protect and promote health.
Accreditation And Standardization In Public Health, Glen Mays
Accreditation And Standardization In Public Health, Glen Mays
Glen Mays
Reducing harmful, wasteful, and inequitable variation in public health delivery is a central objective for administrative and policy decision-makers in public health, and is embedded in the national accreditation movement. The challenge lies in accomplishing this objective while preserving the benefits of customization in public health delivery that accrue through tailoring and targeting of resources to unique community needs and risks. Public health services and systems research (PHSSR) can help determine the optimal balance between standardization and customization in public health delivery.
Strengthening The Evidence Base For Public Health Accreditation, Glen Mays
Strengthening The Evidence Base For Public Health Accreditation, Glen Mays
Glen Mays
With the launch of a voluntary national accreditation program for public health agencies, the field requires an expanding evidence base concerning which public health strategies work best, for which populations, and under what circumstances. The field of public health services and systems research (PHSSR) and practice-based research networks (PBRNs) are producing applied studies that can inform the future development and implementation of accreditation standards, and evaluate the impact of accreditation on the field of practice.
Public Health Practice-Based Research Networks: Creating The Evidence To Transform Practice, Glen Mays
Public Health Practice-Based Research Networks: Creating The Evidence To Transform Practice, Glen Mays
Glen Mays
Powerful opportunities for learning from variation and change in public health delivery now exists across the U.S. health system. Practice-based research networks (PBRNs) provide the vehicles for harvesting evidence from applied, comparative studies -- and for feeding this information back into the delivery system.
Public Health Services & Systems Research: Concepts, Methods, And Emerging Findings, Glen Mays
Public Health Services & Systems Research: Concepts, Methods, And Emerging Findings, Glen Mays
Glen Mays
The field of public health services & systems research (PHSSR) increasingly is addressing the question of how to assess the value of investments in public health programs, infrastructure, and delivery systems. Progress in quasi-experimental research designs, measurement, estimation techniques, and data sources are yielding important insight
Strengthening The Science Of Public Health Delivery Through Services & Systems Research, Glen Mays
Strengthening The Science Of Public Health Delivery Through Services & Systems Research, Glen Mays
Glen Mays
This session notes recent progress from the field of public health services and systems research (PHSSR) concerning the most promising directions for improving the delivery and impact of public health services, programs, and policies.
La Sociedad Que Viene - Editorial, Diego A. Bernardini
La Sociedad Que Viene - Editorial, Diego A. Bernardini
Diego Bernardini MD, PhD
No abstract provided.
Health System Contributions To Public Health Activities Amid Policy And Economic Change: Estimating Complementarities, Substitutions, And Network Effects, Glen P. Mays
Glen Mays
Research Objective: The Affordable Care Act created new incentives for hospitals, insurers, employers, public health agencies, and others to contribute to activities designed to promote health and prevent disease an injury, potentially changing the structure of public health delivery systems and expanding the delivery of strategies that improve population health. At the same time, the economic recession has constrained government and private sector spending on health and health care, necessitating changes in the scope and scale of public health delivery. This study uses data from the 1998-2012 National Longitudinal Survey of Public Health Systems to examine: (1) the extent and …
Hospital Contributions To Public Health Activities Before And After Aca: Incentives, Constraints, And Crowd-Out, Glen P. Mays
Hospital Contributions To Public Health Activities Before And After Aca: Incentives, Constraints, And Crowd-Out, Glen P. Mays
Glen Mays
Research Objective: The Affordable Care Act created enhanced IRS requirements for not-for-profit hospitals regarding the provision of community benefits, potentially stimulating new approaches to community health needs assessment, priority setting, and engagement with public health agencies and other community stakeholders. Yet the economic downturn has constrained hospital earnings and increased demand for uncompensated care, potentially crowding out hospital contributions to public health activities. This study uses data from 1998-2012 on a national cohort of communities to examine: (1) the extent and nature of change in hospital contributions to public health activities; and (2) the economic, institutional, and policy-related factors that …
Meet The Editors Panel: Frontiers In Public Health Services And Systems Research, Glen P. Mays
Meet The Editors Panel: Frontiers In Public Health Services And Systems Research, Glen P. Mays
Glen Mays
As part of the "Meet the Editors" panel on publishing health services research, this presentation discusses the new open-access journal Frontiers in Public Health Services and Systems Research. This journal serves as a vehicle for rapidly disseminating newly emerging and preliminary findings from studies that examine the organization, financing, and delivery of public health services. The goal is to stimulate research collaboration and accelerate knowledge transfer from research projects to policy and administrative decision-makers within the public health system.
Analyzing Return On Investment In Public Health: Implications And Future Directions, Glen P. Mays
Analyzing Return On Investment In Public Health: Implications And Future Directions, Glen P. Mays
Glen Mays
Return on investment (ROI) analyses of public health programs, policies, and services are being undertaken with increasing frequency to provide assessments of the value of these activities. This presentation reviews current initiatives and future directions for improving the quality of ROI studies and their application to real-world public health policy and administrative decisions.
The Public Health Pbrn Program: Building The Science Of Public Health Delivery, Anna Hoover, Glen P. Mays
The Public Health Pbrn Program: Building The Science Of Public Health Delivery, Anna Hoover, Glen P. Mays
Glen Mays
This session describes public health practice-based research networks (PBRNs) and emerging opportunities for collaboration with injury control research centers to advance the science of injury prevention practice.
Harnessing The Power Of Public Health Systems For Injury Prevention And Control, Glen P. Mays
Harnessing The Power Of Public Health Systems For Injury Prevention And Control, Glen P. Mays
Glen Mays
Efforts to improve population health hinge on a vast yet diffuse constellation of government agencies, health care providers, and community organizations that assume responsibilities in implementing prevention programs and policies across the U.S. Realizing the full health and economic benefits of injury prevention and control initiatives requires mobilizing and managing these complex and heterogeneous public health delivery systems. This session will explore the emerging science of public health delivery systems and what it tells us about improving injury prevention and control amid policy and economic change.
Public Health Delivery Systems And Population Health, Glen Mays
Public Health Delivery Systems And Population Health, Glen Mays
Glen Mays
Despite high overall health expenditures, the U.S. continues to fall behind other high-income countries on many measures of population health. While health care delivery systems are now studied intensively for solutions to U.S. cost and quality problems, the nation's delivery systems for public health programs and policies are only now becoming the subject of rigorous empirical study. This presentation examines recent studies of public health delivery systems and important directions for future inquiry.
Estimating Return On Investment In Public Health: Approaches And Methods, Glen P. Mays
Estimating Return On Investment In Public Health: Approaches And Methods, Glen P. Mays
Glen Mays
Continuing fiscal constraints in the public sector and large-scale policy changes associated with health reform implementation in the U.S. are giving heightened attention to questions about the health and economic value of public health programs, services, and policies -- strategies designed to protect health and prevent disease and injury on a population-wide basis. This session provides an overview of approaches for conducting return-on-investment (ROI) analyses and related economic evaluation studies in public health settings in order to inform policy and administrative decision-making. New opportunities and resources created through CDC's National Public Health Improvement Initiative (NPHII) and RWJF's Public Health Practice-based …
Optimizing The Value Of Public Health Services: Lessons From Research & Practice, Glen P. Mays
Optimizing The Value Of Public Health Services: Lessons From Research & Practice, Glen P. Mays
Glen Mays
Expanding the delivery of efficacious public health programs and policies holds considerable potential for improving population health and constraining the growth in health care spending. Achieving such expansions efficiently, particularly in low-resource settings, requires careful attention to interorganizational and intergovernmental relationships in public health delivery.
Decline In Health For Older Adults: Five-Year Change In 13 Key Measures Of Standardized Health, Paula Diehr, Stephen Thielke, Anne Newman
Decline In Health For Older Adults: Five-Year Change In 13 Key Measures Of Standardized Health, Paula Diehr, Stephen Thielke, Anne Newman
Paula Diehr
BACKGROUND: The health of older adults declines over time, but there are many ways of measuring health. It is unclear whether all health measures decline at the same rate or whether some aspects of health are less sensitive to aging than others. METHODS: We compared the decline in 13 measures of physical, mental, and functional health from the Cardiovascular Health Study: hospitalization, bed days, cognition, extremity strength, feelings about life as a whole, satisfaction with the purpose of life, self-rated health, depression, digit symbol substitution test, grip strength, activities of daily living, instrumental activities of daily living, and gait speed. …