Open Access. Powered by Scholars. Published by Universities.®
Articles 1 - 5 of 5
Full-Text Articles in Medicine and Health Sciences
Super-Utilization: The New Perfect Storm Of Health Reform, Jill Diane Nault
Super-Utilization: The New Perfect Storm Of Health Reform, Jill Diane Nault
Theses and Dissertations (ETD)
This three-essay dissertation was focused on geographic variation of super-utilization, or the disproportionately high healthcare utilization and costs attributed to a small sub-set of the inpatient population. For purposes of this research, super-utilization was operationalized as high repeat utilization (HRU) and referred to inpatient utilization and inpatient readmission expenditures attributed to beneficiaries with four or more 30-day readmissions per year. The overall purpose of the research was to identify geographic areas at increased risk for HRU. These areas corresponded to where beneficiaries live and were aligned with the geographically-bound healthcare delivery systems. Each essay employed an observational study design using …
Understanding The Value Of Multi-Sector Partnerships To Improve Population Health, Glen P. Mays
Understanding The Value Of Multi-Sector Partnerships To Improve Population Health, Glen P. Mays
Health Management and Policy Presentations
We review recent research concerning multi-sectoral partnerships aimed at improving health status on a population-wide basis, with a particular focus on implementation strategies and on health and economic impact. While still preliminary and emerging, research indicates that large health benefits are possible through collective actions that engage the medical, public health, and social sectors. Mechanisms for aligning incentives, dividing responsibilities equitably, and measuring progress regularly appear critical to success.
Measuring Comprehensive Public Health Delivery Systems And Their Contributions To Population Health, Glen P. Mays, Rick Ingram
Measuring Comprehensive Public Health Delivery Systems And Their Contributions To Population Health, Glen P. Mays, Rick Ingram
Health Management and Policy Presentations
We review methods for measuring the structure of public health delivery systems using data from the National Longitudinal Survey of Public Health Systems. A growing body of research using these measures demonstrates how multiple sectors contribute to core public health functions, and how these functions influence community health status over time. We end with a summary of how the Comprehensive Public Health System measure will be used in monitoring the impact of the 21st Century Public Health System initiative.
Measuring Multi-Sector Contributions To Public Health Delivery Systems & Population Health, Glen P. Mays
Measuring Multi-Sector Contributions To Public Health Delivery Systems & Population Health, Glen P. Mays
Health Management and Policy Presentations
The National Longitudinal Survey of Public Health Systems has followed a nationally-representative cohort of U.S. communities since 1998 to measure the scope of public health activities implemented in each community and the range of organizations and sectors that contribute to each activity. With 16 years of follow-up observations, this survey allows us to study the effects of demographic, economic, and policy shocks on public health delivery systems, and estimate the health effects attributable to delivery system change.
Measuring Comprehensive Public Health Delivery Systems And Their Contributions To Population Health, Glen P. Mays
Measuring Comprehensive Public Health Delivery Systems And Their Contributions To Population Health, Glen P. Mays
Health Management and Policy Presentations
Delivery and financing systems for public health services vary widely across U.S. communities, raising questions about the comparative effectiveness and efficiency of alternative structures. We summarize recent approaches for measuring alternative system configurations and estimating their health and economic effects.