Open Access. Powered by Scholars. Published by Universities.®
Social and Behavioral Sciences Commons™
Open Access. Powered by Scholars. Published by Universities.®
- Keyword
-
- Public health services and systems research (115)
- Practice-Based Research Networks (101)
- Public health economics (91)
- Health Services Research (43)
- Practice-based research networks (13)
-
- Emergency and Disaster Preparedness (3)
- Comparative effectiveness research (1)
- Delivery of Health Care (1)
- Health Policy (1)
- PBRNs (1)
- PHSSR (1)
- Public health finance (1)
- Public health financing (1)
- Public health practice-based research networks; Social network analysis (1)
- Public health services and systems research; public health economics; cost offsets (1)
- Public-Private Sector Partnerships (1)
- File Type
Articles 31 - 60 of 132
Full-Text Articles in Social and Behavioral Sciences
Medicaid Expansions & Public Health Spending: Cross-Subsidies, Complementarities, And Crowd-Out, Glen Mays
Medicaid Expansions & Public Health Spending: Cross-Subsidies, Complementarities, And Crowd-Out, Glen Mays
Glen Mays
In this paper we estimate the causal impact of state Medicaid enrollment expansions and expenditures on state and local resources allocated to other public health programs and services. Using a quasi-experimental design with instrumental variables estimation, we find evidence that increased Medicaid spending leads to reduced governmental spending on other public health services, consistent with a crowd-out effect. Over 10 years, such crowd-out has the potential to diminish the health status improvements generated through health insurance coverage expansions.
Estimating The Costs Of Foundational Public Health Services: Pilot Results Of An Expert Consensus Methodology, Cezar B. Mamaril, Glen P. Mays
Estimating The Costs Of Foundational Public Health Services: Pilot Results Of An Expert Consensus Methodology, Cezar B. Mamaril, Glen P. Mays
Glen Mays
We developed a methodology for estimating the resources required to deliver a set of foundational public health capabilities as recommended in the 2012 Institute of Medicine report on public health financing. The capabilities are based on IOM recommendations and defined by a national expert panel convened as part of the Public Health Leadership Forum. This paper presents preliminary estimates from a pilot test of the cost estimation methodology in Kentucky, and outlines plans for the national estimation strategy.
Optimizing Public Health Systems For Population Health Improvement: Institutions, Economics, And Metrics, Glen P. Mays
Optimizing Public Health Systems For Population Health Improvement: Institutions, Economics, And Metrics, Glen P. Mays
Glen Mays
This lecture reviews the evidence concerning the institutional and economic characteristics of public health delivery systems and their impact on population health. Emerging findings from these studies suggest promising pathways for transforming the U.S. public health system in ways that strengthen its effectiveness, efficiency and equity in producing health. .
Value And Cost-Effectivess Of Community Health Worker Programs: Implications For Home Care Workers, Glen P. Mays
Value And Cost-Effectivess Of Community Health Worker Programs: Implications For Home Care Workers, Glen P. Mays
Glen Mays
This presentation reviews studies on the health and economic value of strategies to improve the coordination of medical care, public health, and social support services for high-need and high-risk populations. Community health worker (CHW) programs feature prominently in these strategies, particularly for rural and low-resource community settings. Home care workers have the potential to function as CHWs in many settings, and as such present powerful opportunities for scaling up CHW programs that connect medical care, public health, and social services delivery.
Cost Estimates Of Foundational Public Health Capabilities: Pilot Test Results Of An Expert Consensus Methodology, Cezar B. Mamaril, Glen Mays
Cost Estimates Of Foundational Public Health Capabilities: Pilot Test Results Of An Expert Consensus Methodology, Cezar B. Mamaril, Glen Mays
Glen Mays
The Institute of Medicine's 2012 report on U.S. public health financing recommended research to identify the components and costs of a "minimum package" of public health services and foundational capabilities to be made available in every U.S. community. We present results from pilot testing of a proposed methodology for estimating the costs and resource requirements for a set of foundational public health capabilities identified by the Public Health Leadership Forum. Using pilot data from Kentucky public health settings, we estimate both current and projected costs under a range of assumptions about the resources required to fully implement the capabilities at …
Ending Failures, Showing Results, Improving Population Health:Insights From Research & Reform In The U.S., Glen P. Mays
Ending Failures, Showing Results, Improving Population Health:Insights From Research & Reform In The U.S., Glen P. Mays
Glen Mays
A growing body of empirical research supports the value of aligning the delivery systems for public health, medical care, and social services for populations with shared needs and risk factors. This presentation reviews selected studies from the field of public health services & systems research (PHSSR) in the U.S. that suggest pathways for achieving greater system alignment in the Canadian context.
How Can Public Health Economics Help Health Systems Focus Upstream?, Glen P. Mays
How Can Public Health Economics Help Health Systems Focus Upstream?, Glen P. Mays
Glen Mays
Research on the health and economic impact of public health strategies can help newly evolving health care delivery systems focus on upstream health determinants and make evidence-informed decisions about resource allocation across the prevention-treatment spectrum. Examples from research underway in the U.S. have particular relevance for Canada's evolving regional health authorities and their integrated approaches to medical care and public health delivery.
Tougher Than Rocket Science, Or Just Messier? Using Research To Improveu.S. Public Health Delivery, Glen P. Mays
Tougher Than Rocket Science, Or Just Messier? Using Research To Improveu.S. Public Health Delivery, Glen P. Mays
Glen Mays
Advances in the field of public health services & systems research (PHSSR) are incorporating complexity in theory and methods to derive strong inferences about the health and economic effects attributable to public health strategies. Opportunities for comparative international research in Canada and the U.S. promise to strengthen these avenues of inquiry.
Public Health Services Research: Informing Public Health Practice & Policy, Glen P. Mays
Public Health Services Research: Informing Public Health Practice & Policy, Glen P. Mays
Glen Mays
Heterogeneity in the mechanisms used for organizing and financing public health strategies creates opportunities for comparative effectiveness research (CER) in public health that examine which organization and financing mechanisms work best, for whom, and under what circumstances. Findings from these types of studies have direct utility in shaping public health policy and practice decisions.
Laboratories And The Value Stream Of Next-Generation Public Health, Glen P. Mays
Laboratories And The Value Stream Of Next-Generation Public Health, Glen P. Mays
Glen Mays
Public health laboratories are the information engines for public health agencies and delivery systems. Measuring the value stream that flows from this information can support objective assessments of the health and economic benefits attributable to laboratory infrastructure and information.
Governmental Public Health And The Economics Of Adaptation To Population Health, Glen P. Mays
Governmental Public Health And The Economics Of Adaptation To Population Health, Glen P. Mays
Glen Mays
Research on the organization and financing of public health strategies offers valuable insight for governmental public health agencies seeking to adapt to a population health improvement perspective under health system reform.
Implementation Of The Affordable Care Act: Kentucky Round I Field Network Study Results, Julia Costich, Glen P. Mays
Implementation Of The Affordable Care Act: Kentucky Round I Field Network Study Results, Julia Costich, Glen P. Mays
Glen Mays
This multi-state field study uses a large interdisciplinary network of policy and services researchers to examine and compare the implementation of the Affordable Care Act (ACA) in states across the US. This first field report for Kentucky examines key design and decision-making factors for the ACA's coverage expansion components.
Learning From Networks: Care Transitions, Market Competition, And Community Interventions, Glen P. Mays
Learning From Networks: Care Transitions, Market Competition, And Community Interventions, Glen P. Mays
Glen Mays
Social network analysis methods offer many avenues of inquiry for studying new developments in health policy and health care delivery. The expanding availability of large linkable electronic clinical and administrative data sources allows for novel SNA applications with dependent data structures. Opportunities include the study of delivery patterns within accountable care organizations (ACOs), and other multi-provider networks, price and quality competition within new health insurance exchanges, and population health effects attributable to complex community-level interventions.
Does Medicaid Crowd Out Other Public Health Spending? Projecting Aca’S Health & Economic Effects, Glen P. Mays
Does Medicaid Crowd Out Other Public Health Spending? Projecting Aca’S Health & Economic Effects, Glen P. Mays
Glen Mays
Research Objective: Twenty-six states are expanding Medicaid eligibility under the Affordable Care Act (ACA) in 2014, and while federal funds cover most costs for newly eligible recipients, states must share the additional costs of covering previously-eligible state residents who newly enroll in Medicaid in response to ACA’s expanded outreach and enrollment incentives. States, together with their local government counterparts, also provide the vast majority (87%) of public sector funds for public health programs designed to promote health and prevent disease and injury on a population-wide basis. Fiscal constraints and generous federal matching funds create strong budgetary incentives for states to …
Public Health Services & Systems Researchand The Reforming U.S. Health System, Glen P. Mays
Public Health Services & Systems Researchand The Reforming U.S. Health System, Glen P. Mays
Glen Mays
This session reviews progress in the field of public health services & systems research (PHSSR), with a specific focus on findings that can inform the implementation and impact of health reform strategies on the U.S. public health system.
Producing Population Health: Collective Action Requires Infrastructure, Incentives And Evidence, Glen P. Mays
Producing Population Health: Collective Action Requires Infrastructure, Incentives And Evidence, Glen P. Mays
Glen Mays
Population health improvement strategies are collective action problems that require targeted infrastructure, incentives, and information to succeed. Research on collective action problems and solutions in public health and other spheres of practice offer insight for the successful scale and spread of population health innovations.
Creating Learning Systems: Lessons From Public Health Practice-Based Research Networks, Glen P. Mays
Creating Learning Systems: Lessons From Public Health Practice-Based Research Networks, Glen P. Mays
Glen Mays
Practice-based research networks (PBRNs) provide powerful mechanisms for implementing research studies that evaluate the health and economic effects of delivery system innovations. This presentation reviews strategies, emerging findings, and lessons learned from PBRNs and related studies conducted in U.S. public health settings. We give special focus to studies that examine multi-organizational and cross-sectoral strategies for population health improvement.
Health Reform Implementation: Update And Implications For Kentucky, Glen P. Mays
Health Reform Implementation: Update And Implications For Kentucky, Glen P. Mays
Glen Mays
This talk reviews the progress of health reform implementation in Kentucky with a focus on opportunities for aligning systems for medical care, public health, and social support delivery to improve population health.
Unifying Systems For Population Health: Infrastructure, Incentives & Evidence For Collective Action, Glen P. Mays
Unifying Systems For Population Health: Infrastructure, Incentives & Evidence For Collective Action, Glen P. Mays
Glen Mays
This presentation, part of the SBM Presidential Symposium on Aligning Family, Clinical, and Community Systems, reviews the collective action problems that are commonly encountered in implementing multi-sector population health improvement strategies, and examines research on ways of using public health strategies and infrastructure to overcome these problems.
Public Health Services & Systems Research Inventory, Ann V. Kelly, Anna G. Hoover, Glen P. Mays
Public Health Services & Systems Research Inventory, Ann V. Kelly, Anna G. Hoover, Glen P. Mays
Glen Mays
This inventory summarizes research projects funded through the Robert Wood Johnson Foundation's Public Health Services & Systems Research (PHSSR) program, including studies supported by the National Coordinating Center for PHSSR, the Public Health Practice-Based Research Networks Program, and the National Network of Public Health Institutes.
Strengthening The Science Of Public Health Delivery: Complexities In Implementation, Inference & Translation, Glen P. Mays
Strengthening The Science Of Public Health Delivery: Complexities In Implementation, Inference & Translation, Glen P. Mays
Glen Mays
Delivery systems for public health programs and policies are diffuse and heterogeneous across the U.S., reflecting wide variation in the capacity to implement population-level health improvement strategies. This lecture examines strategies for evaluating the causes and consequences of variation in public health delivery across the U.S., with a focus on identifying pathways for improving the health and economic effects of policy and practice.
Estimating The Costs Of Foundational Public Health Capabilities: A Recommended Methodology, Glen P. Mays
Estimating The Costs Of Foundational Public Health Capabilities: A Recommended Methodology, Glen P. Mays
Glen Mays
The Institute of Medicine’s 2012 report on public health financing recommended the convening of expert panels to identify the components and costs of a “minimum package of public health services” that should be available in every U.S. community. The report recommended that this minimum package include a core set of public health programs that target specific, high-priority preventable health problems and risks, along with a set of “foundational public health capabilities” that are deemed necessary to support the successful implementation of public health programs and policies. In response to this recommendation, the Robert Wood Johnson Foundation, in collaboration with the …
Bibliography Of The Public Health Pbrn Program: 2008-2013., Glen P. Mays
Bibliography Of The Public Health Pbrn Program: 2008-2013., Glen P. Mays
Glen Mays
This report inventories the research products of the Public Health Practice-Based Research Networks (PBRN) Program during its initial six years of development. The Public Health PBRNs comprise state and local public health organizations and university-based research centers that collaborate to study the implementation and impact of novel strategies involving the organization, financing, and delivery of public health strategies. The Robert Wood Johnson Foundation provide primary support for the PBRNs during this initial six-year period.
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.
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.
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 …
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.
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.