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Using Networks And Econometrics To Identify Pathways For Population Health Improvement, Glen P. Mays 2019 University of Kentucky

Using Networks And Econometrics To Identify Pathways For Population Health Improvement, Glen P. Mays

Glen Mays

This lecture for Vanderbilt University's Health Policy Grand Rounds series describes research from the Robert Wood Johnson Foundation's Systems for Action program about multi-sector strategies for improving population health. Combining methods from network analysis and econometrics, we characterize the structure of multi-sector health networks and estimate their influence on health outcomes and healthcare spending over time.


The Economic Impact Of The Health Sector On The Economy Of Appanoose County, Iowa, Daniel Otto, Georgeanne Artz 2019 Iowa State University

The Economic Impact Of The Health Sector On The Economy Of Appanoose County, Iowa, Daniel Otto, Georgeanne Artz

Economics Working Papers

The importance of medical and health facilities as community service providers is well

established, yet their role in generating significant economic impacts for the community is less often acknowledged. Health care facilities, such as hospitals and nursing homes, not only employ many people with a sizeable payroll, but also draw a large number of people from rural areas into the community for medical services. In this study, we attempt to identify and measure the economic importance of the health sector for the economy of Appanoose County, Iowa. The specific objectives of this report are to:

1. summarize the direct economic ...


Improving Population Health Through System Alignment: Lessons For Local Boards Of Health, Glen P. Mays 2019 University of Kentucky

Improving Population Health Through System Alignment: Lessons For Local Boards Of Health, Glen P. Mays

Glen Mays

This session for local board of health officials in Kentucky describes research from the Robert Wood Johnson Foundation's Systems for Action program about strategies to align medical, social, and public health delivery systems, and the health and economic effects of these initiatives.


Maintaining Stability In A Changing Climate: A Comparative Analysis Of Public Health Systems And Migration Policies In The U.S. And Canada, Laura Cutlip 2019 Colorado College

Maintaining Stability In A Changing Climate: A Comparative Analysis Of Public Health Systems And Migration Policies In The U.S. And Canada, Laura Cutlip

Climate and Society

This paper examines the relation between climate change, migration, and public health to better understand how the United States health system is positioned to deal with likely challenges to human health posed by environmental changes. The author reviews probable impacts of climate change on population displacement and disease before considering how the current structure of the health system of the United States will render it unable to adapt to these changes and challenges. The Canadian health care system and refugee policies are then reviewed to provide a counterpoint to this analysis. These findings are then considered in tandem as the ...


Sunshine, Fertility And Racial Disparities, Karen Smith Conway, Jennifer Trudeau 2019 University of New Hampshire

Sunshine, Fertility And Racial Disparities, Karen Smith Conway, Jennifer Trudeau

WCOB Faculty Publications

This research investigates the effect of sun exposure on fertility, with a special focus on how its effects and consequences for birth outcomes may differ by race. Sun exposure is a key mechanism for obtaining Vitamin D, but this process is inhibited by skin pigmentation. Vitamin D has been linked to male and female fertility and risk of miscarriage, and Vitamin D deficiency is more prevalent among blacks than whites. Using 1989–2004 individual live births data from the Natality Detail Files, county-level, monthly conceptions are estimated as a function of monthly solar insolation, temperature and humidity, as well as ...


Monthly Spending Dynamics Of The Elderly Following A Health Shock: Evidence From Singapore, Terence CHENG, Li JING, Rhema VAITHIANATHAN 2019 University of Adelaide

Monthly Spending Dynamics Of The Elderly Following A Health Shock: Evidence From Singapore, Terence Cheng, Li Jing, Rhema Vaithianathan

Research Collection School Of Economics

We use novel longitudinal datafrom 19 monthly waves of the Singapore Life Panel to examine the short-termdynamics of the effects health shocks have on household health and non-healthspending and income by the elderly. The health shocks we study are theoccurrence of new major conditions such as cancer, heart problems, and minorconditions (e.g. diabetes, and hypertension). Our empirical strategy exploits unanticipated changesin health status through the diagnosis of new health conditions, combined withan individual fixed effect framework. We find that major shocks have large and persistent effects while minorshocks have small and mainly contemporaneous effects. We find that householdincome reduces ...


A Study Of The Effects Of Certificate Of Need Law On Inpatient Occupancy Rates, Jomon Aliyas Paul, Huan Ni, Aniruddha Bagchi 2018 Selected Works

A Study Of The Effects Of Certificate Of Need Law On Inpatient Occupancy Rates, Jomon Aliyas Paul, Huan Ni, Aniruddha Bagchi

Aniruddha Bagchi

Increasing healthcare costs and the deterioration of healthcare quality have always been major concerns to policy makers in the United States, and Certificate of Need (CON) Law has been implemented as one way to curb wasteful healthcare resource use. Theoretically, CON can lead to a reduction in the number of beds as well as in the number of inpatient days (possibly by shortening the length of patient stay). However, these two effects impact inpatient occupancy rate in opposite directions. We test empirically to find out which of these two effects dominate. In this study, we investigate the impact of CON ...


"Integrated Science 3002a: Big Bike Giveaway: Changing London's Environment, Health, And Economy One Bike At A Time", Jermiah Joseph, Katelyn Melo, Devanshi Shukla, Tony Nguyen, Katherine Teeter 2018 Western University

"Integrated Science 3002a: Big Bike Giveaway: Changing London's Environment, Health, And Economy One Bike At A Time", Jermiah Joseph, Katelyn Melo, Devanshi Shukla, Tony Nguyen, Katherine Teeter

Community Engaged Learning Final Projects

There are significant benefits that manifest when an individual chooses to ride a bicycle as their primary mode of transportation. To investigate these benefits, the environmental, health, economic, and social impacts of biking were evaluated through research and data analyses. This revealed that numerous advantages can be obtained at an individual and local scale through citizens choosing to adopt a biking lifestyle. However, it was found that many Londoners are deterred from biking due to poor biking infrastructure. This paper calls into question the current cycling framework in London and it’s limitations on achieving the numerous benefits that biking ...


Burning Waters To Crystal Springs? U.S. Water Pollution Regulation Over The Last Half Century, David A. Keiser, Joseph S. Shapiro 2018 Iowa State University

Burning Waters To Crystal Springs? U.S. Water Pollution Regulation Over The Last Half Century, David A. Keiser, Joseph S. Shapiro

Economics Working Papers

In the half century since the founding of the U.S. Environmental Protection Agency, the U.S. has spent nearly $5 trillion ($2017) to provide cleaner rivers, lakes, and drinking water, or annual spending of 0.8 percent of U.S. GDP in most years. Yet over half of rivers and substantial shares of drinking water systems violate standards, and polls for decades have listed water pollution as Americans’ number one environmental concern. We assess the history, effectiveness, and efficiency of the Clean Water Act and Safe Drinking Water Act, and obtain four main conclusions. First, water pollution has fallen ...


Designing For Older Adults: Overcoming Barriers To A Supportive, Safe, And Healthy Retirement, Cosmin Munteanu, Benett Axtell, Hiba Rafih, Amna Liaqat, Yomna Aly 2018 University of Toronto Technologies for Ageing Gracefully Lab

Designing For Older Adults: Overcoming Barriers To A Supportive, Safe, And Healthy Retirement, Cosmin Munteanu, Benett Axtell, Hiba Rafih, Amna Liaqat, Yomna Aly

Wharton Pension Research Council Working Papers

Older adults (65+) are at increasing risk of being ‘digitally marginalized’ due to lower tech savviness, social isolation, and few peers who can provide the needed input. As a consequence, some seniors have difficulties and are exposed to security risks when accessing essential services which are increasingly moving online. These include making critical life decisions, understanding health information, accessing health services, staying connected to families, or simply doing online shopping. This chapter investigates how online technologies can be designed to be inclusive of older adults' needs, abilities, and contexts. Several barriers barring technology adoption include mental models; attitudes related to ...


Sources Of Health Financing And Health Outcomes: A Panel Data Analysis, Tomoki FUJII 2018 Singapore Management University

Sources Of Health Financing And Health Outcomes: A Panel Data Analysis, Tomoki Fujii

Research Collection School Of Economics

We study the differential impacts of public and private sources of health spending on health outcomes using a triple difference approach. We find that private health spending has on average a higher health-promoting effect than public health spending. This result is robust with respect to the choice of outcome measure and covariates in the regression and driven primarily by the countries with ineffective governments. Once we restrict our sample to countries with effective governments, private health spending is no better than public health spending for improving the health outcome.


The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy 2018 University of New Mexico

The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy

Shared Knowledge Conference

Based on a review of research and best practices in mental health awareness and skills, this inquiry project argues for state legislative policies that would require mental health awareness and skills in the K-12 curriculum. Mental health affects individual accomplishments in every stage of people’s lives beginning in early childhood and throughout the life cycle. Prevention and treatment of mental illness plays a key role in the ability of an individual to cope with loss and develop resiliency and perseverance in challenging times and to make better decisions that improve the individual’s life and the lives of those ...


Accessibility And Health: An International Analysis Of Government Expenditure, Socioeconomic Development And Infant Mortality, Isaac Zvi Christiansen, Robert Mazur 2018 Midwestern State University

Accessibility And Health: An International Analysis Of Government Expenditure, Socioeconomic Development And Infant Mortality, Isaac Zvi Christiansen, Robert Mazur

Journal of Critical Thought and Praxis

This research examines the relationship between government’s share of health expenditures and infant mortality (IMR). Public healthcare funding is a critical component of ensuring access to care for the poor. Financial barriers may lead to postponement of care, thereby exacerbating health outcomes. We find a moderate association between the government’s share of health expenditures and IMR and strong support for a multifaceted approach to accessibility that includes doctor density, vaccination coverage, improved water and sanitation, and female literacy in reducing IMR. Findings suggest that the effect of government’s share of health spending on IMR is stronger in ...


Obesity: The Elephant In The Room We Can No Longer Afford To Ignore, Joanie Sompayrac, Katharine Linehart Trundle 2018 University of Tennessee - Chattanooga

Obesity: The Elephant In The Room We Can No Longer Afford To Ignore, Joanie Sompayrac, Katharine Linehart Trundle

Online Journal of Health Ethics

Everyone pays the price for the obesity-related illnesses of our fellow citizens – through increased premiums on our group health insurance policies, through reduced productivity of our co-workers, through taxpayer support of hospitals that provide indigent care and through soaring Medicare costs, to name a few. The fact that our entire society often ends up paying many of the costs for the obesity-related illnesses of not only ourselves but also our family members, our friends, our co-workers and even strangers raises questions: Why doesn’t insurance pay to help overweight and obese people to make lifestyle changes that could save us ...


Determinants Of Usaid Spending, Austin J. Moser 2018 Illinois State University

Determinants Of Usaid Spending, Austin J. Moser

Stevenson Center for Community and Economic Development to Stevenson Center for Community and Economic Development—Student Research

This paper examines the determinants of USAID’s foreign aid disbursements from 2002-2016. Three noteworthy findings emerge. First, USAID foreign aid is based more on political considerations rather than the policies of recipient countries. Second, foreign aid is determined by location and political history. Third, this pattern emerges across all categories of USAID disbursements.


Hiring Workers With Disabilities Makes Sense Whether The Job Market Is Hot Or Cold, Kathleen A. Petkauskos 2018 University of Massachusetts Medical School

Hiring Workers With Disabilities Makes Sense Whether The Job Market Is Hot Or Cold, Kathleen A. Petkauskos

Commonwealth Medicine Publications

The U.S. Department of Labor released its latest report in September, and it was more of the same. Unemployment remained at 3.9 percent, where it has hovered for much of the year, but there was a shift for one key demographic.

After decades of struggle, workers with disabilities are beginning to move the needle, outpacing the employment gains of people without disabilities. In August 2018, the employment-to-population ratio for working-age people with disabilities jumped to 30.2 percent from 29.5 percent the year before. The labor force participation rate for working-age people with disabilities also increased, rising ...


Utilization Management Programs Are Critical For Effective Mltss Programs, Jessica Carpenter 2018 University of Massachusetts Medical School

Utilization Management Programs Are Critical For Effective Mltss Programs, Jessica Carpenter

Commonwealth Medicine Publications

When discussing an efficient managed long-term services and supports (LTSS) program, the importance of a utilization management program cannot be overlooked. It’s a way to not only ensure individuals receive the high-quality services they need, but also realize substantial cost savings for payers.


A View Of The Drug Pricing Blueprint, Bonnie C. Greenwood 2018 University of Massachusetts Medical School

A View Of The Drug Pricing Blueprint, Bonnie C. Greenwood

Commonwealth Medicine Publications

Drug spend is predicted to experience the fastest annual growth between 2017-2026 compared to other health care goods and services.Contributing factors include increasing unit prices of branded and generic medications, growth of the specialty drug market, and greater numbers of people with access to prescription drug coverage. A recent analysis estimates total drug expenditures in 2016 to be $480 billion when accounting for gross profits of intermediaries in the distribution chain, such as wholesalers, pharmacy benefit managers (PBMs), and pharmacies. Certainly, the complexity of the drug distribution and reimbursement system and lack of pricing transparency can be viewed both ...


The Impact Of Cleft Lip And Palate Repair Surgery On Cognitive And Academic Outcomes For Teens In India, R Jeremiah Maller 2018 The University of San Francisco

The Impact Of Cleft Lip And Palate Repair Surgery On Cognitive And Academic Outcomes For Teens In India, R Jeremiah Maller

Master's Theses

India has a backlog of nearly one million patients in need of cleft lip and palate repair. Unrepaired cleft results in social stigma and diminished health, psychological wellbeing, and academic functioning. Cleft repair surgery has the potential to restore functioning in these domains. However, the magnitude of the social, educational, and economic impact of cleft repair surgery has not been evaluated using statistically rigorous methods. An estimation of the academic and educational impact of cleft repair has implications for the appropriate allocation of public health resources. We analyze original data gathered from teenagers in West Bengal, India using the difference-in-differences ...


Case Files Key To Comprehensive Medical Board Reviews, Jody Simpson 2018 University of Massachusetts Medical School

Case Files Key To Comprehensive Medical Board Reviews, Jody Simpson

Commonwealth Medicine Publications

There are many obstacles public retirement systems must overcome to ensure clinically sound medical board recommendations. Complex medical records that describe various conditions and ailmentsmust be compiled and analyzed to make accurate recommendations. There are key elements to inform a successful medical board review, and chief among them is compiling robust, well-documented case files. If you begin the process with incomplete documentation, you run the risk of getting a partial clinical picture of the member. Not having a full clinical picture could make it difficult to achieve a fully-informed decision.


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