Health Policy Commons

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Recent Articles in Health Policy

Responding To The Affordable Care Act: Health Insurance Exchange Policy Diffusion, Margaret Worman Macalester College

Responding To The Affordable Care Act: Health Insurance Exchange Policy Diffusion, Margaret Worman

Honors Projects

Following the passage of the Affordable Care Act, the government of each U.S. state either adopted a state run health insurance exchange or defaulted to a federally run exchange. This study uses event history analysis to examine this decision making process and the broader diffusion of health insurance exchange policy among the states. The results of this analysis indicate that states with a government controlled by the Democratic Party, a moralistic political culture, and a large uninsured population were more likely to adopt a state run exchange at an earlier date.


Conflicting Discourses Of Participatory Postdevelopment In Community-Led Total Sanitation, Shaina M. Pomerantz Kasper Macalester College

Conflicting Discourses Of Participatory Postdevelopment In Community-Led Total Sanitation, Shaina M. Pomerantz Kasper

Honors Projects

The development community perceives the current “sanitation crisis” to be remedied with water, sanitation and hygiene initiatives. While the participatory process of Community-Led Total Sanitation (CLTS) incorporates community involvement, it still imposes globalized sanitation norms and a dominant external worldview. Using discourse analysis of the CLTS handbook, I argue that CLTS structurally advocates for continuing local hierarchies, promotes external technologies, enforces the power of outside development facilitation, and creates a new sanitation paradigm. Communities continue to resist sanitation development such as CLTS because of its top-down structure. I conclude by offering policy recommendations to improve the CLTS process.


The Presence Of Coups D'État Within Revolutions: Effects On Population Health, Rose E. Facchini Salve Regina University

The Presence Of Coups D'État Within Revolutions: Effects On Population Health, Rose E. Facchini

Master Theses

The present study is a comparative approach to revolutions and their effect on population health during the post-conflict period. Specifically, it attempts to determine whether revolutions that are accompanied by a coup d'état have a significant negative impact on post-revolution population health. Degree of revolutionary violence, governmental structures, and pre-revolution health systems is of particular interest as relevant variables. The study focuses on the Latin American countries of Nicaragua and Chile due to their similar region and timeframe. The revolutions and accompanying coup d'état in both of these countries do not demonstrate different patterns on public health in ...


Evaluation Of Lift Up Your Voice! Advocacy Training For Older Adults And Their Caregivers: Executive Summary, Alison Gottlieb, Nina M. Silverstein, Kelli Barton University of Massachusetts Boston

Evaluation Of Lift Up Your Voice! Advocacy Training For Older Adults And Their Caregivers: Executive Summary, Alison Gottlieb, Nina M. Silverstein, Kelli Barton

Gerontology Institute Publications

The Lift Up Your Voice! (LUYV) training, a component of Community Catalyst’s effort to support the Campaign for Better Care (CBC), is designed to mobilize grassroots advocacy structures of vulnerable older adults by directly engaging and empowering older adults and their caregivers. The goal of the evaluation is to assess the effectiveness LUYV in recruiting potential advocates, educating them about the health care reform, empowering them via advocacy skills training, and engaging them in state-based CBC activities.


Government Provided Health Insurance, Kristina Lambert, Ryan O’Connor Johnson & Wales University

Government Provided Health Insurance, Kristina Lambert, Ryan O’Connor

Academic Symposium of Undergraduate Scholarship

No abstract provided.


Implementing Lean Health Reforms In Saskatchewan, Gregory Marchildon McMaster University

Implementing Lean Health Reforms In Saskatchewan, Gregory Marchildon

Health Reform Observer - Observatoire des Réformes de Santé

Saskatchewan has gone further than any other Canadian province in implementing health system process improvements using Lean, a production line discipline that originated with the automobile industry. The goal of the Lean reform is to reduce waste and improve quality and overall health system performance by long-term changes in behaviour. Lean enjoys a privileged position on the provincial government’s agenda because of the policy’s championing by the Deputy Minister of Health and the policy’s fit with the government’s patient-centred care agenda. The implementation of reform depends on a major investment of time in the training and ...


Overview And Guidance Documents For Public Health Pbrns, Glen P. Mays University of Kentucky

Overview And Guidance Documents For Public Health Pbrns, Glen P. Mays

Glen Mays

This brief provides an inventory of guidance documents and tools for use in developing, implementing, and evaluating practice-based research networks (PBRNs) in public health settings.


The Value Of Public Health Financial Data, Glen P. Mays University of Kentucky

The Value Of Public Health Financial Data, Glen P. Mays

Glen Mays

Effective policy and administrative decision-making in public health requires reliable information on the amount of resources invested in governmental public health programs and how these resouces are allocated and used across the U.S. public health system. This session examines current and potential uses of public health financial data in the U.S., and considers expanded roles for research in informing policy and administrative decisions.


Public Deliberation In Health Policy And Bioethics: Mapping An Emerging, Interdisciplinary Field, Julia Abelson, Erika A. Blacksher, Kathy K. Li, Sarah E. Boesveld, Susan D. Goold Public Deliberation

Public Deliberation In Health Policy And Bioethics: Mapping An Emerging, Interdisciplinary Field, Julia Abelson, Erika A. Blacksher, Kathy K. Li, Sarah E. Boesveld, Susan D. Goold

Journal of Public Deliberation

For over two decades, the "deliberative turn" has rooted itself in the fields of health policy and bioethics, producing a growing body of deliberation in action and associated academic scholarship. With this growing use and study of citizen deliberation processes in the health sector, we set out to map this dynamic field to highlight its diversity, interdisciplinarity, stated and implicit goals and early contributions. More specifically, we explored how public deliberation (PD) is being experimented with in real-world health settings, with a view to assessing how well it is meeting current definitions and common features of PD. Our review provides ...


Tackling The Global Ncd Crisis: Innovations In Law And Governance, Bryan P. Thomas, Lawrence O. Gostin Georgetown University Law Center

Tackling The Global Ncd Crisis: Innovations In Law And Governance, Bryan P. Thomas, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

35 million people die annually of non-communicable diseases (NCDs), 80% of them in low- and middle-income countries—representing a marked epidemiological transition from infectious to chronic diseases and from richer to poorer countries. The total number of NCDs is projected to rise by 17% over the coming decade, absent significant interventions. The NCD epidemic poses unique governance challenges: the causes are multifactorial, the affected populations diffuse, and effective responses require sustained multi-sectorial cooperation. The authors propose a range of regulatory options available at the domestic level, including stricter food labeling laws, regulation of food advertisements, tax incentives for healthy lifestyle ...


Vital Statistics: The State Of The Public Health Pbrn Program, Glen Mays University of Kentucky

Vital Statistics: The State Of The Public Health Pbrn Program, Glen Mays

Glen Mays

The Robert Wood Johnson Foundation's Public Health PBRN Program has continued to expand during the 2013 program year with new networks, new research projects, and expanded translation and dissemination initiatives. The program plays an increasingly powerful role in helping to transform the U.S. public health enterprise into a rapid-learning system for health improvement.


Testing Integrated Primary Care And Public Health Models For Prevention Delivery, Glen Mays University of Kentucky

Testing Integrated Primary Care And Public Health Models For Prevention Delivery, Glen Mays

Glen Mays

Improving the delivery of evidence-tested prevention interventions to populations at greatest risk requires strong coordination between primary care providers and public health organizations. This presentation reviews current research on models for integrated delivery of primary care and public health services, and identifies emerging research needs and opportunities. Of particular interest are the roles that practice-based research networks (PBRNs) can play in building this evidence.


Making Sense Of Irish Health Care Management: The Street Level Public Organisation (Slpo)., Vivienne Byers Dublin Institute of Technology

Making Sense Of Irish Health Care Management: The Street Level Public Organisation (Slpo)., Vivienne Byers

Conference papers

Public service reform in modern economies has placed an emphasis on effective planning and management of service delivery to the citizen-client. This paper draws on the concept of the Street Level Public Organization (SLPO) to examine the problem of government’s top down implementation of planning reform in the delivery of public services. It does so, by exploring the implementation of strategic planning in the health sector and drawing upon field work from such implementation in the health services in Ireland and Canada. The SLPO model (McKevitt 1998) is used as an explanatory tool to add to the public sector ...


Developing Standardized Language For Use In Lgbt Health Research, Vaibhav Jain, Marisa Workman, Sara Mostafa, Abigail Wolfe, Stefania Davia, Natalie Terens, Keith Li, Blaine Parrish Himmelfarb Health Sciences Library, The George Washington University

Developing Standardized Language For Use In Lgbt Health Research, Vaibhav Jain, Marisa Workman, Sara Mostafa, Abigail Wolfe, Stefania Davia, Natalie Terens, Keith Li, Blaine Parrish

GW Research Days 2013

BACKGROUND: In the past two decades, the LGBT community in the United States has been more visible, active, and positively accepted by society. As acceptance progresses, research interests on the LGBT population have increased, driving the need for standard language for researchers to share for comparative and community-based participatory research. "What term is right?" is often the question researchers ask a very diverse LGBT community. In August 2012, the District of Columbia's Office of LGBT Affairs identified incongruent language in a number of published reports commissioned by the Mayor's Office. The Office realized the importance of standardized language ...


The Global Ability To Respond: Applying Sars Knowledge To H1n1 And Beyond, Meaghan Drees Providence College

The Global Ability To Respond: Applying Sars Knowledge To H1n1 And Beyond, Meaghan Drees

Annual Undergraduate Conference on Health and Society

Influenza outbreaks may be alarming, but they are nothing new in the 21st century. At this point, the various strains of influenza have broken into cities and homes, acted as silent killers by causing fear, death and destruction, and spreading uncontrollably. This repetitive cycle arouses the question of when people will learn how to take care of these epidemics. Well, according to Flahault and Zylberman, knowledge may not be the only factor necessary to stop influenza from disrupting lives. The authors reveal that “Influenza epidemics occur regularly and prediction of their conversion to pandemics and their impact is difficult ...


Cost Estimation Methods: Strategies And Examples For Public Health Services & Systems Research, Glen P. Mays, MIchael E. Morris, Florida Atlantic University University of Kentucky

Cost Estimation Methods: Strategies And Examples For Public Health Services & Systems Research, Glen P. Mays, Michael E. Morris, Florida Atlantic University

Glen Mays

This webinar reviews methods for conducting cost studies in public health settings, including strategies for estimating the financial and ecnomic costs of delivering public health services, and analytic approaches to identifying factors that influence delivery costs. These types of studies are of increasing importance to policy and practice stakeholders given the need for evidence about the return-on-investment (ROI) generated through public health delivery.


Public Health Roi: Evidence, Experience, And Remaining Questions, Glen Mays University of Kentucky

Public Health Roi: Evidence, Experience, And Remaining Questions, Glen Mays

Glen Mays

Expanding the delivery of efficacious public health and prevention strategies holds considerable potential for improving health outcomes and constraining costs across the U.S. health system. Unfortunately, lingering certainties about the costs required to expand public health delivery systems and about the health and economic effects of such expansions has muted private and public support for increased public health expenditures. This lecture examines recent evidence from public health services and systems research studies that examine the health and economic value of public health delivery, and identifies remaining research needs for the field.


Assessing The Effectiveness Of A Clinic-Based Diabetes Management Program In A Community Setting, Justin Lupone Providence College

Assessing The Effectiveness Of A Clinic-Based Diabetes Management Program In A Community Setting, Justin Lupone

Annual Undergraduate Conference on Health and Society

Diabetes in the United States occurs in approximately 8% of adults.[i] Diabetes, if not treated, can lead to many health problems such as blindness or loss of physical functioning, sometimes leading to amputation. However, Type 2 diabetes can be cured or kept under control through effective diabetes management. Many Type 2 diabetes patients let their diabetes become out of control through at risk behaviors, such as smoking, and poor diet, which in turn can lead to a worsening of their condition. With effective disease management, patients can avoid more severe effects of the disease and have higher quality of ...


The Danger Of Duality: Medicare And Medicaid As A Double Threat, Erica Barnum Providence College

The Danger Of Duality: Medicare And Medicaid As A Double Threat, Erica Barnum

Annual Undergraduate Conference on Health and Society

My paper discusses the topic of dual eligible beneficiaries – a group of some nine million individuals that has rightly earned a reputation for being the most costly, frail, sickly, and vulnerable population. Individuals are considered “dual eligible” when they qualify for the benefits of both government programs of Medicare and Medicaid. The main problem within the dual eligible arena is the lack of coordination between these two programs – the federal government wholly funds Medicare but Medicaid is a joint federal-state program that varies from state to state. Because these programs were not designed to work together and sometimes even work ...


The Effects Of Pre-Existing Illnesses On Pediatric Acute Respiratory Infections In South Africa, Haley Dumke Providence College

The Effects Of Pre-Existing Illnesses On Pediatric Acute Respiratory Infections In South Africa, Haley Dumke

Annual Undergraduate Conference on Health and Society

The intent of this study was to explore the effect of pre-existing illnesses on acute respiratory infections, focusing on HIV and malnutrition as infection development risk factors in South African children. It investigates the economic burden imposed by these infections and analyzes how the country’s current socio-economic situation plays a major part in propagating infection development. Pneumonia and RSV were individually examined for their current role in the disease burden and potential methods for reducing incidence of pediatric respiratory infections were evaluated based on effectiveness and affordability for the country of South Africa. Data for this paper was compiled ...