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Pharmacist-Prescribed Birth Control: A Policy Analysis, Brianna Full 2020 University of Nebraska at Omaha

Pharmacist-Prescribed Birth Control: A Policy Analysis, Brianna Full

Student Research and Creative Activity Fair

Although unintended pregnancy in the United States has steadily decreased from 2008, rates are still unacceptably high as almost half (42%) of all pregnancies are not wanted or timed correctly (Finer & Zolna). In 2011, 2.8 million of the 6.1 million pregnancies in the United States each year were unintended. Public health professionals are worried about unintended pregnancy because research shows that unwanted or mistimed pregnancies come with associations to adverse maternal and child health outcomes, such as delayed prenatal care, premature birth, and negative physical and mental health effects for children (Frost, Frohwirth & Zolna, 2016). Also, two-thirds (68 ...


Simulation-Based Power And Sample Size Calculation For Designing Interrupted Time Series Analyses Of Count Outcomes In Evaluation Of Health Policy Interventions, Wei Liu, Shangyuan Ye, Bruce A. Barton, Melissa A. Fischer, Colleen Lawrence, Elizabeth J. Rahn, Maria I. Danila, Kenneth G. Saag, Paul A. Harris, Stephenie C. Lemon, Jeroan J. Allison, Bo Zhang 2020 Harbin Institute of Technology

Simulation-Based Power And Sample Size Calculation For Designing Interrupted Time Series Analyses Of Count Outcomes In Evaluation Of Health Policy Interventions, Wei Liu, Shangyuan Ye, Bruce A. Barton, Melissa A. Fischer, Colleen Lawrence, Elizabeth J. Rahn, Maria I. Danila, Kenneth G. Saag, Paul A. Harris, Stephenie C. Lemon, Jeroan J. Allison, Bo Zhang

Population and Quantitative Health Sciences Publications

Objective: The purpose of this study was to present the design, model, and data analysis of an interrupted time series (ITS) model applied to evaluate the impact of health policy, systems, or environmental interventions using count outcomes. Simulation methods were used to conduct power and sample size calculations for these studies.

Methods: We proposed the models and analyses of ITS designs for count outcomes using the Strengthening Translational Research in Diverse Enrollment (STRIDE) study as an example. The models we used were observation-driven models, which bundle a lagged term on the conditional mean of the outcome for a time series ...


Opioids In The Las Vegas Metro, Elia Del Carmen Solano-Patricio, Caitlin Saladino, William E. Brown 2020 University of Nevada, Las Vegas

Opioids In The Las Vegas Metro, Elia Del Carmen Solano-Patricio, Caitlin Saladino, William E. Brown

Health

In 2014, Nevada was one of 7 states selected to participate in a national policy coalition to reduce prescription drug abuse. As a result, the Nevada Department of Health and Human Services (DHHS) and the Southern Nevada Health District (SNHD) created a data dashboard to track opioid prescriptions and opioid-involved overdose incidents. This Fact Sheet synthesizes state-level data from the Nevada Opioid Overdose Surveillance Dashboard and focuses on the Las Vegas Metropolitan Statistical Area (MSA). The data track opioid prescription rates as they correlate to opioid-involved overdose deaths, emergency room visits, and hospitalizations.


Opioids In Nevada, Peter Grema, Caitlin Saladino, William E. Brown 2020 University of Nevada, Las Vegas

Opioids In Nevada, Peter Grema, Caitlin Saladino, William E. Brown

Health

This Fact Sheet presents data from the Washington Post’s Drug Enforcement Administration (DEA) database on opioid shipments in the United States and provides information pertaining to Nevada and each of its 17 regions (16 counties and one independent city). This Fact Sheet compares the Washington Post’s opioid shipment data with opioid prescription rates relative to Nevada’s population in 2010.


Determining Variables That Explain Share Of Gdp Spent On Healthcare In Advanced Economies, Katie Barr 2020 Augsburg College

Determining Variables That Explain Share Of Gdp Spent On Healthcare In Advanced Economies, Katie Barr

Augsburg Honors Review

Healthcare expenditure has been increasing in the United States alone since at least 1997 but economists have been trying to determine the factors that affect spending levels long before then. The most widely researched factors include: income, population, technology and wellness. There is a lack of agreement on which variable best describes the changes and levels of healthcare spending. The purpose of this research is to use SPSS software to run an OLS regression and analyze the impact of the four most commonly researched variables of healthcare spending to determine which affects expenditure the most. Insight into this topic could ...


A Health Disparity Action Plan: Achieving Equity Through Clinical Trials, Affordable Care, And Professional Development, Daniel Schafer, Shefa Moten, Ayesha Khan, Mauro Ferrari, Boris Lushniak, Edwin Burkett, Asad Moten 2020 HealthNovations International

A Health Disparity Action Plan: Achieving Equity Through Clinical Trials, Affordable Care, And Professional Development, Daniel Schafer, Shefa Moten, Ayesha Khan, Mauro Ferrari, Boris Lushniak, Edwin Burkett, Asad Moten

Journal of Health Disparities Research and Practice

Given the threatened nature of affordable care in the United States, it is crucial to underscore its importance. What is more, the reason such care is so important is the presence of an oft-unacknowledged disparity in access to quality care in this country and, indeed, around the world. A world without health disparities can be achieved and will be characterized by prompt and quality care available to all and at all stages of the care continuum. Further insurance reform is needed beyond the Affordable Care Act, while local care must be more accessible in rural, urban, and other underserved areas ...


Health Care Use And Access Among Rural And Urban Nonelderly Adult Medicare Beneficiaries, Erika T. Ziller PhD, Amanda Burgess MPPM, Deborah Thayer 2020 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center

Health Care Use And Access Among Rural And Urban Nonelderly Adult Medicare Beneficiaries, Erika T. Ziller Phd, Amanda Burgess Mppm, Deborah Thayer

Access / Insurance

Little is known about the characteristics and health care use of rural residents with disabilities. Using the Medicare Current Beneficiary Survey (2009-2013), we compared access to and use of health services among rural and urban nonelderly Medicare beneficiaries with a disability, and examined their health and functional status along with sociodemographic characteristics. We found that the characteristics of nonelderly Medicare beneficiaries with a disability reflected the differences observed between rural and urban populations overall: rural recipients were more likely than their urban peers to be older, non-Hispanic white, and have a lower level of educational attainment. Although self-reported access to ...


Christine "Chris" Kyker Papers, 1946-2017, Chris Kyker 2020 Abilene Christian University

Christine "Chris" Kyker Papers, 1946-2017, Chris Kyker

Center for Restoration Studies Archives, Manuscripts and Personal Papers Finding Aids

No abstract provided.


Hypertension And Diabetes Treatment Affordability And Government Expenditures Following Changes In Patient Cost Sharing In The "Farmacia Popular" Program In Brazil: An Interrupted Time Series Study, Isabel Cristina Martins Emmerick, Monica Rodrigues Campos, Rondineli Mendes. da Silva, Luisa Arueira Chaves, Andrea Damaso Bertoldi, Dennis Ross-Degnan, Vera Lucia Luiza 2020 University of Massachusetts Medical School

Hypertension And Diabetes Treatment Affordability And Government Expenditures Following Changes In Patient Cost Sharing In The "Farmacia Popular" Program In Brazil: An Interrupted Time Series Study, Isabel Cristina Martins Emmerick, Monica Rodrigues Campos, Rondineli Mendes. Da Silva, Luisa Arueira Chaves, Andrea Damaso Bertoldi, Dennis Ross-Degnan, Vera Lucia Luiza

Surgery Publications

BACKGROUND: Increasing medicines availability and affordability is a key goal of Brazilian health policies. "Farmacia Popular" (FP) Program is one of the government's key strategies to achieve this goal. Under FP, antihypertension (HTN) and antiglycemic (DM) medicines have been provided at subsidized prices in private retail settings since 2006, and free of charge since 2011. We aim to assess the impact of sequential changes in FP benefits on patient affordability and government expenditures for HTN and DM treatment under the FP, and examine their implications for public financing mechanisms and program sustainability.

METHODS: Longitudinal, retrospective study using interrupted time ...


The Smoking Gun: Can We Do For Gun Control What We Are Doing To Control The Vaping And E-Cigarettes Epidemic?, Robert J. Goldberg, Kate L. Lapane, Stephenie C. Lemon, Michael P. Hirsh 2020 University of Massachusetts Medical School

The Smoking Gun: Can We Do For Gun Control What We Are Doing To Control The Vaping And E-Cigarettes Epidemic?, Robert J. Goldberg, Kate L. Lapane, Stephenie C. Lemon, Michael P. Hirsh

Open Access Articles

An editorial by UMass Medical School public health experts calls for legislators and policymakers to take bold action on gun control, similar to the recent ban in Massachusetts on vaping products in response to lung illnesses in vaping device and e-cigarette users.


The Ethical Justification Of Increasing Awareness Of Preventive Medicine Among Healthcare Professionals, Patients And The General Public In The United States, Karishma Ether Moazzam 2019 Duquesne University

The Ethical Justification Of Increasing Awareness Of Preventive Medicine Among Healthcare Professionals, Patients And The General Public In The United States, Karishma Ether Moazzam

Electronic Theses and Dissertations

While practiced for centuries, preventive medicine has received increased attention during the recent times. Preventive medicine has a distinct mission to protect, promote, and maintain health as well as to prevent diseases, disabilities, and premature deaths. It aims to fulfill its mission through the combined form of clinical intervention and health promotion. In the recent years, preventive medicine has begun to lean more towards the clinical interventions, taking away from the health promotion. This imbalance has caused preventive medicine to lose its effectiveness in fulfilling its mission. One of the leading causes for such imbalance is the lack of proper ...


Redefining Trauma: Utilizing Restorative Justice To Repair Care Systems, Emebet Aklilu 2019 The University of San Francisco

Redefining Trauma: Utilizing Restorative Justice To Repair Care Systems, Emebet Aklilu

Master's Projects and Capstones

This project examined the ways in which restorative justice programming can improve trauma informed care among the African American population in Oakland, CA. With 23% of African American men and women living at or below the poverty line in the United States, this project assesses gaps in current trauma informed care practices as evident in the literature. Following a rigorous document review the author coded and organized key programming components following six factors detailed by Rowher, Schoones, and Young (2014). Further examination of these program components was conducted using Bloom’s taxonomy levels to assess program outcomes associated with specific ...


Advancing The Implementation And Sustainment Of Medication Assisted Treatment For Opioid Use Disorders In Prisons And Jails, Warren J. Ferguson, Joan Johnston, Jennifer G. Clarke, Peter J. Koutoujian, Kathleen Maurer, Colleen Gallagher, Julie White, Dyana Nickl, Faye S. Taxman 2019 University of Massachusetts Medical School

Advancing The Implementation And Sustainment Of Medication Assisted Treatment For Opioid Use Disorders In Prisons And Jails, Warren J. Ferguson, Joan Johnston, Jennifer G. Clarke, Peter J. Koutoujian, Kathleen Maurer, Colleen Gallagher, Julie White, Dyana Nickl, Faye S. Taxman

Open Access Articles

BACKGROUND: Opioid use disorder (OUD) is among the most prevalent medical condition experienced by incarcerated persons, yet medication assisted therapy (MAT) is uncommon. Four jail and prison systems partnered with researchers to document their adoption of MAT for incarcerated individuals with opioid use disorders (OUD) using their established treatment protocols. Employing the EPIS (Exploration, Planning, Implementation, and Sustainment) framework, programs report on systematic efforts to expand screening, treatment and provide linkage to community-based care upon release.

RESULTS: All four systems were engaged with implementation of MAT at the outset of the study. Thus, findings focus more on uptake and penetration ...


Healthy Eating Policy Strategies In Community Health Improvement Plans: A Cross-Sectional Survey Of Us Local Health Departments, Meera Sreedhara, Karin V. Goins, Christine F. Frisard, Milagros C. Rosal, Stephenie C. Lemon 2019 University of Massachusetts Medical School

Healthy Eating Policy Strategies In Community Health Improvement Plans: A Cross-Sectional Survey Of Us Local Health Departments, Meera Sreedhara, Karin V. Goins, Christine F. Frisard, Milagros C. Rosal, Stephenie C. Lemon

UMass Worcester PRC Publications

CONTEXT: Policies (eg, regulations, taxes, and zoning ordinances) can increase opportunities for healthy eating. Community Health Improvement Plans (CHIP) may foster collaboration and local health department (LHD) engagement in policy decision making to improve local food environments. Limited research describes what policies supportive of healthy food environments are included in CHIPs nationally and relationships between LHD characteristics and participation in plans including such policies.

OBJECTIVES: To determine the proportion of US LHDs who participated in development of a CHIP containing healthy eating policy strategies and assess the association between LHD characteristics and inclusion of any healthy eating policy strategy in ...


Examining Racial & Ethnic Disparities In The Reach Of The Medicare Shared Savings Program, Lindsey Arneson 2019 University of Nebraska Medical Center

Examining Racial & Ethnic Disparities In The Reach Of The Medicare Shared Savings Program, Lindsey Arneson

Capstone Experience

It is important to understand the quality of health care for racial and ethnic minorities covered under the largest U.S. government-run insurance program, Medicare, because the demographics of the U.S. are becoming older and more diverse. A new value-based program under Medicare is the Shared Savings Program (MSSP), which creates incentives to improve care quality and health outcomes for Medicare beneficiaries with a specific focus on increasing the provision of preventive care services. This capstone project aims to understand the representation of racial/ethnic minority Medicare beneficiaries, namely African Americans/Blacks and Hispanics/Latinxs, that receive care from ...


A Project Evaluation Of The California Education Code's Aquatic Mandate And Related Safety Protocols In High School Aquatics Courses, Jesus Raygoza 2019 San Jose State University

A Project Evaluation Of The California Education Code's Aquatic Mandate And Related Safety Protocols In High School Aquatics Courses, Jesus Raygoza

Master's Projects

The California Education Code (CEC) requires high schools to provide swim lessons for their students. How can the CEC and California Health and Safety Code (HSC) be amended to ensure the safety of students in swim classes? What best practices should they follow?


Blueprint For Shared Safety Strategic Plan, ReAnn Ramos 2019 California State University, Monterey Bay

Blueprint For Shared Safety Strategic Plan, Reann Ramos

Capstone Projects and Master's Theses

The Blueprint for Shared Safety strategic plan will be adopted by Santa Cruz County Community Corrections Partnership as a framework of principles and practices that community leaders can use to lead shared safety strategies. By shifting the focus from the traditional criminal justice system to investments that can truly make our communities safer, the Blueprint aims to re-envision public safety together. The Community Corrections Partnership Community Education and Engagement Workgroup (CCP CEEW) has conducted data analysis to identify the key assets and gaps in Santa Cruz County. After identifying the key assets and gaps there were recommendation review sessions that ...


An Evaluation Of California’S Continuously Appropriated Programs Funded Through Cap-And-Trade, Domingo Candelas 2019 San Jose State University

An Evaluation Of California’S Continuously Appropriated Programs Funded Through Cap-And-Trade, Domingo Candelas

Master's Projects

In 2006, the State of California passed AB 32, the Global Warming Solutions Act. Through this legislation, the state sought to reduce its carbon emissions to 1990 levels by 2020. The California Air Resources Board (CARB) was tasked with doing so and thus instituted the Cap-and-Trade program, a market-based mechanism to reduce emissions. Additionally, legislation has further directed funding on an annual basis for various continuously appropriated programs. This paper will examine the efficacy of those continuously appropriated programs and their legislative intent.


Medi-Cal Retention, Christina Salvatier 2019 San Jose State University

Medi-Cal Retention, Christina Salvatier

Master's Projects

This research identified the factors that contributed to the decline of Medi-Cal enrollment in the County of Santa Clara (CSC). Additionally, it determined the actions that the County of Santa Clara Health System (CSCHS) can adopt to mitigate such decline. The CSCHS is the local safety-net healthcare provider for the residents of the CSC. Despite the CSCHS experiencing a significant increase in Medi-Cal covered individuals with the implementation of the Affordable Care Act (ACA) in 2010, this trend has overturned by 2019, with the County witnessing a significant decrease in Medi-Cal enrollment rates.


Why Does The Adverse Effect Of Inappropriate Mri For Lbp Vary By Geographic Location? An Exploratory Analysis, Mujahed Shraim, Manuel Cifuentes, Joanna L. Willetts, Helen R. Marucci-Wellman, Glenn Pransky 2019 Qatar University

Why Does The Adverse Effect Of Inappropriate Mri For Lbp Vary By Geographic Location? An Exploratory Analysis, Mujahed Shraim, Manuel Cifuentes, Joanna L. Willetts, Helen R. Marucci-Wellman, Glenn Pransky

Open Access Articles

BACKGROUND: Early magnetic resonance imaging (eMRI) for nonspecific low back pain (LBP) not adherent to clinical guidelines is linked with prolonged work disability. Although the prevalence of eMRI for occupational LBP varies substantially among states, it is unknown whether the risk of prolonged disability associated with eMRI varies according to individual and area-level characteristics. The aim was to explore whether the known risk of increased length of disability (LOD) associated with eMRI scanning not adherent to guidelines for occupational LBP varies according to patient and area-level characteristics, and the potential reasons for any observed variations.

METHODS: A retrospective cohort of ...


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