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Equity And Access To Health Care In Rural Quang Nam Province, Vietnam, Jessica Currier 2017 Portland State University & Oregon Health Sciences University School of Public Health

Equity And Access To Health Care In Rural Quang Nam Province, Vietnam, Jessica Currier

Hatfield Graduate Journal of Public Affairs

This paper will addresses access to health care in rural Quang Nam Province in Vietnam. In doing so, it will examine the existing literature surrounding healthcare in Vietnam and compare it with the shortage of physicians in the study area and how that impacts who is able to receive care. The research presented in this paper synthesizes this analysis with interviews conducted by the author with policymakers and health care professionals in the study area. The paper concludes by offering policy recommendations that may rectify the healthcare issues that pervade the study area.


The Role Of The Heart Score And Clinical Decision Units In Ed Patients With Chest Pain, Gregory Jasani, Jesse M. Pines, Caitlin Carter 2017 George Washington University

The Role Of The Heart Score And Clinical Decision Units In Ed Patients With Chest Pain, Gregory Jasani, Jesse M. Pines, Caitlin Carter

Center for Health Care Quality

Every year, millions of patients present to Emergency Departments across the country complaining of chest pain. Even after traditional ED testing which includes electrocardiograms, laboratory testing, and chest radiography, chest pain patients still have a small but real risk of serious illness. The HEART score is a new tool that has been validated to help risk-stratify patients. Clinical Decision Units decrease cost and length of stay without compromising patient safety, allowing for complete evaluations of these patients.


Massachusetts Innovative Action To Support Those Aging With An Intellectual Or Developmental Disability (Idd), Laney Bruner-Canhoto, Sharon Oxx, Christine J. Clifford, Emily Lauer 2017 Massachusetts Department of Developmental Services

Massachusetts Innovative Action To Support Those Aging With An Intellectual Or Developmental Disability (Idd), Laney Bruner-Canhoto, Sharon Oxx, Christine J. Clifford, Emily Lauer

Eunice Kennedy Shriver Center Publications

People with an Intellectual or Developmental Disability (IDD) may experience complex age-related issues, including dementia-related disorders, at earlier ages than the general population. To address changing needs, the Massachusetts Department of Developmental Services (DDS) formed a multidisciplinary workgroup of disability and aging-related public and private agency partners. The workgroup explored key areas of age-related needs, including end of life care and services; screenings for onset of age-associated changes and conditions; and innovative models and resources to support aging in community settings.


Strategies And Substance Treatment: Perceptions Of Older Adults 60 And Over, Kim Malveo Jones 2017 California State University - San Bernardino

Strategies And Substance Treatment: Perceptions Of Older Adults 60 And Over, Kim Malveo Jones

Electronic Theses, Projects, and Dissertations

The purpose of this study was to gather the perceive strategies and substance treatment needs of adults 60 and over. To examine what recovery treatment models and strategies could be most effective for the age-related complex needs of the 60 and over population who are at risk for substance misuse, use or abuse. In the coming years, there will be a substantial increase in the numbers of older adults with substance misuse and abuse problems. Even though one in five individuals who experience substance abuse are older adults many clinicians remain ill equipped to serve older clientele, and particularly those ...


Social Isolation And Loneliness In Older People: A Closer Look At Definitions, Mary Lou Ciolfi, Frances Jimenez 2017 University of Southern Maine, Muskie School of Public Service

Social Isolation And Loneliness In Older People: A Closer Look At Definitions, Mary Lou Ciolfi, Frances Jimenez

Disability and Aging

Social isolation and loneliness are related and the terms are often used interchangeably, but they are distinct concepts with different definitions, health impacts, and interventions. Our population is aging and older people are at increased risk for both social isolation and loneliness and the associated negative health consequences. Understanding the important differences between social isolation and loneliness will help us recognize them earlier in vulnerable populations, engage in more meaningful conversations with older adults about their own risks, and will inform the development and delivery of more individualized, meaningful, and cost-effective interventions.


Book Review: Prostitution Narratives: Stories Of Survival In The Sex Trade, Edited By Caroline Norma And Melinda Tankard Reist, Abigail Bray 2017 Social science research consultant, Australia and France

Book Review: Prostitution Narratives: Stories Of Survival In The Sex Trade, Edited By Caroline Norma And Melinda Tankard Reist, Abigail Bray

Dignity: A Journal on Sexual Exploitation and Violence

No abstract provided.


Inclusive Planning To Evaluate Improved Non-Emergency Medical Transportation Services For Patients With End Stage Renal Disease, Jenny Liu, August Benzow 2017 Portland State University

Inclusive Planning To Evaluate Improved Non-Emergency Medical Transportation Services For Patients With End Stage Renal Disease, Jenny Liu, August Benzow

Jenny Liu

The objective of this project is to design a framework that could be used to evaluate the effectiveness and efficiency of non-emergency transportation services (NEMT) for better livability. In addition to the development of the framework, this project aimed to establish connections between Portland State University (PSU) researchers with regional connections involved in public health research, non-emergency medical transportation, medical services, and medical insurance provision. With the rising costs of transportation and medical costs generally in the United States, it is increasingly important to develop new tools and strategies to reduce these costs while maintaining and improving upon the level ...


Putting Care Back Into "Health Care:" An Analysis Of The Place Of Community Health Workers Within The U.S. Health Care System, Megan Schowalter 2017 University of Puget Sound

Putting Care Back Into "Health Care:" An Analysis Of The Place Of Community Health Workers Within The U.S. Health Care System, Megan Schowalter

Honors Program Theses

This paper explores who a Community Health Worker (CHW) is and contextualizes the social, political, and historical factors that allowed for the growth of CHWs within the primary health care sector in the U.S. It analyzes how CHWs perceive their own roles and responsibilities within the U.S. health system as a means of highlighting the gap within health care services and the influence of Social Determinants of Health (SDH) on well-being. The second part of this paper relates CHWs to scholarship by medical anthropologist Paul Farmer and public health scholar Alicia Yamin concerning pathologies of power and the ...


Public Schools, And Health Care: A Strategy To Promote Social Inclusion, Jana Sladkova, Anahi Viladrich, Nicholas Freudenberg 2017 The Graduate Center, City University of New York

Public Schools, And Health Care: A Strategy To Promote Social Inclusion, Jana Sladkova, Anahi Viladrich, Nicholas Freudenberg

Occasional Paper Series

Sladkova, Viladrich, and Freudenberg refer to “social inclusion” as the process through which the newly arrived find their voice in an already complex, cacophonous society. They describe an approach to social inclusion for adult immigrants that melds learning English at the same time as learning to negotiate our often-Byzantine health care system. They highlight programs that work and a new perspective on how to maximize the effectiveness of limited adult education opportunities.


Influencing American Health Policy: An Analysis Of The Role Of National Black Women-Led Organizations, Angela Jean-Louis 2017 Clark Atlanta University

Influencing American Health Policy: An Analysis Of The Role Of National Black Women-Led Organizations, Angela Jean-Louis

Electronic Theses & Dissertations Collection for Atlanta University & Clark Atlanta University

Through a multiple case study approach, this dissertation outlined patterns of activism, examined the factors that assist in decision-making strategies used for the political mobilization of black women, and assessed the role and influence their organizations have in the health policy arena. Building on the belief that the intersectionality of race, gender, and class guides the activism of black women, the study acknowledges the importance of analyzing the political conditions of black women that are different from black men and white women. Furthermore, the research offered an argument for the need of a theoretical framework that provides a multidimensional analysis ...


Do Marketing Strategies Impact Condom Sales In Uganda?, Meyhar Mohammed 2017 The University of San Francisco

Do Marketing Strategies Impact Condom Sales In Uganda?, Meyhar Mohammed

Master's Theses

What attracts people to buy condoms? HIV/AIDS remain one of the biggest health dangers of the world, especially in Sub-Saharan Africa. A lot of efforts have been pursued in the past two decades to drastically reduce prevalence of HIV and increase awareness about preventive mechanisms. In order to prevent relapse of success achieved so far, it is important to recognize transformation of consumer behavior due to growth in social networks, education and awareness over time. There are a lot of behavioral triggers captured by social marketing interventions in the field of public health. In an attempt to investigate the ...


San Francisco's Response To Sexual Assault: Pathways To Creating A Survivor-Centered Criminal Justice System, Bianca Rosen 2017 University of San Francisco

San Francisco's Response To Sexual Assault: Pathways To Creating A Survivor-Centered Criminal Justice System, Bianca Rosen

Master's Projects and Capstones

This research examines the process when adult sexual assault survivors in San Francisco decide to pursue legal justice and how survivors experience the local criminal justice system. My analysis exposes the mistreatment of survivors who participate with local law enforcement and recommends survivor-centered policies that could support the wellbeing of survivors pressing charges. The purpose of this research is to encourage law enforcement practices that prioritize survivors’ self-determination and welfare.


Using Hospital Discharge Data To Assess Trends Of Carbapenem-Resistant Enterobacteriaceae In Rhode Island, Seth Peters, Sarah Hart Shuford 2017 Rhode Island Department of Health

Using Hospital Discharge Data To Assess Trends Of Carbapenem-Resistant Enterobacteriaceae In Rhode Island, Seth Peters, Sarah Hart Shuford

UMass Center for Clinical and Translational Science Research Retreat

In 2017, Carbapenem-resistant Enterobacteriaceae (CRE) will become a reportable infectious disease in Rhode Island. To prepare for this updated regulation, the Center for Acute Infectious Disease Epidemiology (CAIDE) analyzed Rhode Island Hospital Discharge Data (HDD), internal epidemiologic line lists, as well as antibiograms from local laboratories to gauge past incidence of CRE in Rhode Island healthcare facilities.

CAIDE used the HDD for a retrospective assessment of statewide CRE incidence in acute care hospitals from 2011-2015 using SAS 9.3 (SAS Institute, Cary, NC). Epidemiologists compiled lists of ICD-9/ICD-10 diagnosis codes that when combined indicate CRE. Codes included specific infections ...


Exploring The Contributions Of Local Health Departments In Land Use And Transportation Policy: Implications For Cross-Sector Collaboration, Meera Sreedhara, Karin V. Goins, Semra Aytur, Katie Heinrich, Jay Maddock, Stephenie C. Lemon 2017 University of Massachusetts Medical School

Exploring The Contributions Of Local Health Departments In Land Use And Transportation Policy: Implications For Cross-Sector Collaboration, Meera Sreedhara, Karin V. Goins, Semra Aytur, Katie Heinrich, Jay Maddock, Stephenie C. Lemon

UMass Center for Clinical and Translational Science Research Retreat

Introduction: Transportation and land use policies can impact physical activity. Local health departments (LHDs) are encouraged to participate in land use and transportation policy processes, which are outside their traditional expertise. Cross-sector collaborations are needed, yet stakeholders’ perceptions of LHD involvement are not well-understood. This paper explores (1) the perceived value of LHD participation in transportation and land use decision-making and (2) potential contributions of LHDs to these processes among relevant stakeholders.

Methods: Qualitative data were analysed from 49 semi-structured interviews conducted in 2015 and 2016. Participants were professionals representing land use planning (n=13), transportation/public works (n=11 ...


Obstacles For The Implementation Of Fertility And Family Planning Initiatives In Post Conflict Rwanda, Elizabeth Cave, Dakota Wayne 2017 University of Wyoming

Obstacles For The Implementation Of Fertility And Family Planning Initiatives In Post Conflict Rwanda, Elizabeth Cave, Dakota Wayne

Honors Theses AY 16/17

Increased measures by the State government to educate people on Family Planning and to provide access to contraceptives has had promising results in many countries in reducing poverty and raising the standard of living. However, it remains unclear whether these measures can have similar results in a post-conflict setting. Rwanda is the ideal setting to study these questions. The horrible genocide that occurred in Rwanda had a dramatic effect on the population in terms of infrastructure, fertility rates, and trust in the government. As the country is the most populous in the African continent as well as the site of ...


Demonstrating Return On Investment For Community Health Worker Services: Translating Science Into Practice, Katharine London, Kelly Love, Roosa Tikkanen 2017 University of Massachusetts Medical School

Demonstrating Return On Investment For Community Health Worker Services: Translating Science Into Practice, Katharine London, Kelly Love, Roosa Tikkanen

Commonwealth Medicine Publications

Learn about interventions that employ community health workers to improve health outcomes for select patient groups while containing costs. UMass staff constructed models to focus on specific health issues, such as diabetes and asthma, in particular regions in Maine. The models are designed to promote widespread adoption of payment models and mechanisms that support CHWs’ work.


Accountable Care Organizations And Alternative Payment Methods: Opportunities For Community Health Workers, Katharine London 2017 University of Massachusetts Medical School

Accountable Care Organizations And Alternative Payment Methods: Opportunities For Community Health Workers, Katharine London

Commonwealth Medicine Publications

Learn the different care delivery systems and alternative payment methods that can support community health worker (CHW) services, including approaches used by the Massachusetts Medicaid program, MassHealth. The benefits of reform include improved health outcomes for patients by utilizing CHWs, and more financial flexibility for accountable care organizations through new funding mechanisms. These methods give providers and payers the flexibility to develop new approaches on their own in order to improve health outcomes.


After Closure: Options For Pursuing A High Performance Rural Health System, Andrew F. Coburn PhD 2017 University of Southern Maine, Muskie School of Public Service, Maine Rural Health Research Center

After Closure: Options For Pursuing A High Performance Rural Health System, Andrew F. Coburn Phd

Rural Hospitals (Flex Program)

Presented at the 2017 National Rural Health Association Annual Meeting. Coburn, a member of the Rural Policy Research Institute Panel, discussed the following key questions: What kind of rural health system is possible in places that cannot support a full-service hospital? How does a rural community navigate the transition from hospital-centric care toward new models that deliver high performance? What implementation support will be needed? Coburn noted that there is no single model for re-configuring the rural health system after hospital closure; local assets, affiliations and partnerships, financial and delivery flexibility and capacities must be critically assessed to determine the ...


New Outpatient Experience Survey Design: A Quality Improvement Case Study, Nathan Paluso 2017 University of Southern Maine

New Outpatient Experience Survey Design: A Quality Improvement Case Study, Nathan Paluso

Muskie School Capstones

The purpose of this capstone project is to evaluate the implementation process for a new survey methodology introduced by Maine Medical Partners (MMP), by following the Plan-Do-Study-Act (PDSA) quality improvement cycle framework. This new survey has been implemented to collect data on patients’ experiences in the MMP outpatient facilities, and is offered to the patients via iPad at check-out after their appointment. Through observation at MMP practices and MMP staff interviews, strengths and weaknesses of the implementation process have been identified. Evidence-based solutions pertaining to the identified weaknesses have been selected through a literature review and are incorporated in recommendations ...


The Relationship Between Quality Improvement And Health Information Technology Use In Local Health Departments, Kendra Johnson, Kim K. Nguyen, Shimin Zheng, Robin P. Pendley 2017 East Tennessee State University

The Relationship Between Quality Improvement And Health Information Technology Use In Local Health Departments, Kendra Johnson, Kim K. Nguyen, Shimin Zheng, Robin P. Pendley

Shimin Zheng

This research examined if there is a relationship between engagement in quality improvement (QI) and health information technology (HIT) for local health departments (LHDs) controlling for workforce, finance, population, and governance structure. This was a cross-sectional study that analyzed data obtained from the Core questions and Module 1 in the NACCHO 2010 Profile of LHDs. Descriptive statistics, bivariate analyses, and logistic regression analyses were conducted. Findings suggest that LHD engagement in QI has a relationship with utilization of HIT including electronic health records, practice management systems, and electronic syndromic surveillance systems. This study provides baseline information about the HIT use ...


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