Policy Design, Analysis, and Evaluation Commons^™

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 ...

Post-Conflict Development In Northern Uganda: The Importance Of Holistically Addressing Sexual And Gender-Based Violence, Hannah E. Durick

University of Tennessee Honors Thesis Projects

No abstract provided.

Democracy Through Multi-Body Sortition: Athenian Lessons For The Modern Day, Terrill G. Bouricius

Journal of Public Deliberation

Mature Classical Athenian democracy is presented as a representative system, rather than the commonly described form of “direct democracy.” When viewed in this way, the commonly assumed problem of scale in applying Athenian democracy to modern nation states is solved, and principles and practices of the Athenian model of democracy continue to have relevance today. The key role of sortition (selection by lot) to form multiple deliberative bodies is explained. Five dilemmas faced by modern proposals for the use of sortition are examined. Finally, a new model of lawmaking using multiple allotted bodies is presented, which resolves these dilemmas and ...

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 ...

Decision Modeling For Local Housing Development: ‘Strategic Value’ And Other Social Impact Measures, Michael P. Johnson Jr.

Michael P. Johnson

Acquisition and redevelopment of foreclosed properties by

community organizations helps to mitigate the social

impacts of foreclosures on neighborhoods and residents. Social impacts can be measured in a variety of ways:

(a) Strategic value of foreclosed property locations

(b) Averted lost value to proximate properties

Models can estimate magnitudes of such effects to identify

potential acquisition candidates and social impacts of

alternative development strategies. Application of models to a local case study demonstrates how these measures can be used in practice.

British Policy Formulation For The Eu, Bryce Comstock

Claremont-UC Undergraduate Research Conference on the European Union

No abstract provided.

Investment Prospectus: Concentrated Solar Power With Heliostat Tower And Molten Salt Storage, Kyle Herman

Kyle Herman

This article delivers a preliminary overview of Concentrated Solar Technology. It offers data for investors and policy-makers in order to more properly understand and mitigate risks of this renewable energy.

Practicum 2013 - 2014: Lift Boston Client Well Being Study, Lisa Kalimon, Buki Usidame, Ryan Kling, Ryan Mclane, Ryan Whalen, Ana M. Sanchez, Tanya Stepasiuk, Michael P. Johnson Jr.

Michael P. Johnson

LIFT-Boston, a local nonprofit, and a team of UMass Boston Public Policy PhD students, have engaged in a collaborative problem identification and goal setting focused on the effectiveness of LIFT’s unique service delivery model. LIFT uses volunteer advocates and a goal-oriented process with no eligibility criteria to assist clients in distress. Our study aims to help LIFT discover how their approach affects their clients’ well-being.

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 21^st 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 ...

Values Structuring And Strategy Design For Housing And Community Development, Jeff Keisler, David A. Turcotte, Rachel B. Drew, Michael P. Johnson Jr.

Michael P. Johnson

Community development corporations (CDCs) engaged in housing acquisition and redevelopment rely on a range of different approaches and strategies to achieve their organizational missions. Identifying key objectives is part of this process, which requires an understanding of an organization’s fundamental goals and values. Motivated by efforts of CDCs to address the foreclosed housing crisis, this paper applies decision modeling to help CDC decision makers clarify their thinking about goals, objectives, and values related to housing and community development. We do so by developing value models that reflect decision-analytic principles, and apply them to multiple CDCs operating in urban communities ...

Evaluation Of Aboriginal Programs: What Place Is Given To Participation And Cultural Sensitivity?, Steve Jacob, Geoffroy Desautels

The International Indigenous Policy Journal

Aboriginal populations in Northern Canada have, for many years, been confronted with socio-economic problems affecting their development. In the early 1990s, the Royal Commission on Aboriginal Peoples (1996) report concluded that it was important to integrate Aboriginal people into the management of public policies that concern them and to encourage their autonomy. In order to produce a quality evaluation that is useful in particular cultural contexts, measures have been developed to assure that the evaluation highly regards cultural sensitivity while integrating local participants in the evaluation process. This study, based on the systematic analysis of a non-probability sample of 27 ...

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

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

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 ...

“Listen Carefully:” A Study Of Ageist Stereotypes And Undergraduates’ Desire To Work With Elders, Genevieve Ilg

Annual Undergraduate Conference on Health and Society

“Listen Carefully:” A Study of Ageist Stereotypes and Undergraduates’ Desire to Work with Elders identifies and assesses how prior experience with elders and ageist stereotypes informs the degree to which undergraduates are inclined (or disinclined) to consider geriatrics as a potential career. Current literature indicates a lack of interest among social workers and other allied-health professionals in working with this demographic. Here, the “generation gap” not only pertains to the differences between younger people and their elders, but to the gap between the aging population’s increasing demand of need and how many individuals plan to serve the elderly. For ...

Terrains Of Terror And Modern Apparatuses Of Destruction: Organ Transplantation, Markets, And The Commoditized Kidney, Ayan Kassim

Annual Undergraduate Conference on Health and Society

Recent innovations in biomedicine and medical technologies within the last 40 years have altered understandings of the body and its parts; burgeoning global markets in organs is symptomatic of this. Although procurement policies by most nations solicit organs through donation only, lengthy wait lists have prompted the fiscally privileged sick to pursue other means of survival. In light of the current global realities of kidney trafficking in particular, this paper considers the following questions: How and why has the kidney become a commodity? In what historical moment did a kidney market emerge? What and who are the key actors in ...

A Developing Say Against Aids, Joanna Rydzefski

Annual Undergraduate Conference on Health and Society

Lack of access to medicines is a hurdle for many countries, especially developing nations, in their fight against serious health problems. The World Trade Organization (WTO) has frequently been scrutinized regarding its impact on access to essential medicines after its Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) created a framework for the protection of physical and intellectual goods. The main goal of TRIPS is to promote scientific development through patents, but the repercussions of this monopoly over drug production sparked opposition from developing nations, specifically Brazil and South Africa (Dounis 2011, 3). This paper aims to explore how ...

Combating The Stigmatization Of Leprosy: How The First Decade Of The Star’S Publication Made The Case For Romantic Relationships And The Preservation Of Domestic Life In The Carville Leprosarium, Gabriela Reed

Annual Undergraduate Conference on Health and Society

The stigmatization of leprosy has long been acknowledged as one of the primary obstacles to not only effectively treating leprous patients on a physical level, but also achieving their integration and acceptance into society. The Carville Leprosarium, founded as the Louisiana Leper Home in 1894, and the intense ostracism that it institutionalized, demonstrate one of the most influential expressions of this stigma. However, Carville residents were not passive in accepting their fate. The Star, a magazine founded by Stanley Stein and subsequently published in conjunction with his fellow residents, worked to combat such stigma. Building on the work of Heather ...

Ethical Issues In The Drug Approval Process, Meghan Mcinnis

Annual Undergraduate Conference on Health and Society

The Food and Drug Administration’s (FDA) drug approval process carries great significance for both pharmaceutical companies and for patients. In recent decades, there has been a shift towards expedited approval so that drugs, especially those for terminally ill patients, can be brought to market faster. However, the FDA still has the responsibility of protecting patients from harm. The case studies of two drugs, Vioxx and Avastin, highlight several of the ethical and practical issues of the drug approval process, including the nature of clinical trial research, the risk-benefit analysis of new treatments, the growth of Contract Research Organizations (CROs ...

High School And College Athletes Should Be Required To Undergo Pre-Participation Cardiac Screening Prior To Participation In Competitive Sports, Kathleen Harrington

Annual Undergraduate Conference on Health and Society

Sudden Cardiac Arrest (SCA) is the leading cause of death in young athletes. Most of these athletes are unaware they have a condition that puts them at risk. In addition it is estimated that approximately 1 in 220,000 young athletes experience Sudden Cardiac Death (SCD) each year, although, these numbers are not truly reliable because there is no national mandatory reporting system in the United States. My paper argues that all high school and college athletes should be required to undergo pre-participation cardiac screening (i.e. an ECG and extensive family health history) as a part of a required ...