Digital Commons Network^™

The Nuts And Bolts Of Pdps, Mary Ellen Stahlman

National Health Policy Forum

This issue brief provides an overview of Medicare prescription drug plans (PDPs), with a focus on fundamentals such as enrollment, premiums, formularies, cost sharing, prices, payment, cost management, and appeals and grievance processes. It also highlights major changes to the PDP landscape between 2006 and 2007.

Updating The Wic Food Packages: It's About Time, Jessamyn Taylor

National Health Policy Forum

This issue brief reviews key revisions to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program proposed by the USDA, which are based substantially on recommendations by the Institute of Medicine. Should the changes become regulation, they will be the most significant revision of the WIC food packages in over 25 years. This brief describes the changes, the impetus for their consideration, and possible implementation issues from the perspectives of vendors, state and local WIC agencies, and participants.

Phylogenetic Analysis Of Buggy Creek Virus: Evidence For Multiple Clades In The Western Great Plains, United States Of America, Martin Pfeffer, Jerome E. Foster, Eric A. Edwards, Mary Bomberger Brown, Nicholas Komar, Charles R. Brown

United States Public Health Resources

We present the first detailed phylogenetic analysis of Buggy Creek virus (BCRV), a poorly known alphavirus with transmission cycles involving a cimicid swallow bug (Oeciacus vicarius) vector and cliff swallows (Petrochelidon pyrrhonota) and house sparrows (Passer domesticus) as the principal avian hosts. Nucleotide sequences of a 2,075-bp viral envelope glycoprotein-coding region, covering the entire PE2 gene, were determined for 33 BCRV isolates taken from swallow bugs at cliff swallow colonies in Nebraska and Colorado in the summer of 2001 and were compared with the corresponding region of BCRV isolates collected from Oklahoma in the …

Download Full Pdf Issue Of Thomas Jefferson University Mph Public Health Link Newsletter, Vol. 2, Iss. 8, November/December 2006

Public Health Link

Vol. 2, Iss. 8 includes a faculty spotlight on Mona Sarfaty, an article on Richard Wender becoming President of the American Cancer Society and Jefferson presenters at the upcoming American Public Health Association meeting.

Community Mobility And Dementia: A Review Of The Literature, Nina M. Silverstein, Megan Vanderbur

Gerontology Institute Publications

By the year 2030, 70 million Americans will be 65 or older. Approximately 80 percent of this population will likely be driving themselves. And without appropriate and timely interventions, many are likely to be driving with Alzheimer’s disease (AD). Current estimates suggest that 2 percent of the population 65 to 74, 19 percent of the population 75 to 84, and 47 percent of the population 85 and older are likely to suffer from Alzheimer’s disease or a related disorder. By the year 2050, the number of Americans with Alzheimer’s disease could range from 11.3 million to 16 million. This significant …

A Primer On Eva For Healthcare Providers, James L. Grant

Financial Services Forum Publications

The concept of economic profit (EVA) has proved successful in the field of corporate finance since its adoption by several U.S. and International companies over the past 25 years. Unlike accounting earnings, EVA is a measure of a company’s true earnings because it fully “accounts” for the costs of all forms of financing, including debt and equity. In the EVA view, a company is not truly profitable unless it earns a return on capital that bests the opportunity cost of capital. That being said, the question that we address here is how to measure the economic profit of providers in …

Preventive Medicine: A "Cure" For The Healthcare Crisis, Janice L. Clarke, Deborah Meiris

College of Population Health Faculty Papers

Introductory Editorial: Few would dispute the premise that prevention, early detection, and early intervention form the first line of defense on the disease management (DM) continuum. That being the case, our national statistics on preventive health should be raising concerns throughout the industry. The US healthcare delivery system continues to fall woefully short of its prevention targets. On the international scene, the United States lags behind countries with less wealth and less technological savvy. Commentaries abound on the problems, but recently I became aware of an organization with an exciting goal and a novel solution for bringing preventive medicine …

Knowledge And Attitudes About Health Research Amongst A Group Of Pakistani Medical Students, Hassan Khan, Muhammad Rizwanulhaq Khawaja, Abdul Waheed, Muhammad Ameen Rauf, Zafar Fatmi

Community Health Sciences

Background

Health research training is an important part of medical education. This study was conducted to assess the level of knowledge and attitudes regarding health research in a group of Pakistani medical students at Aga Khan University, Karachi.

Methods

It was a cross-sectional pilot study conducted among a group of Pakistani medical students. Through stratified random sampling, a pre-tested, structured and validated questionnaire was administered to 220 medical students. Knowledge and attitudes were recorded on a scale (graduated in percentages).

Results

Mean scores of students were 49.0% on knowledge scale and 53.7% on attitude scale. Both knowledge and attitudes improved …

Pengaruh Pemeriksaan Kehamilan Terhadap Pemilihan Penolong Persalinan, Besral Besral

Kesmas

Di Indonesia, Angka pertolongan persalinan oleh tenaga kesehatan masih tergolong rendah. Pemeriksaan kehamilan (Antenatal Care = ANC) dapat dijadikan sebagai sarana untuk memotivasi ibu hamil agar bersalin ke tenaga kesehatan. Penelitian ini bertujuan mengetahui peranan ANC terhadap pemilihan tenaga penolong persalinan. Penelitian dengan rancangan potong lintang ini menggunakan data sekunder Survei Evaluasi Manfaat Proyek KKG (Kesehatan Keluarga dan Gizi), analisisnya menggunakan ukuran asosiasi Odds Ratio. Hasil penelitian ini memperlihatkan bahwa setelah dikontrol oleh variabel karakteristik responden, ibu hamil yang melakukan ANC minimal empat kali memiliki peluang 2 kali lebih besar untuk melahirkan pada tenaga kesehatan daripada ibu hamil dengan ANC …

Hubungan Berat Badan Lahir Bayi Dan Infeksi Nosokomial Di Ruang Perinatologi, Eviana S. Tambunan

Kesmas

Infeksi nosokomial masih merupakan masalah kesehatan di seluruh dunia karena meningkatkan angka kematian. Infeksi nosokomial paling tinggi ditemukan di ruang perawatan bayi dan angka infeksi tertinggi terjadi di ruang perawatan intensif neonatus. Penelitian ini bertujuan mengetahui hubungan antara berat badan lahir bayi dengan kejadian infeksi nosokomial. Penelitian ini menggunakan data sekunder rekam medik bayi yang dirawat di level III Perinatologi RSAB Harapan Kita. Desain studi yang digunakan adalah Kasus Kontro dengan metode analisis regresi logistik ganda. Penelitian ini menemukan jenis infeksi nosokomial terbanyak adalah sepsis (52,91%), bakteremia (35,48%) dan pneumonia (11,61%). Pola jenis kuman yang paling banyak ditemukan adalah bakteri …

Faktor-Faktor Prognosis Kematian Tetanus Neonatorum Di Rs Kabupaten Indramayu Dan Kabupaten Cirebon, Lili Tantijati, Krisnawati Bantas

Kesmas

Angka Kematian Bayi (AKB) di Indonesia masih tetap tinggi. Berdasarkan Biro Pusat Statistik (BPS) pada tahun 1995 adalah 55/1.000 kelahiran hidup. Salah satu penyebab utama dari kematian bayi adalah penyakit tetanus neonatorum. Tujuan dari penelitian ini adalah untuk menentukan hubungan antara usia saat ditemukan adanya indikasi penyakit neonatarum pada bayi dengan timbulnya kematian yang disebabkan oleh tetanus neonatorum pada bayi-bayi tersebut di Kabupaten Indramayu pada tahun 1996-2001. Penelitian ini menggunakan disain studi epidemiologi kasus-kontrol dengan perbandingan kasus dan kontrol 1:1. Jumlah sampel, 160 penderita tetanus neonatorum. Populasi studi adalah penderita tetanus neonatorum yang dirawat di RSD kabupaten Cirebon dan kabupaten …

Prevalensi Dan Determinan Hipertensi Di Pulau Jawa, Tahun 2004, Zamhir Setiawan

Kesmas

Hipertensi merupakan faktor risiko utama kardiovaskuler yang merupakan penyebab utama kematian di seluruh dunia. Peningkatan umur harapan hidup dan perubahan gaya hidup meningkatkan faktor risiko hipertensi di berbagai negara. Tujuan penelitian ini (1) Mengetahui prevalensi hipertensi dan penyebarannya di Pulau Jawa tahun 2004. (2) Mengetahui faktor-faktor sosiodemografi yang berhubungan dengan kejadian hipertensi. (3) Mengetahui kontribusi dan dampak potensial masing masing faktor tersebut. Penelitian dengan rancangan studi Ekologi Multilevel ini menggabungkan variabel tingkat pengukuran individu dengan tingkat pengukuran ekologi dalam analisis bersama, dengan unit analisis individu. Analisis kontekstual dilakukan melalui kerangka konsep hipertensi, menggunakan metode analisis regresi logistik ganda, dengan status …

Studi Kasus : Evaluasi Sistem Penanggulangan Kebakaran Pt. Indogravure, Theresia Audrey Angela

Kesmas

Kebakaran yang terjadi tak terduga akibat kelalaian manusia dan kondisi lingkungan dapat menyebabkan kerugian materi dan fisik serta rasa khawatiran yang menurunklan kondisi kerja. Kebakaran dapat terjadi akibat aliran listrik hubungan singkat, gesekan rol mesin dan gesekan mekanis mesin sehingga perlu diamati secara ketat. Oleh sebab itu, tiap bangunan dan tempat kerja perlu memiliki fasilitas dan tim penanggulangan kebakaran yang memadai. Sebagai perusahaan industri percetakan pembungkus produk, PT. Indogravure (PTI) mengolah bahan unsur kimia dan plastik yang mudah terbakar, antara lain adalah bahan cair (tinta, lem, solar dan bahan bakar) dan bahan padat (plastik, kertas dan besi). PTI memiliki sistem …

Kesesuaian Risiko Pencemaran Antara Inspeksi Sanitasi Dan Pemeriksaan Bakteriologi Pada Air Kolam Renang Di Dki Jakarta, 2005, Endang Darajat

Kesmas

Di Jakarta, setiap hari diperkirakan 8.000 orang melakukan aktifitas berenang yang membutuhkan air bersih dalam jumlah yang besar. Air bersih yang digunakan berasal dari air tanah dan Perusahaan Air Minum DKI Jakarta. Jumlah orang yang berenang sangat mempengaruhi kualitas air kolam renang yang harus terus dipertahankan agar terhindar dari risiko pencemaran. Penelitian ini bertujuan mengetahui kesesuaian hasil pengukuran risiko pencemaran dengan inspeksi sanitasi dan pemeriksaan bakteriologik pada air kolam renang di DKI Jakarta tahun 2005 Penelitian yang menggunakan disain studi cross sectional mengamati mengamati 30 kolam renang. Variabel yang didiamati adalah 13 variabel inspeksi sanitasi dengan menggunakan adalah univariat dan …

Pengembangan Sistem Informasi Program Kusta Berbasis Geografis Di Kabupaten Cirebon Tahun 2005, Haeria Haeria

Kesmas

Kusta yang disebabkan oleh infeksi Mycobacterium leprae merupakan penyakit menular dengan masalah yang sangat kompleks. Tiga tahun terakhir, Kabupaten Cirebon yang melaporkan 1.207 penderita kusta (Prevalence 1,69/10.000 penduduk), belum mencapai tahap eliminasi sehinga penularan masuh berlansung. Tujuan penelitian mengembangan sistem informasi kusta berbasis geografis yang dapat dijadikan solusi percepatan eliminasi kusta di Kabupaten Cirebon. Metoda yang digunakan adalah System Development Life Cycle, yaitu planning, analysis, design, implementation, maintenance dan evaluation system. Hal tersebut dilakukan dengan memadukan konsep Data Base Management System dan data spasial. Hasil analisis sistem dapat mengidentifikasi masalah manajemen penanggulangan kusta serta alternatif solusi pada level …

New Publications From The Department Of Health Policy

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Forum Fall 2006

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Welcome To Our Newest Senior Scholars

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Jefferson Medical College And Widener University Join Their Cohorts At The Fourth Annual North American Md/Mba Conference, Caryl E. Carpenter

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

The Power Of Goal Setting, Claresa Levetan

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Predictors And Outcomes Of Physician Lifelong Learning, Mohammadreza Hojat, Joseph S. Gonnella, J. Jon Veloski

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Department Of Health Policy Hosts 12th Annual Summer Seminar

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Can The Internet Help Combat Obesity At The Workplace?, Sandra Yetman, Christopher N. Sciammana

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Jmc Students’ Knowledge Of The U.S. Healthcare System, Daniel Z. Louis

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Disciplinary Action By State Medical Boards And Unprofessional Behavior In Medical School, J. Jon Veloski, Susan Rattner

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Delaware Valley Schweitzer Fellowship Program To Be Launched, Neil Goldfarb

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Professionalism And Patient Safety, Sara Thier, David B. Nash

Population Health Matters (Formerly Health Policy Newsletter)

No abstract provided.

Statistical Analysis Of Air Pollution Panel Studies: An Illustration, Holly Janes, Lianne Sheppard, Kristen Shepherd

UW Biostatistics Working Paper Series

The panel study design is commonly used to evaluate the short-term health effects of air pollution. Standard statistical methods for analyzing longitudinal data are available, but the literature reveals that the techniques are not well understood by practitioners. We illustrate these methods using data from the 1999 to 2002 Seattle panel study. Marginal, conditional, and transitional approaches for modeling longitudinal data are reviewed and contrasted with respect to their parameter interpretation and methods for accounting for correlation and dealing with missing data. We also discuss and illustrate techniques for controlling for time-dependent and time-independent confounding, and for exploring and summarizing …

Medicare Physician Payments And Spending, Laura A. Dummit

National Health Policy Forum

The Medicare program’s physician payment method is intended to control spending while ensuring beneficiary access to physician services, but there are signs that it may not be working. The physician’s role in the health care delivery system as the primary source of information and treatment options, together with growing demand for services and the imperfect state of knowledge about appropriate service use, challenge Medicare’s ability to achieve these two goals. This issue brief describes the history of physician spending and the contribution of escalating service use and intensity of services to the rise in Medicare outlays, setting the stage for …

The Development Of Weaning Practices Among Women Of The Mombasa District, Its Effects On Children’S Public Health Issues, And The Proposition Of Intervention Plans, Rachael Bryan

Independent Study Project (ISP) Collection

Breastfeeding is an unparalleled way of providing nourishment for the infant child in the first few years of life. A large body of literature supports that exclusive breastfeeding is optimal for the first 6 months of life, while complementary foods should be introduced in the diet 6 months and beyond. Mothers who inadequately wean their children are defined as having introduced complementary foods prior to 6 months post-natal age. The inclusive purpose of this study was to gain an understanding of inadequate weaning practices among patients and mothers of patients of the Muslim Education and Welfare Association Medical Centre (MMC) …