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Full-Text Articles in Medicine and Health Sciences

Editorial Comment: Changing The Rules In Vaccine Coverage For Vulnerable Populations, Nancy L. Winterbauer Apr 2014

Editorial Comment: Changing The Rules In Vaccine Coverage For Vulnerable Populations, Nancy L. Winterbauer

Frontiers in Public Health Services and Systems Research

Increasing life expectancy through decreasing vaccine preventable deaths is a hallmark of modern public health in the United States (1). Two federal vaccine programs help insure coverage for vulnerable populations. The Vaccines for Children (VFC) Program provides vaccines to eligible children[1] at no cost, removing financial barriers to vaccinations. Close to half of US children and 30 percent of adolescents are vaccinated through the VFC program yearly (2). The federal Section 317 Immunization Grant Program (Section 317) complements VFC by supporting the national immunization infrastructure, primarily immunization workforce, delivery systems, and emergency response, as well as by providing vaccines …


The Effects Of The Changes In Section 317 Rules For Administration Of Federally Purchased Vaccines, Margaret A. Knight, Anne D. Kershenbaum, Martha Buchanan, Janet Ridley, Paul C. Erwin Apr 2014

The Effects Of The Changes In Section 317 Rules For Administration Of Federally Purchased Vaccines, Margaret A. Knight, Anne D. Kershenbaum, Martha Buchanan, Janet Ridley, Paul C. Erwin

Frontiers in Public Health Services and Systems Research

Section 317 of the Public Health Services Act is a federal program that provides funds for the purchase of vaccines. These annual Congressional allocations fluctuate from year to year as Congress responds to changes in national needs for immunizations. The Affordable Care Act requires first dollar coverage of immunizations and other preventive care, allowing a reduction in federal funding for vaccine purchase and a reallocation of funds to other uses such as infrastructure development. In fiscal year 2013, Section 317 rules redefined the population eligible for immunization with Section 317 purchased vaccines. In Tennessee, the response was a policy change …


Editorial Comment: A Method For Identifying Positive Deviant Local Health Departments In Maternal And Child Health, Sharla A. Smith, Michael A. Preston, Marylou Wallace Apr 2014

Editorial Comment: A Method For Identifying Positive Deviant Local Health Departments In Maternal And Child Health, Sharla A. Smith, Michael A. Preston, Marylou Wallace

Frontiers in Public Health Services and Systems Research

Improving the well-being of mothers, infants, and children is a vital public health initiative in the United States. Local health departments are designated agents for addressing maternal and child health outcomes. Klaiman and colleagues used a positive deviant (PD) framework in identifying the modifiable activities and approaches for LHDs that contribute to better MCH outcomes.


A Method For Identifying Positive Deviant Local Health Departments In Maternal And Child Health, Tamar A. Klaiman, Athena Pantazis, Betty Bekemeier Apr 2014

A Method For Identifying Positive Deviant Local Health Departments In Maternal And Child Health, Tamar A. Klaiman, Athena Pantazis, Betty Bekemeier

Frontiers in Public Health Services and Systems Research

Local health departments (LHDs) are under increasing pressure to improve performance with limited resources. While research has found that financial resources may be associated with better health outcomes, there are some LHDs that maintain exceptional performance, even with limited budgets. Our interest was identifying LHDs that positively deviate in MCH outcomes compared to their peers while taking into account local context including geography and finances. We found that our method for identifying positive deviants was effective, and that LHD expenditures may not be linked to MCH outcomes. The next step in our work is to conduct in-depth analysis with positive …


Editorial Comment: Cost-Effectiveness Analysis For Prioritization Of Limited Public Health Resources - Tuberculosis Interventions In Texas, Kaja M. Abbas Apr 2014

Editorial Comment: Cost-Effectiveness Analysis For Prioritization Of Limited Public Health Resources - Tuberculosis Interventions In Texas, Kaja M. Abbas

Frontiers in Public Health Services and Systems Research

Public health departments have limited evidence to understand and analyze the costs and benefits of different health programs, including tuberculosis control and prevention programs. The study by Miller et. al addresses this challenge to estimate costs and benefits of tuberculosis prevention programs in Texas and identify cost-effective diagnostic and treatment combinations, thereby improving the evidence-based decision making power of the public health departments.


Editorial Comment: Differences In Definitions Of Ebph And Evidence: Implications For Communication With Practitioners, Paul C. Erwin Apr 2014

Editorial Comment: Differences In Definitions Of Ebph And Evidence: Implications For Communication With Practitioners, Paul C. Erwin

Frontiers in Public Health Services and Systems Research

Through interviews of 12 members of an expert panel – importantly, involving both practitioners and researchers/academicians – Aronson and colleagues sought to understand how evidence-based public health (EBPH) is defined, what counts as “evidence”, and what EBPH actually looks like when operationalized in a local health department. What Aronson and colleagues have shown us is how critical it is that in both creating and implementing EBPH, especially in practice-based research, practitioner and researcher/academician develop a shared understanding of EBPH before the dance begins, especially for practice-based research.


Differences In Definitions Of Ebph And Evidence: Implications For Communication With Practitioners., Robert E. Aronson, Kay Lovelace, Mark Smith, Gulzar H. Shah Apr 2014

Differences In Definitions Of Ebph And Evidence: Implications For Communication With Practitioners., Robert E. Aronson, Kay Lovelace, Mark Smith, Gulzar H. Shah

Frontiers in Public Health Services and Systems Research

In this study, we interviewed twelve members of an expert panel to elicit their views on Evidence-based Public Health (EBPH), including how they define EBPH, what constitutes “evidence”, and what LHDs do that can be described as EBPH. Telephone interviews lasting 60 minutes were recorded and transcribed for basic content analysis. Experts differed in their definitions of EBPH and their views of what constitutes evidence. Definitions of EBPH ranged from the adoption and implementation of rigorously tested interventions to the application of evidence to decision making for population health improvement. Views on what constitutes evidence also varied, from strict “evidence …


What's Happening: April 28, 2014, Maine Medical Center Apr 2014

What's Happening: April 28, 2014, Maine Medical Center

What's Happening

No abstract provided.


Health Reform Implementation: Update And Implications For Kentucky, Glen P. Mays Apr 2014

Health Reform Implementation: Update And Implications For Kentucky, Glen P. Mays

Health Management and Policy Presentations

This talk reviews the progress of health reform implementation in Kentucky with a focus on opportunities for aligning systems for medical care, public health, and social support delivery to improve population health.


Unifying Systems For Population Health: Infrastructure, Incentives & Evidence For Collective Action, Glen P. Mays Apr 2014

Unifying Systems For Population Health: Infrastructure, Incentives & Evidence For Collective Action, Glen P. Mays

Health Management and Policy Presentations

This presentation, part of the SBM Presidential Symposium on Aligning Family, Clinical, and Community Systems, reviews the collective action problems that are commonly encountered in implementing multi-sector population health improvement strategies, and examines research on ways of using public health strategies and infrastructure to overcome these problems.


What's Happening: April 21, 2014, Maine Medical Center Apr 2014

What's Happening: April 21, 2014, Maine Medical Center

What's Happening

No abstract provided.


Psycap And The Impact On The Development Of Intercultural Sensitivity Of Healthcare Educators: A Mixed Methods Study, Helen A. S. Fagan Apr 2014

Psycap And The Impact On The Development Of Intercultural Sensitivity Of Healthcare Educators: A Mixed Methods Study, Helen A. S. Fagan

Department of Agricultural Leadership, Education, and Communication: Dissertations, Theses, and Student Research

This purpose of this explanatory sequential mixed methods study was to examine the intercultural sensitivity development process of faculty and staff at a health sciences college in the Midwest. In the quantitative phase, this study investigated changes in intercultural sensitivity over a three year period, along with the relationship between developmental level of intercultural sensitivity (as measured by Intercultural Development Inventory [IDI] [Hammer, Bennett, & Wiseman, 2003]) of participants and Psychological Capital (PsyCap, a multidimensional construct consisting of hope, efficacy, resiliency, and optimism [Luthans, Youssef, & Avolio, 2007]). In the qualitative phase (Case Study) data collection and analysis further explored …


What's Happening: April 14, 2014, Maine Medical Center Apr 2014

What's Happening: April 14, 2014, Maine Medical Center

What's Happening

No abstract provided.


Integrating Housing & Health: A Health-Focused Evaluation At Bud Clark Commons, Core The Center For Outcomes Research & Education Providence Health & Services Apr 2014

Integrating Housing & Health: A Health-Focused Evaluation At Bud Clark Commons, Core The Center For Outcomes Research & Education Providence Health & Services

Articles, Abstracts, and Reports

No abstract provided.


Primary Care Physician Shortage: Increased Demand And Insufficient Supply, Sara Gorham Apr 2014

Primary Care Physician Shortage: Increased Demand And Insufficient Supply, Sara Gorham

Annual Undergraduate Conference on Health and Society

The Affordable Care Act (ACA) is attempting to reform the organization, delivery and reimbursement rates associated with the health care system. The current healthcare system supports the provision of fragmented, uncoordinated care, which has contributed to its high costs and has led to a system that is not strongly based on primary care. As a result of this system, the unfavorable stigma of the primary care field, and the much higher income made by specialists, there is a shortage of primary care physicians (PCPs). This paper will first describe and analyze the current primary care physician shortage and the factors …


Electronic Health Records And Rural Hospitals, Kaitlin Bischoff Apr 2014

Electronic Health Records And Rural Hospitals, Kaitlin Bischoff

Annual Undergraduate Conference on Health and Society

Nearly 20% of the U.S. population lives in rural areas and are not resistant to many of the U.S. healthcare challenges such as cost, quality, and access. In fact, the distinguishing cultural, social, economic, and geographic traits which characterize rural America place rural populations at greater risk for many diseases and health disorders. Like those in urban settings, people from rural areas have been affected by the use of health information technology, where treatment is now data-intensive, and there are more options and greater expectations of quality and accountability. Due to cost, geographic and social traits, and the digital divide …


Public Transportation: Perceptions Of Filth Contributing To Poor Health, Dashka Bernard Apr 2014

Public Transportation: Perceptions Of Filth Contributing To Poor Health, Dashka Bernard

Annual Undergraduate Conference on Health and Society

Public transportation vehicles such as trains or buses have a reputation as unsanitary. Many riders of public transit are concerned with the health risks they are facing in regards to contagion. Perceptions of cleanliness derive from public health historically, with class, morality, and good health tied together in the American public’s attitudes. Certainly, infectious disease and sanitation are directly correlated in many instances, such as in the highly overcrowded and dirty cities in the early twentieth-century United States. Those living in filthy conditions (particularly, lower class individuals) were not only prone to becoming ill, but also considered to be immoral …


State Medicaid Programs: A Trifocal Examination Of The Controversy Surrounding Expansion, Meredith Daly Apr 2014

State Medicaid Programs: A Trifocal Examination Of The Controversy Surrounding Expansion, Meredith Daly

Annual Undergraduate Conference on Health and Society

The conversation regarding Medicaid expansion is ever-changing as states grapple with whether to expand their existing programs. Through this now-optional piece of legislation, state governments can choose to extend healthcare coverage via the federal government to millions of previously uninsured citizens. In order to understand and form an opinion on the controversy over expanding Medicaid programs, the issue demands to be looked at through three varying lenses. The first and most important lens is social. Several studies are examined to show that with expansion, there is a high correlation with better health outcomes; without it there is a care gap …


Comprehensive State-­Mandated Insurance Coverage Of Infertility Treatments In Minimum Benefits Packages Of Employee Health Insurance, Danielle Petrilli Apr 2014

Comprehensive State-­Mandated Insurance Coverage Of Infertility Treatments In Minimum Benefits Packages Of Employee Health Insurance, Danielle Petrilli

Annual Undergraduate Conference on Health and Society

Minimum benefits packages for employee health insurance plans usually only include the basic coverage necessary to survive in an attempt to control costs, similar to the new categorization of essential health benefits (EHBs) outlined in the Patient Protection and Affordable Care Act (ACA). However, in some cases, the advantages that accompany the inclusion of higher-­‐level, more expensive services in a minimum benefits package actually lead to decreased costs over time. Coverage of infertility treatments, such as in vitro fertilization, is an example of a higher-­‐level service that actually leads to lower health care costs in the long run. The decrease …


Workshop: Harnessing Community-Engaged Scholarship For Collective Action To Improve Population Health, Glen P. Mays Apr 2014

Workshop: Harnessing Community-Engaged Scholarship For Collective Action To Improve Population Health, Glen P. Mays

Health Management and Policy Presentations

This workshop for researchers in the health and human services fields examines strategies for organizing community-engaged and practice-based research studies focused on improving population health.


Harnessing Community Engaged Scholarship For Collective Action To Improve Population Health, Glen P. Mays Apr 2014

Harnessing Community Engaged Scholarship For Collective Action To Improve Population Health, Glen P. Mays

Health Management and Policy Presentations

The growing body of theoretical and empirical scholarship on collective action problems offers important lessons about strategies for improving health on a population-wide basis.


Factors That Influence Student Selection Of Educational Leadership Master’S Programs At Regional Universities, Pam Winn, Lesley F. Leach, Susan Erwin, Liza Benedict Apr 2014

Factors That Influence Student Selection Of Educational Leadership Master’S Programs At Regional Universities, Pam Winn, Lesley F. Leach, Susan Erwin, Liza Benedict

Administrative Issues Journal

Graduate enrollment numbers in Educational Leadership programs have dwindled at many public higher education institutions. At the same time, for-profit institutions and institutions with private marketing partnerships have experienced increasingly greater enrollments. Many public institutions are reevaluating their marketing and recruiting strategies as they struggle to compete for students. Central to any marketing strategy is knowledge of the needs and wants of consumers; in the case of higher education, the consumers are students. This study sought to determine the needs and wants of Master’s-level Educational Leadership students by investigating the factors that influenced students’ selections of programs as well as …


Principals’ Perceived Supervisory Behaviors Regarding Marginal Teachers In Two States, Bret Range, Paul Hewitt, Suzie Young Apr 2014

Principals’ Perceived Supervisory Behaviors Regarding Marginal Teachers In Two States, Bret Range, Paul Hewitt, Suzie Young

Administrative Issues Journal

This descriptive study used an online survey to determine how principals in two states viewed the supervision of marginal teachers. Principals ranked their own evaluation of the teacher as the most important factor when identifying marginal teachers and relied on informal methods to diagnose marginal teaching. Female principals rated a majority of supervisory methods and data sources as being more useful and the importance of formative assessments and teachers’ self-reflection as significantly more important than did male principals. Female principals adopted a procedural style, while males identified with the situational style when working with marginal teachers.


Organizational Training And Relationship Building For Increasing Public Participation In A Public School District, John Poynton, Carole Makela, Don Haddad Apr 2014

Organizational Training And Relationship Building For Increasing Public Participation In A Public School District, John Poynton, Carole Makela, Don Haddad

Administrative Issues Journal

From the early twentieth century to the present, citizen participation in U.S. public institutions—particularly schools—has continually decreased. The trend has been linked to the bureaucratization of public schools and their increasing reliance on expert knowledge for solutions to school- and education-related problems. The purpose of this study was to evaluate the impact of a parent training program designed to increase a school district’s capacity for public participation by parents and other citizens. The program—known as Leadership St. Vrain—provided citizens knowledge about school district operations and management (know-how) and relationship-building opportunities with key decision makers (know-who). This article focuses on the …


Public Health Services & Systems Research: Taking The Pulse Of The Field, Glen P. Mays Apr 2014

Public Health Services & Systems Research: Taking The Pulse Of The Field, Glen P. Mays

Health Management and Policy Presentations

New research is continuing to reveal pathways for improving health and reducing health disparities at reasonable costs through multi-sector public health strategies.


Palliative Medicine Competency Education In Emergency Medicine Residency Training: A Preliminary Report, Chadd K. Kraus Do, Mph, Matthew Meyers Bs, Bryan G. Kane Md, Marna R. Greenberg Do, Mph, Facep Apr 2014

Palliative Medicine Competency Education In Emergency Medicine Residency Training: A Preliminary Report, Chadd K. Kraus Do, Mph, Matthew Meyers Bs, Bryan G. Kane Md, Marna R. Greenberg Do, Mph, Facep

Department of Emergency Medicine

No abstract provided.


Maintaining The Boundaries: Teacher Preparation Program Admission Criteria For Screening Quality Candidates, Rebekah Miller-Levy, Diane Taylor, Laurie Hawke Apr 2014

Maintaining The Boundaries: Teacher Preparation Program Admission Criteria For Screening Quality Candidates, Rebekah Miller-Levy, Diane Taylor, Laurie Hawke

Administrative Issues Journal

This study examines several Texas university-based teacher preparation program screening measures and admission criteria. The researchers examined those measures stipulated in the Texas Administrative Code, as well as criteria that exceeded those required by the state. Identifying these measures and criteria will allow programs to maintain the boundaries of who becomes a teacher, thus providing the quality teachers required to educate productive members of society.


The Public Health Pbrn Program: A Status Update, Glen P. Mays Apr 2014

The Public Health Pbrn Program: A Status Update, Glen P. Mays

Health Management and Policy Presentations

As of 2014 the Robert Wood Johnson Foundation's Public Health Practice-Based Research Networks Program has engaged more than 1600 U.S. public health agencies in research production and application, generating more than 60 ongoing and completed empirical studies, 70 peer-reviewed publications, and 200 presentations and professional and scientific meetings.


Developing Service Delivery Measures For Studies Of Practice Variation: The Mprove Study, Glen P. Mays Apr 2014

Developing Service Delivery Measures For Studies Of Practice Variation: The Mprove Study, Glen P. Mays

Health Management and Policy Presentations

The Multi-Network Practice and Outcome Variation (MPROVE) Study supports investigations of the causes and consequences of variation in public health service delivery through collecting a standardized set of delivery measures across more than 300 local practice settings in 6 states. The measures characterize volume, intensity, quality, efficiency, and equity of service delivery in three core domains of chronic disease prevention, communicable disease control, and environmental health protection.


Creating Learning Systems: Lessons From Public Health Practice-Based Research Networks, Glen P. Mays Apr 2014

Creating Learning Systems: Lessons From Public Health Practice-Based Research Networks, Glen P. Mays

Health Management and Policy Presentations

Practice-based research networks (PBRNs) provide powerful mechanisms for implementing research studies that evaluate the health and economic effects of delivery system innovations. This presentation reviews strategies, emerging findings, and lessons learned from PBRNs and related studies conducted in U.S. public health settings. We give special focus to studies that examine multi-organizational and cross-sectoral strategies for population health improvement.