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Himmelfarb Health Sciences Library, The George Washington University

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Articles 3391 - 3420 of 3650

Full-Text Articles in Medicine and Health Sciences

Shaping Public Programs Through Medicare, Medicaid, And Schip Waivers: The Fundamentals, Cynthia Shirk Sep 2003

Shaping Public Programs Through Medicare, Medicaid, And Schip Waivers: The Fundamentals, Cynthia Shirk

National Health Policy Forum

This background paper examines the use of research, demonstration, and program waiver authorities to test new approaches to the delivery of and payment for health care services in federally financed health coverage programs such as Medicare, Medicaid, and the State Children’s Health Insurance Program. The paper also looks at the mechanics of waivers as well as their history and political context in shaping public programs. In addition, it explores the ways the changing state-federal relationship and the ever-growing demand for state flexibility have driven waiver policy.

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The Medicare Prescription Drug Proposals And Health Insurance Risk, Dawn Gencarelli Sep 2003

The Medicare Prescription Drug Proposals And Health Insurance Risk, Dawn Gencarelli

National Health Policy Forum

In order to facilitate a better understanding of the complex issues raised by Senate and House proposals to establish a prescription drug benefit for Medicare beneficiaries, this paper briefly addresses some fundamentals of the health insurance market, defines key risk-sharing mechanisms, including risk corridors and reinsurance, and identifies the relevant risk provisions in the bills. Other issues related to cost management strategies and program design, which may have an impact on cost and adverse selection, are also discussed.

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The Sick Men Of Persia: The Importance Of Illness As A Factor In The Interpretation Of Modern Iranian Diplomatic History, Amir A. Afkhami Sep 2003

The Sick Men Of Persia: The Importance Of Illness As A Factor In The Interpretation Of Modern Iranian Diplomatic History, Amir A. Afkhami

Medicine Faculty Publications

STUDIES OF IRANIAN POLITICAL HISTORY OFTEN ASSUME THAT THE REPERCUSSIONS OF physical or mental illness on leadership are inconsequential in determining the course of history. Globally, very few scholars have attempted to systematically examine the effects of illness on leaders and Iranian historians seem to evade this topic entirely.

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Wic Reauthorization: Opportunities For Improving The Nutritional Status Of Women, Infants, And Children, Harriette Fox, Margaret Mcmanus, Harry Schmidt Aug 2003

Wic Reauthorization: Opportunities For Improving The Nutritional Status Of Women, Infants, And Children, Harriette Fox, Margaret Mcmanus, Harry Schmidt

National Health Policy Forum

This paper examines the main reform issues affecting the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), which is coming up for reauthorization this year. The paper provides background information on the WIC program, including its dramatic growth in participation and funding. It also reviews WIC’s link to health care and its impact on health outcomes. A series of considerations for WIC’s future are raised, including food package and program eligibility changes, nutrition education strategies to reduce obesity, financial risks and health consequences of relying on infant formula rebates, and new opportunities for research and demonstration.

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Information Interface - Volume 31, Issue 2 - August/September 2003, George Washington University, Himmelfarb Health Sciences Library Aug 2003

Information Interface - Volume 31, Issue 2 - August/September 2003, George Washington University, Himmelfarb Health Sciences Library

Information Interface (1976 - 2009)

News and information about Himmelfarb Health Sciences Library of interest to users. Includes articles on computer network improvements, PDA resources, the annual book sale, and database search tips.

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Obesity In America: A Growing Threat, Eileen Salinsky, Wakina Scott Jul 2003

Obesity In America: A Growing Threat, Eileen Salinsky, Wakina Scott

National Health Policy Forum

This background paper seeks to clarify the nature and causes of the obesity epidemic in the United States and provides an overview of the associated economic and health costs. The paper summarizes existing federal programs and policies that address obesity and examines new and emerging policy strategies to battle the bulging American silhouette. Topics explored include population-based prevention, federal food- and nutrition-assistance programs, Medicare and Medicaid payment policies, school health initiatives, and publicly funded biomedical research.

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The Geography Of Medicare: Explaining Differences In Payment And Costs, Nora Super Jul 2003

The Geography Of Medicare: Explaining Differences In Payment And Costs, Nora Super

National Health Policy Forum

This issue brief examines the sources of variation in Medicare payment and costs across different geographic areas and different sites of care. It discusses the payment policies that address variation in the cost of providing care, such as input price adjustments and special payments to hospitals. It also considers differences due to beneficiaries’ health status and in physician practice patterns. Finally, it explores policy options to address Medicare geographic variation.

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Compromised Constitutions: The Iranian Experience With The 1918 Influenza Pandemic., Amir Afkhami Jul 2003

Compromised Constitutions: The Iranian Experience With The 1918 Influenza Pandemic., Amir Afkhami

Psychiatry and Behavioral Sciences Faculty Publications

The global demographic impact of the 1918-19 influenza pandemic continues to fascinate researchers and scholars. This paper examines the social and demographic effects of this outbreak on Iranian society, through a comprehensive investigation of the modes of transmission and propagation, mortality rates, and other distinctive features of the region, and reveals the importance of taking a country's unique sociopolitical settings into account. Iran was one of the regions hit hardest by the pandemic, with mortality rates significantly higher than in most regions of the world. Though globally the victims of influenza lived primarily in urban areas, it was Iran's rural …

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Doing It Rite: Exploring A Decade Of Health Coverage Innovation (Rhode Island), Jennifer Ryan, Ginger P. Parra May 2003

Doing It Rite: Exploring A Decade Of Health Coverage Innovation (Rhode Island), Jennifer Ryan, Ginger P. Parra

National Health Policy Forum

This site visit to the state of Rhode Island provided an opportunity to experience and understand the decade of health coverage innovation that has resulted in near universal coverage for children. Site visitors had the opportunity to interact with health care providers, state officials, and consumer advocates, as well as other leaders in health care community. The group also visited the Thundermist Health Center in Woonsocket; a school based health clinic at Woonsocket High School; the HELP Lead Safe Center in South Providence; and a local provider, St. Joseph’s Hospital for Specialty Care, that houses several preventive care clinics and …

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Disease Management To Population-Based Health: Steps In The Right Direction?, Lisa Sprague May 2003

Disease Management To Population-Based Health: Steps In The Right Direction?, Lisa Sprague

National Health Policy Forum

This issue brief reviews the evolution of the disease management model and the ways it relates to care coordination and case management approaches. It also looks at examples of population-based disease management programs operating in both the private and public sectors and reviews the evidence of their success. Finally, the paper considers the policy implications of adapting this model to a Medicare fee-for-service population.

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Medicaid Prescription Drug Coverage: State Efforts To Control Costs, Dawn Gencarelli May 2003

Medicaid Prescription Drug Coverage: State Efforts To Control Costs, Dawn Gencarelli

National Health Policy Forum

This paper provides a brief summary of the Medicaid prescription drug benefit. It explains the mechanisms being used by states to control their prescription drug spending within the Medicaid program. The paper also highlights some of the concerns that have been expressed with these mechanisms and the litigation that has been initiated in several states as a result of these efforts. It takes a closer look at three states with cost containment strategies that have been the focus of increased scrutiny.

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Testing Search Skills In A Real-Time, Cased-Based Setting, Patricia Wilson, Alexandra Gomes, Anne Linton May 2003

Testing Search Skills In A Real-Time, Cased-Based Setting, Patricia Wilson, Alexandra Gomes, Anne Linton

Himmelfarb Library Faculty Posters and Presentations

Using the web-based course management system, Prometheus, the librarians of Himmelfarb Health Sciences Library gave a real-time skills testing exam to 48 medical students. This poster presentation explores the goals and results the exam.

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Evaluation Of Evidence-Based Medicine Search Skills In The Clinical Years, Anne Linton, Patricia Wilson, Alexandra Gomes, Matthew Mintz May 2003

Evaluation Of Evidence-Based Medicine Search Skills In The Clinical Years, Anne Linton, Patricia Wilson, Alexandra Gomes, Matthew Mintz

Himmelfarb Library Faculty Posters and Presentations

Using a collaborative approach, the librarians of the Himmelfarb Health Sciences Library worked with the director of the Primary Care Clerkship and senior residents in informatics training for evidence-based medicine case studies.

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Online Requests: Toward Expanded And Efficient Management, Michael Acadia, Natalie Collins, Patricia Wilson May 2003

Online Requests: Toward Expanded And Efficient Management, Michael Acadia, Natalie Collins, Patricia Wilson

Himmelfarb Library Faculty Posters and Presentations

In 2003, Himmelfarb Health Sciences Library converted all interlibrary loan (ILL) and course reserve services to electronic format. This poster presentation is a synopsis of the steps taken to complete automation of the two (2) departments.

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Reauthorizing Head Start: The Future Federal Role In Preschool Programs For The Poor, Jane Koppelman Apr 2003

Reauthorizing Head Start: The Future Federal Role In Preschool Programs For The Poor, Jane Koppelman

National Health Policy Forum

This paper describes the implications of President Bush’s proposal to devolve authority for running the Head Start program to the states and to alter the organization and funding of all government early childhood programs—with the goal of improving the school readiness skills of low-income children. The administration plan to allow states to mix Head Start funds with state-funded preschool money and, if desired, child care monies to create a more uniform early childhood care system with an educational focus raises numerous questions. This paper addresses questions raised by this plan, including the potential quality of these new systems, the extent …

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The U.S. Health Workforce: Definitions, Dollars, And Dilemmas, Karen Matherlee Apr 2003

The U.S. Health Workforce: Definitions, Dollars, And Dilemmas, Karen Matherlee

National Health Policy Forum

This background paper provides a comprehensive view of the structure of the health workforce. It explores public and private insurance coverage and payment policies, as well as discretionary grant programs, that govern it. The paper also looks at health workforce concerns: supplies of certain types of physicians, health workforce mix, challenges from complementary and alternative medicine, shortages of nurses and pharmacists (and some other practitioners), maldistribution issues, and lack of diversity in response to demographic changes. It presents proposals that are on the table to reform the health workforce, at a time when it is demanding greater attention from health …

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Solutions For The Crisis In Scholarly Publishing In The Sciences, Anne Linton, Leah Pellegrino, Laura E. Abate, Kathe Obrig Apr 2003

Solutions For The Crisis In Scholarly Publishing In The Sciences, Anne Linton, Leah Pellegrino, Laura E. Abate, Kathe Obrig

Himmelfarb Library Faculty Posters and Presentations

This poster presentation explores possible solutions to a scholarly publishing crisis in the health sciences industry.

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Is Community Care A Civil Right? The Unfolding Saga Of The Olmstead Decision, Randy Desonia Mar 2003

Is Community Care A Civil Right? The Unfolding Saga Of The Olmstead Decision, Randy Desonia

National Health Policy Forum

This paper lays the groundwork for understanding the implications of the historic U.S. Supreme Court decision in the case of Olmstead v. L.C., which has far-reaching consequences for the long-term care of people with disabilities. The paper reviews the critical components influencing the case: the Medicaid program’s role in funding community-based long-term care; the Americans with Disabilities Act, which serves as the statutory basis for the decision; and the Court’s legal reasoning. The paper also describes the federal and state responses to the ruling and concludes with a brief discussion of some legal issues that will be debated in the …

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Who Will Pay For The Adverse Events Resulting From Smallpox Vaccination? Liability And Compensation Issues, Robin J. Strongin, Eileen Salinsky Mar 2003

Who Will Pay For The Adverse Events Resulting From Smallpox Vaccination? Liability And Compensation Issues, Robin J. Strongin, Eileen Salinsky

National Health Policy Forum

This paper summarizes liability and compensation concerns surrounding the smallpox vaccination program announced by President Bush on December 13, 2002. The paper examines the nature of adverse health events that are likely to occur in connection with the smallpox vaccine, assesses the liability protections that have been established for organizations and individuals participating in the vaccination program, and discusses the compensation mechanisms being considered to address the damages incurred by volunteers who may suffer from adverse vaccine reactions. Specifically, the implications of the Federal Tort Claims Act, workers’ compensation programs, and the creation of a new no-fault compensation fund are …

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An Automated Treatment For Jet Lag Delivered Through The Internet., Daniel Z Lieberman Mar 2003

An Automated Treatment For Jet Lag Delivered Through The Internet., Daniel Z Lieberman

Psychiatry and Behavioral Sciences Faculty Publications

Seventy percent of persons who suffer from psychiatric illness do not receive treatment. Cost-effective, automated treatment can be delivered through the Internet but can be complicated by the lack of professional supervision. This open study piloted a fully automated, publicly available treatment for jet lag as a means of highlighting some of the issues involved in delivering treatment over the Internet. Twenty study participants rated the severity of their jet lag symptoms and their adherence to a light-exposure schedule calculated to accelerate adaptation to a new time zone. A significant negative correlation was observed between how closely participants followed the …

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Reasonable Modification Or Fundamental Alteration? Recent Developments In Ada Caselaw And Implications For Behavioral Health Policy, Sara J. Rosenbaum, Joel B. Teitelbaum, D. Richard Mauery, Alexandra M. Stewart Feb 2003

Reasonable Modification Or Fundamental Alteration? Recent Developments In Ada Caselaw And Implications For Behavioral Health Policy, Sara J. Rosenbaum, Joel B. Teitelbaum, D. Richard Mauery, Alexandra M. Stewart

Center for Integrated Behavioral Health Policy

No abstract provided.

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The Effects Of State Dental Practice Laws Allowing Alternative Models Of Preventive Oral Health Care Delivery To Low-Income Children, Lea Nolan, Brian Kamoie, Jennel Harvey, Lissette Vaquerano, Sarah Blake, Satvinder Chawla, Jeffrey Levi, Sara J. Rosenbaum Jan 2003

The Effects Of State Dental Practice Laws Allowing Alternative Models Of Preventive Oral Health Care Delivery To Low-Income Children, Lea Nolan, Brian Kamoie, Jennel Harvey, Lissette Vaquerano, Sarah Blake, Satvinder Chawla, Jeffrey Levi, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

The purpose of this project was to examine state dental practice laws and the extent to which they encourage alternative models of delivering preventive oral health care. This project encompassed two distinct study components: 1) an analysis of existing state dental statutes and regulations; and 2) case studies to examine the enactment of public health-oriented provisions encouraging alternative models of delivering preventive oral health care to low-income children; and the development and implementation of such alternative models.

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Converging On Nursing Home Quality, Lisa Sprague Jan 2003

Converging On Nursing Home Quality, Lisa Sprague

National Health Policy Forum

This paper looks at nursing home quality initiatives, built around public reporting of quality data, that have been inaugurated by the Centers for Medicare and Medicaid Services and the California HealthCare Foundation. How the projects were developed is explored, along with preliminary indicators of their impact on consumers and providers and likely next steps in their evolution.

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Information Interface - Volume 31, Issue 1 - January/February 2003, George Washington University, Himmelfarb Health Sciences Library Jan 2003

Information Interface - Volume 31, Issue 1 - January/February 2003, George Washington University, Himmelfarb Health Sciences Library

Information Interface (1976 - 2009)

News and information about Himmelfarb Health Sciences Library of interest to users. Includes articles on BioMed Central, Web of Science, understanding electronic holdings, and database search tips.

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Depression: A Decade Of Progress, More To Do, Veronica V. Goff Nov 2002

Depression: A Decade Of Progress, More To Do, Veronica V. Goff

National Health Policy Forum

This issue brief discusses the most recent findings on depression prevalence and cost; examines trends in outpatient treatment, including the dramatic growth in antidepressant use; discusses efforts to improve treatment in primary care; and explores possible public policy avenues for improving treatment access and quality.

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The Medicare And Medicaid Intersection: Caring For Arizona's Seniors, Nora Super, Lisa Sprague, Judith D. Moore Nov 2002

The Medicare And Medicaid Intersection: Caring For Arizona's Seniors, Nora Super, Lisa Sprague, Judith D. Moore

National Health Policy Forum

This site visit to Phoenix examined the interplay between Medicare and Medicaid and how payment streams and regulatory requirements affect the delivery of health and long-term care services. The visit explored trends related to Medicare+Choice plan participation, physician acceptance of Medicare patients, and care management for individuals with chronic illnesses, such as Alzheimer’s disease. It also considered Arizona’s capitated Medicaid long-term care program, which recently implemented competitive bidding among plans in Maricopa County.

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Prescription Drugs In Nursing Homes: Managing Costs And Quality In A Complex Environment, Dan Mendelson, Rajeev Ramchand, Richard Abramson, Anne Tumlinson Nov 2002

Prescription Drugs In Nursing Homes: Managing Costs And Quality In A Complex Environment, Dan Mendelson, Rajeev Ramchand, Richard Abramson, Anne Tumlinson

National Health Policy Forum

This issue brief provides a description of prescription drug use in nursing homes and a summary of policy issues in this area. It first profiles the nursing home pharmaceutical market, outlining the major trends in demographics and drug utilization, the supply chain by which drugs go from manufacturers to pharmacies to nursing home residents, and the alternative arrangements by which prescription drugs in nursing homes are financed. The paper then provides a synopsis of current policy issues, focusing in turn on cost containment and quality improvement initiatives.

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U.S. Childhood Vaccine Availability: Legal, Regulatory, And Economic Complexities, Robin J. Strongin Nov 2002

U.S. Childhood Vaccine Availability: Legal, Regulatory, And Economic Complexities, Robin J. Strongin

National Health Policy Forum

Despite the vital role they play in public health, childhood vaccines travel a complicated road from laboratory to provider and patient. From the fall of 2000 until well into 2002, a combination of factors, including market dynamics, legal challenges, and regulatory hurdles, led to a shortage of some childhood vaccines. This paper examines each of these factors, focusing on the important roles of both the public and the private sectors.

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"Real-Time" Computer-Based Pbl Exam, Matthew Mintz, Patricia Wilson, Alexandra Gomes, Anne Linton Nov 2002

"Real-Time" Computer-Based Pbl Exam, Matthew Mintz, Patricia Wilson, Alexandra Gomes, Anne Linton

Himmelfarb Library Faculty Posters and Presentations

This poster presentation focuses on the adminstering of a PBL (Problem-Based Learning) exam online, using a content management software called Prometheus. This exam took place in the Himmelfarb Health Sciences Library.

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Real Time Testing Of First Year Medical Students, Patricia Wilson, Alexandra Gomes, Anne Linton Oct 2002

Real Time Testing Of First Year Medical Students, Patricia Wilson, Alexandra Gomes, Anne Linton

Himmelfarb Library Faculty Posters and Presentations

This poster presentation focuses on the administering of a PBL (Problem-Based Learning) exam online, using a content management software called Prometheus. This exam was facilitated in the Himmelfarb Health Sciences Library.

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