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Full-Text Articles in Medicine and Health Sciences

Protect Your Health On A Sport Travel Tour, Franki Burke Dec 2013

Protect Your Health On A Sport Travel Tour, Franki Burke

Franki Burke

No abstract provided.


The National Longitudinal Survey Of Public Health Systems: Selected Findings And Applications For Monitoring The Affordable Care Act, Glen P. Mays Dec 2013

The National Longitudinal Survey Of Public Health Systems: Selected Findings And Applications For Monitoring The Affordable Care Act, Glen P. Mays

Glen Mays

This presentation reviews the National Longitudinal Survey of Public Health Systems and its applicability for monitoring the effects of the Affordable Care Act on public health delivery within the U.S.


Providing An Information Prescription Veterinary Medical Clinics: A Pilot Study, Lori Kogan, Regina Schoenfeld-Tacher, Ann R. Viera, Lauren Gould, Peter Hellyer Dec 2013

Providing An Information Prescription Veterinary Medical Clinics: A Pilot Study, Lori Kogan, Regina Schoenfeld-Tacher, Ann R. Viera, Lauren Gould, Peter Hellyer

Ann R Viera MLIS

No abstract provided.


Estimating The Costs Of Public Health Services: Progress On The Institute Of Medicine Recommendations, Glen P. Mays Nov 2013

Estimating The Costs Of Public Health Services: Progress On The Institute Of Medicine Recommendations, Glen P. Mays

Glen Mays

The National Academy of Sciences Institute of Medicine recommended in 2012 that the federal government undertake work to identify the components and costs of a "minimum package" of public health programs, services, and capabilities that should be available in every American community. This presentation summarizes work that is currently underway through the Robert Wood Johnson Foundation-supported Public Health Practice-Based Research Networks (PBRN) Program to estimate the costs of public health delivery.


New Health Delivery Networks: Merging Public Health And Health Care Systems, Glen P. Mays Nov 2013

New Health Delivery Networks: Merging Public Health And Health Care Systems, Glen P. Mays

Glen Mays

Incomplete coordination between medical care and public health delivery systems can result in significant missed opportunities for improving population health and constraining overall resource use. This lecture uses insight from the field of public health services and systems research (PHSSR) to examine: (1) why medical care and public health systems often fail to connect; (2) what are the potential health and economic consequences of these failures; and (3) what are the opportunities for connecting medical care and public health delivery to improve population health.


Who Benefits From Public Health Spending And How Long Does It Take: Estimating Community-Specific Spending Effects, Glen Mays Nov 2013

Who Benefits From Public Health Spending And How Long Does It Take: Estimating Community-Specific Spending Effects, Glen Mays

Glen Mays

Objectives: Spending on public health and prevention strategies varies widely across states and communities. The Patient Protection and Affordable Care Act of 2010 (ACA) authorized the largest expansion in federal public health spending in decades, with the goals of improving population health and helping to moderate growth in medical care spending. To produce evidence needed to inform these investments, this study (1) estimates the effects of public health spending patterns within communities on preventable mortality and subsequent medical care spending; and (2) uses the methods of local instrumental variables developed by Heckman and Vytlacil and Basu to estimate how the …


Recessions, Risks, And Reforms: Changes In Interorganizational Efforts To Improve Public Health, Glen Mays Nov 2013

Recessions, Risks, And Reforms: Changes In Interorganizational Efforts To Improve Public Health, Glen Mays

Glen Mays

Research Objective: The Affordable Care Act created new incentives for hospitals, insurers, employers, public health agencies, and others to contribute to activities designed to promote health and prevent disease an injury. At the same time, the economic recession has constrained government and private sector spending on health and health care, necessitating changes in the scope and scale of public health delivery. This study uses data from the 1998-2012 National Longitudinal Survey of Public Health Systems to examine: (1) the extent and nature of change in inter-organizational contributions to public health activities, with a focus on hospitals, insurers, employers, and primary …


Positive Youth Development Resources, Leadership Efficacy, And Transition Outcomes Among Young Adults In North Carolina Families United Programs, Mason G. Haber Nov 2013

Positive Youth Development Resources, Leadership Efficacy, And Transition Outcomes Among Young Adults In North Carolina Families United Programs, Mason G. Haber

Mason G. Haber

Since 2009, NC Families United has worked with a team at the University of North Carolina at Charlotte (UNCC) to evaluate its programs supporting transition to adulthood of youth ages 16 to 25 (i.e., “transition-age”) youth with mental health conditions. Two programs have been the focus of the evaluation: 1) an intensive case management program for youth, Transition Mentoring, which uses a promising practice to support youth in achieving their transition-related goals (the Rehabilitation for Empowerment, Natural Supports, Education, & Work [RENEW] model); 2) the Youth Leadership Series (YLS), a multi-session curriculum to help youth with mental health conditions advocate …


Public Health Services And Systems Research: Building The Science Of Public Health Delivery, Glen Mays Oct 2013

Public Health Services And Systems Research: Building The Science Of Public Health Delivery, Glen Mays

Glen Mays

The extreme heterogeneity in how public health activities are organized, financed, and implemented across U.S. states and communities provides compelling opportunities for research on the comparative effectiveness and efficiency of public health delivery. This talk highlights some of the most compelling and policy-relevant opportunities for research on public health organization and financing issues, and examines some of the ongoing studies in the field.


Preparing Public Librarians For Consumer Health Information Service: A Nation-Wide Study, L. Luo, Van M. Ta Park Oct 2013

Preparing Public Librarians For Consumer Health Information Service: A Nation-Wide Study, L. Luo, Van M. Ta Park

Van M. Ta Park

A nationwide survey study was conducted to gain understanding as to how to prepare public librarians for consumer health information service. Findings indicate that the popular health information needs encountered by public librarians cover a wide variety of topics, including the human body, a medical/health condition, a disease, a medical concept, and fitness/diet/nutrition. The top two challenges faced by public librarians when providing consumer health information service are difficulty in interpreting patrons' questions and lack of knowledge about available and trusted/appropriate medical/health information sources. Public librarians wish to receive training on a number of topics that could help address the …


Cost Estimation Methods And Foundational Public Health Capabilities, Glen Mays Sep 2013

Cost Estimation Methods And Foundational Public Health Capabilities, Glen Mays

Glen Mays

The National Academy of Sciences Institute of Medine recently recommended that the federal government identify the components and costs of a "minimum package of public health services" and "foundational public health capabilities" that should be universally available across the U.S. This presentation reviews costing methods that can be used for identifying the costs required to establish "foundational public health capabilities" at state and local levels within the U.S. public health system.


Public Health Services & Systems Research: Concepts, Methods, And Emerging Findings, Glen Mays Sep 2013

Public Health Services & Systems Research: Concepts, Methods, And Emerging Findings, Glen Mays

Glen Mays

The field of public health services & systems research (PHSSR) increasingly is addressing the question of how to assess the value of investments in public health programs, infrastructure, and delivery systems. Progress in quasi-experimental research designs, measurement, estimation techniques, and data sources are yielding important insight


Brain Activity And Medical Diagnosis: An Eeg Study, Laila M. Ribas, Fábio T. Rocha, Neli R. Ortega, Armando F. Rocha, Eduardo Massad Sep 2013

Brain Activity And Medical Diagnosis: An Eeg Study, Laila M. Ribas, Fábio T. Rocha, Neli R. Ortega, Armando F. Rocha, Eduardo Massad

Armando F Rocha

Despite new brain imaging techniques that have improved the study of the underlying processes of human decision-making, to the best of our knowledge, there have been very few studies that have attempted to investigate brain activity during medical diagnostic processing.The main purpose of this paper was to investigate brain electroencephalography (EEG) activity associated with diagnostic decision-making in the realm of veterinary medicine using X-rays as a fundamental auxiliary test. The principal component analysis revealed four patterns that accounted for 85% of the total variance in the EEG activity recorded while veterinary doctors read a clinical history, examined an X-ray image …


The Social Experiences Of Spouses Of Persons With Young-Onset Dementia (Yod): Social Change, Support And Resiliency, Stacey A. Hawkins Ma, Carrie Mcainey Phd, Margaret Denton Phd, Jenny Ploeg Phd Jul 2013

The Social Experiences Of Spouses Of Persons With Young-Onset Dementia (Yod): Social Change, Support And Resiliency, Stacey A. Hawkins Ma, Carrie Mcainey Phd, Margaret Denton Phd, Jenny Ploeg Phd

Stacey A. Hawkins

No abstract provided.


Health System Contributions To Public Health Activities Amid Policy And Economic Change: Estimating Complementarities, Substitutions, And Network Effects, Glen P. Mays Jun 2013

Health System Contributions To Public Health Activities Amid Policy And Economic Change: Estimating Complementarities, Substitutions, And Network Effects, Glen P. Mays

Glen Mays

Research Objective: The Affordable Care Act created new incentives for hospitals, insurers, employers, public health agencies, and others to contribute to activities designed to promote health and prevent disease an injury, potentially changing the structure of public health delivery systems and expanding the delivery of strategies that improve population health. At the same time, the economic recession has constrained government and private sector spending on health and health care, necessitating changes in the scope and scale of public health delivery. This study uses data from the 1998-2012 National Longitudinal Survey of Public Health Systems to examine: (1) the extent and …


Hospital Contributions To Public Health Activities Before And After Aca: Incentives, Constraints, And Crowd-Out, Glen P. Mays Jun 2013

Hospital Contributions To Public Health Activities Before And After Aca: Incentives, Constraints, And Crowd-Out, Glen P. Mays

Glen Mays

Research Objective: The Affordable Care Act created enhanced IRS requirements for not-for-profit hospitals regarding the provision of community benefits, potentially stimulating new approaches to community health needs assessment, priority setting, and engagement with public health agencies and other community stakeholders. Yet the economic downturn has constrained hospital earnings and increased demand for uncompensated care, potentially crowding out hospital contributions to public health activities. This study uses data from 1998-2012 on a national cohort of communities to examine: (1) the extent and nature of change in hospital contributions to public health activities; and (2) the economic, institutional, and policy-related factors that …


Analyzing Return On Investment In Public Health: Implications And Future Directions, Glen P. Mays Jun 2013

Analyzing Return On Investment In Public Health: Implications And Future Directions, Glen P. Mays

Glen Mays

Return on investment (ROI) analyses of public health programs, policies, and services are being undertaken with increasing frequency to provide assessments of the value of these activities. This presentation reviews current initiatives and future directions for improving the quality of ROI studies and their application to real-world public health policy and administrative decisions.


Harnessing The Power Of Public Health Systems For Injury Prevention And Control, Glen P. Mays Jun 2013

Harnessing The Power Of Public Health Systems For Injury Prevention And Control, Glen P. Mays

Glen Mays

Efforts to improve population health hinge on a vast yet diffuse constellation of government agencies, health care providers, and community organizations that assume responsibilities in implementing prevention programs and policies across the U.S. Realizing the full health and economic benefits of injury prevention and control initiatives requires mobilizing and managing these complex and heterogeneous public health delivery systems. This session will explore the emerging science of public health delivery systems and what it tells us about improving injury prevention and control amid policy and economic change.


Public Health Delivery Systems And Population Health, Glen Mays Jun 2013

Public Health Delivery Systems And Population Health, Glen Mays

Glen Mays

Despite high overall health expenditures, the U.S. continues to fall behind other high-income countries on many measures of population health. While health care delivery systems are now studied intensively for solutions to U.S. cost and quality problems, the nation's delivery systems for public health programs and policies are only now becoming the subject of rigorous empirical study. This presentation examines recent studies of public health delivery systems and important directions for future inquiry.


Estimating Return On Investment In Public Health: Approaches And Methods, Glen P. Mays May 2013

Estimating Return On Investment In Public Health: Approaches And Methods, Glen P. Mays

Glen Mays

Continuing fiscal constraints in the public sector and large-scale policy changes associated with health reform implementation in the U.S. are giving heightened attention to questions about the health and economic value of public health programs, services, and policies -- strategies designed to protect health and prevent disease and injury on a population-wide basis. This session provides an overview of approaches for conducting return-on-investment (ROI) analyses and related economic evaluation studies in public health settings in order to inform policy and administrative decision-making. New opportunities and resources created through CDC's National Public Health Improvement Initiative (NPHII) and RWJF's Public Health Practice-based …


Optimizing The Value Of Public Health Services: Lessons From Research & Practice, Glen P. Mays May 2013

Optimizing The Value Of Public Health Services: Lessons From Research & Practice, Glen P. Mays

Glen Mays

Expanding the delivery of efficacious public health programs and policies holds considerable potential for improving population health and constraining the growth in health care spending. Achieving such expansions efficiently, particularly in low-resource settings, requires careful attention to interorganizational and intergovernmental relationships in public health delivery.


Next Generation Public Health Delivery: Optimizing Health And Economic Impact, Glen P. Mays May 2013

Next Generation Public Health Delivery: Optimizing Health And Economic Impact, Glen P. Mays

Glen Mays

Improving population health in the context of significant policy and economic change will require governmental public health agencies to rethink their roles within the U.S. health and social services systems, giving much greater attention to "catalytic" functions intended to mobilize, direct, and coordinate the actions of others. A growing body of evidence and experience suggests that such changes are likely to be feasible, effective, and efficient.


Overview And Guidance Documents For Public Health Pbrns, Glen P. Mays May 2013

Overview And Guidance Documents For Public Health Pbrns, Glen P. Mays

Glen Mays

This brief provides an inventory of guidance documents and tools for use in developing, implementing, and evaluating practice-based research networks (PBRNs) in public health settings.


Reproductive Tract Infections Among Married Women In Peri-Urban Areas Of Karachi, Pakistan: A Population-Based Study, Tazeen S. Ali Dr, Neelofar Sami Dr, Erum Khan Dr May 2013

Reproductive Tract Infections Among Married Women In Peri-Urban Areas Of Karachi, Pakistan: A Population-Based Study, Tazeen S. Ali Dr, Neelofar Sami Dr, Erum Khan Dr

Tazeen S Ali Dr

Background: Reproductive Tract Infections (RTIs) is a major public health problem. In Pakistan, there is dearth of information about the prevalence of RTIs among women and their health seeking behavior. A study was conducted to determine the prevalence, number and types of RTIs among women residing in squatter settlements in Karachi and their health seeking behavior. Methods: The respondents were married non-pregnant women aged 15–49 years residing in peri-urban areas of Karachi, Pakistan. The interviews with women were followed by their physical and pelvic examinations. Samples swabs collected from vagina and endocervix were tested in laboratory. Results: Overall, 23.8% of …


The Value Of Public Health Financial Data, Glen P. Mays Apr 2013

The Value Of Public Health Financial Data, Glen P. Mays

Glen Mays

Effective policy and administrative decision-making in public health requires reliable information on the amount of resources invested in governmental public health programs and how these resouces are allocated and used across the U.S. public health system. This session examines current and potential uses of public health financial data in the U.S., and considers expanded roles for research in informing policy and administrative decisions.


Educating And Transforming The Future Public Health Workforce: Lessons Learned From Developing & Implementing An Innovative, Interdisciplinary Mph Graduate Course For Public Health Practice, Leah Neubauer, Kristin Jacobson Apr 2013

Educating And Transforming The Future Public Health Workforce: Lessons Learned From Developing & Implementing An Innovative, Interdisciplinary Mph Graduate Course For Public Health Practice, Leah Neubauer, Kristin Jacobson

Leah C. Neubauer

The Affordable Care Act allocated $250 million in 2010 for disease prevention via four critical priorities, including Public Health Training and Research & Tracking. Public health educators in academia have an opportunity to reexamine and reconstruct educative preparations for public health workers to adequately identify and address the environmental, social, and behavioral issues that impact health across the life span. Public health professionals are obligated to consider the larger political, social, and economic implications forces surrounding their work to affect the largest possible positive outcomes in communities ' health. This presentation will highlight the establishment of a graduate MPH course …


Vital Statistics: The State Of The Public Health Pbrn Program, Glen Mays Apr 2013

Vital Statistics: The State Of The Public Health Pbrn Program, Glen Mays

Glen Mays

The Robert Wood Johnson Foundation's Public Health PBRN Program has continued to expand during the 2013 program year with new networks, new research projects, and expanded translation and dissemination initiatives. The program plays an increasingly powerful role in helping to transform the U.S. public health enterprise into a rapid-learning system for health improvement.


Testing Integrated Primary Care And Public Health Models For Prevention Delivery, Glen Mays Apr 2013

Testing Integrated Primary Care And Public Health Models For Prevention Delivery, Glen Mays

Glen Mays

Improving the delivery of evidence-tested prevention interventions to populations at greatest risk requires strong coordination between primary care providers and public health organizations. This presentation reviews current research on models for integrated delivery of primary care and public health services, and identifies emerging research needs and opportunities. Of particular interest are the roles that practice-based research networks (PBRNs) can play in building this evidence.


Public Health Roi: Evidence, Experience, And Remaining Questions, Glen Mays Apr 2013

Public Health Roi: Evidence, Experience, And Remaining Questions, Glen Mays

Glen Mays

Expanding the delivery of efficacious public health and prevention strategies holds considerable potential for improving health outcomes and constraining costs across the U.S. health system. Unfortunately, lingering certainties about the costs required to expand public health delivery systems and about the health and economic effects of such expansions has muted private and public support for increased public health expenditures. This lecture examines recent evidence from public health services and systems research studies that examine the health and economic value of public health delivery, and identifies remaining research needs for the field.


Cost Estimation Methods: Strategies And Examples For Public Health Services & Systems Research, Glen P. Mays, Michael E. Morris Mar 2013

Cost Estimation Methods: Strategies And Examples For Public Health Services & Systems Research, Glen P. Mays, Michael E. Morris

Glen Mays

This webinar reviews methods for conducting cost studies in public health settings, including strategies for estimating the financial and ecnomic costs of delivering public health services, and analytic approaches to identifying factors that influence delivery costs. These types of studies are of increasing importance to policy and practice stakeholders given the need for evidence about the return-on-investment (ROI) generated through public health delivery.