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Articles 61 - 90 of 137
Full-Text Articles in Medicine and Health Sciences
Tougher Than Rocket Science, Or Just Messier? Using Research To Improve U.S. Public Health Delivery, Glen P. Mays
Tougher Than Rocket Science, Or Just Messier? Using Research To Improve U.S. Public Health Delivery, Glen P. Mays
Health Management and Policy Presentations
Advances in the field of public health services & systems research (PHSSR) are incorporating complexity in theory and methods to derive strong inferences about the health and economic effects attributable to public health strategies. Opportunities for comparative international research in Canada and the U.S. promise to strengthen these avenues of inquiry.
Public Health Services Research: Informing Public Health Practice & Policy, Glen P. Mays
Public Health Services Research: Informing Public Health Practice & Policy, Glen P. Mays
Health Management and Policy Presentations
Heterogeneity in the mechanisms used for organizing and financing public health strategies creates opportunities for comparative effectiveness research (CER) in public health that examine which organization and financing mechanisms work best, for whom, and under what circumstances. Findings from these types of studies have direct utility in shaping public health policy and practice decisions.
Governmental Public Health And The Economics Of Adaptation To Population Health, Glen P. Mays
Governmental Public Health And The Economics Of Adaptation To Population Health, Glen P. Mays
Health Management and Policy Presentations
Research on the organization and financing of public health strategies offers valuable insight for governmental public health agencies seeking to adapt to a population health improvement perspective under health system reform.
Laboratories And The Value Stream Of Next-Generation Public Health, Glen P. Mays
Laboratories And The Value Stream Of Next-Generation Public Health, Glen P. Mays
Health Management and Policy Presentations
Public health laboratories are the information engines for public health agencies and delivery systems. Measuring the value stream that flows from this information can support objective assessments of the health and economic benefits attributable to laboratory infrastructure and information.
Learning From Networks: Care Transitions, Market Competition, & Community Interventions, Glen P. Mays
Learning From Networks: Care Transitions, Market Competition, & Community Interventions, Glen P. Mays
Health Management and Policy Presentations
Social network analysis methods offer many avenues of inquiry for studying new developments in health policy and health care delivery. The expanding availability of large linkable electronic clinical and administrative data sources allows for novel SNA applications with dependent data structures. Opportunities include the study of delivery patterns within accountable care organizations (ACOs), and other multi-provider networks, price and quality competition within new health insurance exchanges, and population health effects attributable to complex community-level interventions.
Does Medicaid Crowd Out Other Public Health Spending? Projecting Aca’S Health & Economic Effects, Glen P. Mays
Does Medicaid Crowd Out Other Public Health Spending? Projecting Aca’S Health & Economic Effects, Glen P. Mays
Health Management and Policy Presentations
Research Objective: Twenty-six states are expanding Medicaid eligibility under the Affordable Care Act (ACA) in 2014, and while federal funds cover most costs for newly eligible recipients, states must share the additional costs of covering previously-eligible state residents who newly enroll in Medicaid in response to ACA’s expanded outreach and enrollment incentives. States, together with their local government counterparts, also provide the vast majority (87%) of public sector funds for public health programs designed to promote health and prevent disease and injury on a population-wide basis. Fiscal constraints and generous federal matching funds create strong budgetary incentives for states to …
Practice-Based Learning: Opportunities And Implications For Stem Education, Glen P. Mays
Practice-Based Learning: Opportunities And Implications For Stem Education, Glen P. Mays
Health Management and Policy Presentations
This presentation examines how practice-based research strategies have been used to produce new knowledge and stimulate learning about how to improve the organization, financing, and delivery of public health services. I consider how practice-based research strategies can be adapted to advance knowledge and practice related to science, technology, engineering and mathematics (STEM) education and application.
Maximizing Roi: Laboratories And The Value Of Next-Generation Public Health, Glen P. Mays
Maximizing Roi: Laboratories And The Value Of Next-Generation Public Health, Glen P. Mays
Health Management and Policy Presentations
Laboratories serve as information engines for the public health enterprise, and their importance to population health improvement is likely to grow considerably under U.S. health reform. This session will examine the changing landscape of public health responsibilities within a reforming U.S. health system, and the current and potential roles for public health laboratories in improving the health and economic value of investments in public health. The session examines key changes in the organization, financing, and delivery of public health services that are occurring through innovations to better integrate public health and medical care delivery, and the current and potential roles …
Public Health Services & Systems Research And The Reforming U.S. Health System, Glen P. Mays
Public Health Services & Systems Research And The Reforming U.S. Health System, Glen P. Mays
Health Management and Policy Presentations
This session reviews progress in the field of public health services & systems research (PHSSR), with a specific focus on findings that can inform the implementation and impact of health reform strategies on the U.S. public health system.
Producing Population Health: Collective Action Requires Infrastructure, Incentives & Evidence, Glen P. Mays
Producing Population Health: Collective Action Requires Infrastructure, Incentives & Evidence, Glen P. Mays
Health Management and Policy Presentations
Population health improvement strategies are collective action problems that require targeted infrastructure, incentives, and information to succeed. Research on collective action problems and solutions in public health and other spheres of practice offer insight for the successful scale and spread of population health innovations.
Health Reform Implementation: Update And Implications For Kentucky, Glen P. Mays
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
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.
Workshop: Harnessing Community-Engaged Scholarship For Collective Action To Improve Population Health, Glen P. Mays
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
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.
Public Health Services & Systems Research: Taking The Pulse Of The Field, Glen P. Mays
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.
Creating Learning Systems: Lessons From Public Health Practice-Based Research Networks, Glen P. Mays
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.
The Public Health Pbrn Program: A Status Update, Glen P. Mays
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
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.
Strengthening The Science Of Public Health Delivery: Complexities In Implementation, Inference & Translation, Glen P. Mays
Strengthening The Science Of Public Health Delivery: Complexities In Implementation, Inference & Translation, Glen P. Mays
Health Management and Policy Presentations
Delivery systems for public health programs and policies are diffuse and heterogeneous across the U.S., reflecting wide variation in the capacity to implement population-level health improvement strategies. This lecture examines strategies for evaluating the causes and consequences of variation in public health delivery across the U.S., with a focus on identifying pathways for improving the health and economic effects of policy and practice.
The Status Of Public Health Services & Systems Research In The Us: Implications For British Columbia, Glen P. Mays
The Status Of Public Health Services & Systems Research In The Us: Implications For British Columbia, Glen P. Mays
Health Management and Policy Presentations
Research on the organization, financing, and delivery of public health services has accelerated in the U.S. in recent years. This applied scholarship has been fueled in part by the changes and natural experiments created by global economic recession and by comprehensive federal and state health reforms. Co-occuring changes in public health organization and financing have occurred in Canada and more specifically in British Columbia, where valuable scholarship on public health delivery is also underway. This presentation reviews the progress and current directions of PHSSR scholarship in the U.S., and identifies opportunities and implications for British Columbia.
The National Longitudinal Survey Of Public Health Systems: Selected Findings And Applications, Glen P. Mays
The National Longitudinal Survey Of Public Health Systems: Selected Findings And Applications, Glen P. Mays
Health Management and Policy Presentations
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.
Estimating The Costs Of Public Health Services, Glen P. Mays
Estimating The Costs Of Public Health Services, Glen P. Mays
Health Management and Policy Presentations
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
New Health Delivery Networks: Merging Public Health And Health Care Systems, Glen P. Mays
Health Management and Policy Presentations
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 P. Mays
Who Benefits From Public Health Spending And How Long Does It Take: Estimating Community-Specific Spending Effects, Glen P. Mays
Health Management and Policy Presentations
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 Inter-Organizational Activities To Improve Public Health, Glen P. Mays
Recessions, Risks And Reforms: Changes In Inter-Organizational Activities To Improve Public Health, Glen P. Mays
Health Management and Policy Presentations
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 …
Update On Public Health Financing & Economic Studies From The Phssr And Pbrn Programs, Glen P. Mays
Update On Public Health Financing & Economic Studies From The Phssr And Pbrn Programs, Glen P. Mays
Health Management and Policy Presentations
As part of the Public Health Financing Roundtable at APHA, this session provides an update on public health financing and economics studies underway through the Public Health Services and Systems Research (PHSSR) Program and the Public Health Practice-Based Research Networks (PBRN) Program, supported by the Robert Wood Johnson Foundation.
Public Health Services & Systems Research: Building The Science Of Public Health Delivery, Glen P. Mays
Public Health Services & Systems Research: Building The Science Of Public Health Delivery, Glen P. Mays
Health Management and Policy Presentations
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.
Cost Estimation Methods And Foundational Public Health Capabilities, Glen P. Mays
Cost Estimation Methods And Foundational Public Health Capabilities, Glen P. Mays
Health Management and Policy Presentations
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.
Building The Science Of Delivery: Public Health Services & Systems Research, Glen P. Mays
Building The Science Of Delivery: Public Health Services & Systems Research, Glen P. Mays
Health Management and Policy Presentations
Studying variation and innovation in public health delivery can identify pathways for improving the organization, financing, and implementation of programs and policies that protect and promote health.
Accreditation And Standardization In Local Public Health, Glen P. Mays
Accreditation And Standardization In Local Public Health, Glen P. Mays
Health Management and Policy Presentations
Reducing harmful, wasteful, and inequitable variation in public health delivery is a central objective for administrative and policy decision-makers in public health, and is embedded in the national accreditation movement. The challenge lies in accomplishing this objective while preserving the benefits of customization in public health delivery that accrue through tailoring and targeting of resources to unique community needs and risks. Public health services and systems research (PHSSR) can help determine the optimal balance between standardization and customization in public health delivery.