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Full-Text Articles in Medicine and Health Sciences

Co-Occurrence Across Time And Space Of Drug- And Cannabinoid- Exposure And Adverse Mental Health Outcomes In The National Survey Of Drug Use And Health Dataset 2: Combined Ecological Geotemporospatial And Causal Inference Analysis, Albert Stuart Reece Jan 2020

Co-Occurrence Across Time And Space Of Drug- And Cannabinoid- Exposure And Adverse Mental Health Outcomes In The National Survey Of Drug Use And Health Dataset 2: Combined Ecological Geotemporospatial And Causal Inference Analysis, Albert Stuart Reece

Research Datasets

Background: Whilst many studies have linked increased drug and cannabis exposure to adverse mental health (MH) outcomes their effects on whole populations and geotemporospatial relationships are not well understood.

Objectives: Determine: (1) if cannabis use is associated with major MH outcomes ascross space and time, (2) if such impacts are robust to multivariable adjustment and (3) if the relationship is causal.

Methods: Ecological cohort study of National Survey of Drug Use and Health (NSDUH) geographically-linked substate-shapefiles 2010-2012 and 2014-2016 supplemented by five-year US American Community Survey. Drugs: cigarettes, alcohol abuse, last-month cannabis use and last-year cocaine use. MH: any mental …


Comparing Web-Based Mindfulness With Loving-Kindness And Compassion Training For Promoting Well-Being In Pregnancy: Protocol For A Three-Arm Pilot Randomized Controlled Trial, Amy Louise Finlay-Jones, Jacqueline Ann Davis, Amanda O'Donovan, Keerthi Kottampally, Rebecca Anne Ashley, Desiree Silva, Jeneva Lee Ohan, Susan L. Prescott, Jenny Downs Jan 2020

Comparing Web-Based Mindfulness With Loving-Kindness And Compassion Training For Promoting Well-Being In Pregnancy: Protocol For A Three-Arm Pilot Randomized Controlled Trial, Amy Louise Finlay-Jones, Jacqueline Ann Davis, Amanda O'Donovan, Keerthi Kottampally, Rebecca Anne Ashley, Desiree Silva, Jeneva Lee Ohan, Susan L. Prescott, Jenny Downs

Research outputs 2014 to 2021

© Amy Louise Finlay-Jones, Jacqueline Ann Davis, Amanda O'Donovan, Keerthi Kottampally, Rebecca Anne Ashley, Desiree Silva, Jeneva Lee Ohan, Susan L Prescott, Jenny Downs. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 14.10.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included. Background: Promoting psychological well-being and preventing …


Definitions, Sources And Self-Reported Consumption Of Regionally Grown Fruits And Vegetables In Two Regions Of Australia, Katherine Kent, Stephanie Godrich, Sandra Murray, Stuart Auckland, Lauren Blekkenhorst, Beth Penrose, Johnny Lo, Amanda Devine Jan 2020

Definitions, Sources And Self-Reported Consumption Of Regionally Grown Fruits And Vegetables In Two Regions Of Australia, Katherine Kent, Stephanie Godrich, Sandra Murray, Stuart Auckland, Lauren Blekkenhorst, Beth Penrose, Johnny Lo, Amanda Devine

Research outputs 2014 to 2021

Regional food systems are complex networks, with numerous retail sources that underpin a local economy. However, evidence is limited regarding how consumers define, identify, and source regionally grown fresh fruits and vegetables (RGFFV). A cross-sectional study was conducted in Tasmania (TAS) and South Western Australia (SWA) to compare how RGFFV are defined, identified and sourced by consumers, including self-reported consumption of selected RGFFV. Survey data were analyzed using the Chi-square test and t-tests. Results (TAS n = 120, SWA n = 123) identified that consumers had mixed perceptions of how RGFFV are defined, including produce sold at farmers markets, or …


South West Food Community: How Government And Community Initiatives Are Supporting Systemic Change Towards Enhanced Food Security, Stephanie Louise Godrich, Melissa Stoneham, Melinda Edmunds, Amanda Devine Jan 2020

South West Food Community: How Government And Community Initiatives Are Supporting Systemic Change Towards Enhanced Food Security, Stephanie Louise Godrich, Melissa Stoneham, Melinda Edmunds, Amanda Devine

Research outputs 2014 to 2021

Objective: Food security refers to adequate physical, social and economic access to food and is regarded as a complex, ‘wicked’ issue. This research aimed to understand the perspectives of initiative leaders (stakeholders), regarding their project relating to food security and its possession of characteristics associated with system change to enhance food security. Methods: Stakeholders (n=51) participated in semi-structured interviews that evaluated initiatives (n=52) against 36 desirable characteristics for system change. Transcripts were analysed using QSR NVivo and Wicked Lab’s Tool for Systemic Change. Results: Community-based initiatives often harnessed the passion of local communities to enhance food security through awareness-raising activities …


Sars-Cov-2 Updates In A West African Population And Precautionary Measures For Sustaining Quality Antenatal Care Delivery, Emmanuel Komla Senanu Morhe, Enoch Odame Anto, David Anthony Coall, Eric Adua, Alexander Yaw Debrah, Otchere Addai-Mensah, Michael Owusu, William K.B.A. Owiredu, Christian Obirikorang, Emmanuel Akomanin Asiamah, Emmanuel Acheampong, Evan Adu Asamoah, Lydia Abradu, Agartha Odame Anto, Youxin Wang, Haifeng Hou, Wei Wang Jan 2020

Sars-Cov-2 Updates In A West African Population And Precautionary Measures For Sustaining Quality Antenatal Care Delivery, Emmanuel Komla Senanu Morhe, Enoch Odame Anto, David Anthony Coall, Eric Adua, Alexander Yaw Debrah, Otchere Addai-Mensah, Michael Owusu, William K.B.A. Owiredu, Christian Obirikorang, Emmanuel Akomanin Asiamah, Emmanuel Acheampong, Evan Adu Asamoah, Lydia Abradu, Agartha Odame Anto, Youxin Wang, Haifeng Hou, Wei Wang

Research outputs 2014 to 2021

No abstract provided.


Geographical Disparities In Screening And Cancer- Related Health Behaviour, Belinda Goodwin, Arlen K. Rowe, Fiona Crawford-Williams, Peter Baade, Suzanne K. Chambers, Nicholas Ralph, Joanne F. Aitken Jan 2020

Geographical Disparities In Screening And Cancer- Related Health Behaviour, Belinda Goodwin, Arlen K. Rowe, Fiona Crawford-Williams, Peter Baade, Suzanne K. Chambers, Nicholas Ralph, Joanne F. Aitken

Research outputs 2014 to 2021

This study aimed to identify whether cancer-related health behaviours including participation in cancer screening vary by geographic location in Australia. Data were obtained from the 2014–2015 Australian National Health Survey, a computer-assisted telephone interview that measured a range of health-related issues in a sample of randomly selected households. Chi-square tests and adjusted odds ratios from logistic regression models were computed to assess the association between residential location and cancer-related health behaviours including cancer screening participation, alcohol consumption, smoking, exercise, and fruit and vegetable intake, controlling for age, socio-economic status (SES), education, and place of birth. The findings show insufficient exercise, …


Alcohol Consumption And Alcohol Policy, Mustafa Necmi̇ İlhan, Di̇lek Yapar Jan 2020

Alcohol Consumption And Alcohol Policy, Mustafa Necmi̇ İlhan, Di̇lek Yapar

Turkish Journal of Medical Sciences

Alcohol is a unique addictive substance used by many people for different reasons. Alcohol use affects not only the users but also the family and the whole society in a negative way. Alcohol is one of the most commonly used substances for entertainment purposes in the world and 1 in 3 people is a current drinker. 2348 billion people (43% of the population) aged 15 and over are current drinkers and males drink about 2 times more frequently than females (53.6%/32.3%). According to the Global Alcohol and Health Report published by the World Health Organization (WHO) (2018), total alcohol per …


: Examining How Factors Associated With Patients, Physicians, Hospitals, And Surrounding Communities Affect Primary And Repeat Cesarean Delivery Through A Social-Ecological Lens, Christina Ventura-Dipersia Dec 2019

: Examining How Factors Associated With Patients, Physicians, Hospitals, And Surrounding Communities Affect Primary And Repeat Cesarean Delivery Through A Social-Ecological Lens, Christina Ventura-Dipersia

Dissertations and Theses

Background: Childbirth is one of the most common reasons for hospitalization in the U.S., and Cesarean delivery (i.e., surgical childbirth) is costlier and has a higher likelihood of birth-related complications, maternal rehospitalization, and postpartum medical care utilization than vaginal delivery. The rate of Cesarean delivery in the United States (U.S.) has increased in recent years by over 60%, from 20.7% of all births in 1996 to 32.9% of all births in 2011. As Although this increasing trend of Cesarean delivery incidence has also been seen in other countries, the rate of Cesarean delivery has been rising more steadily within …


Vaxinsight: An Artificial Intelligence System To Access Large-Scale Public Perceptions Of Vaccination From Social Media, Jingcheng Du Dec 2019

Vaxinsight: An Artificial Intelligence System To Access Large-Scale Public Perceptions Of Vaccination From Social Media, Jingcheng Du

Dissertations and Theses (Open Access)

Vaccination is considered one of the greatest public health achievements of the 20th century. A high vaccination rate is required to reduce the prevalence and incidence of vaccine-preventable diseases. However, in the last two decades, there has been a significant and increasing number of people who refuse or delay getting vaccinated and who prohibit their children from receiving vaccinations. Importantly, under-vaccination is associated with infectious disease outbreaks. A good understanding of public perceptions regarding vaccinations is important if we are to develop effective vaccination promotion strategies. Traditional methods of research, such as surveys, suffer limitations that impede our understanding of …


A Shift In Global Thought And Practice: Assessing The Impacts Of The Human Security Paradigm On Global Public Health, Elizabeth Livingston Leone Dec 2019

A Shift In Global Thought And Practice: Assessing The Impacts Of The Human Security Paradigm On Global Public Health, Elizabeth Livingston Leone

Honors College Theses

With the increasing emphasis on health through human security since the 1990s by the United Nations, scholars have debated how human security has influenced public health. I examine how the idea of human security has become a paradigm and if this paradigm has adopted in public health programs. I argue that the rise of human security has led to an emphasis on the role of global actors, preventative care and health education when states adopt the paradigm. This adoption should in turn improve public health in Ghana and the Ivory Coast.


An Analysis Of The Economic Barriers To Oral Healthcare Access In Omaha, Nebraska, Elias Witte Dec 2019

An Analysis Of The Economic Barriers To Oral Healthcare Access In Omaha, Nebraska, Elias Witte

Theses/Capstones/Creative Projects

Existing research regarding the analysis of the distribution of oral healthcare practitioners has been conducted across large metropolitan areas within the United States in order to determine the magnitude of healthcare resource deficits. Such research has demonstrated significant deficits in access to oral healthcare predominantly in lower-income urban areas. Consequently, patients in these socioeconomically disadvantaged areas have less access to routine oral care, which impacts their overall health and well-being. While there is an abundance of studies examining this issue in other localities across the country, there is a lack of information regarding the distribution of oral healthcare practitioners in …


“Pissing In The Wind”: Racially Discriminatory Economic Policies’ Impact On Today’S Banking Status, Use Of Alternative Financial Services And Health Outcomes., Gaberiel Jones Jr Dec 2019

“Pissing In The Wind”: Racially Discriminatory Economic Policies’ Impact On Today’S Banking Status, Use Of Alternative Financial Services And Health Outcomes., Gaberiel Jones Jr

Electronic Theses and Dissertations

Centuries of discriminatory policies and practices in the United States have created racially segregated, resource-poor urban communities. Differential benefits of banking and housing legislation were among the consequences of these policies as they contributed to drastic racial inequities in wealth. Today, racial differences in banking status and financial practices persist. However, a void exists in the literature exploring what alternative financial services (AFS) are used in lieu of banks by Black Americans, why those services are used, the thoughts and beliefs of Black Americans about the use of those services, the impact of bank locations on financial behavior patterns, and …


How Urban Land Use Contributes To Inequitable Health Outcomes: An Interdisciplinary Review & Analysis, Bliss Storm Croton Nov 2019

How Urban Land Use Contributes To Inequitable Health Outcomes: An Interdisciplinary Review & Analysis, Bliss Storm Croton

University Honors Theses

Using existing literature as a basis for initial review, this paper seeks to explore the relationship between urban land use and socioeconomic status as both pertain to the prevalence of psychological health diagnoses among neighborhood residents. The purpose of this analysis is to investigate the combined literature from multiple areas of research in order to gain a more holistic, up-to-date scope of knowledge regarding how discriminatory neighborhood land use may result in poorer psychological health outcomes for urban populations. By utilizing an interdisciplinary approach, some of the locally relevant, long-term impacts of uneven development and environmental injustice are examined based …


Jcph Presentations At The American Public Health Association Annual Conference 2019 Nov 2019

Jcph Presentations At The American Public Health Association Annual Conference 2019

JCPH at APHA 2019

No abstract provided.


Connecting Aces To In-Patient Behavioral Health Treatment Associated With Bullying/Cyberbullying, Rachel Pfafman, Jessica Pater, Lauren Reining, Michelle Drouin, Connie Kerrigan, Kelley Kardys Nov 2019

Connecting Aces To In-Patient Behavioral Health Treatment Associated With Bullying/Cyberbullying, Rachel Pfafman, Jessica Pater, Lauren Reining, Michelle Drouin, Connie Kerrigan, Kelley Kardys

Health Services and Informatics Research

Depression, Smart Phone Dependence, and Social Media Cyberbullying Among Youth and Young Adults Wyatt Meriwether, PhD, Quality, Safety, & Value, Kansas City VA Medical Center, Independence, MO APHA's 2019 Annual Meeting and Expo (Nov. 2 - Nov. 6)

Abstract: Connecting ACEs to in-patient behavioral health treatment associated with bullying/cyberbullying.


Bullying/cyberbullying are pervasive for today’s youth – 28% report being bullied and 30% report having been a bully themselves. Involvement with cyberbullying is linked to depression, suicidal ideation, and attempted or completed suicide. In addition to bullying/cyberbullying, adverse childhood experiences (ACEs) impact future violence victimization and perpetration. The CDC estimates that …


Evaluating The Effect Of Temperature On A Human Parasite And Its Intermediate Snail Host: Implications For A Changing Climate, Karena H. Nguyen Oct 2019

Evaluating The Effect Of Temperature On A Human Parasite And Its Intermediate Snail Host: Implications For A Changing Climate, Karena H. Nguyen

USF Tampa Graduate Theses and Dissertations

Global climate change is impacting the emergence, re-emergence, prevalence, and incidence of infectious diseases worldwide, including parasitic diseases of humans (Blum and Hotez 2018). Neglected tropical diseases, defined as a group of parasitic diseases affecting developing countries in the tropics (Hotez et al. 2007), are of particular concern because these diseases occur in areas that are also expected to experience rapid population growth and agricultural development in the coming decades. As human population and food demand increase, the greater the likelihood of humans encountering intermediate hosts that either inhabit agricultural areas or are impacted by agricultural development, which will influence …


An Evaluation Of Food Insecurity And Its Correlates In A Filipino American Study Sample Residing In Clark County, Nevada, Prescott Cheong, Courtney Coughenour, Maya Shegog, Saruna Ghimire, Lawrence Sagadraca, Francisco Sy Oct 2019

An Evaluation Of Food Insecurity And Its Correlates In A Filipino American Study Sample Residing In Clark County, Nevada, Prescott Cheong, Courtney Coughenour, Maya Shegog, Saruna Ghimire, Lawrence Sagadraca, Francisco Sy

Environmental & Global Health Faculty Research

Purpose: Filipino Americans comprise over half of the Asian American population in Clark County, Nevada. Despite their large numbers, food insecurity rates are aggregated with the entire Asian American population. In 2016, 1.6% of Asian American households in Clark County were food insecure, yet, 22% of households reported annual incomes at or below 200% of the federal poverty level. This study aimed to assess the status and correlates of food insecurity specific to Filipino Americans in Clark County, Nevada. Methods: The United States Department of Agriculture (USDA) Short Form Food Security Module was administered among 192 Filipino Americans residing in …


Exploring The Factors Affecting The Motivation For Learning From The Perspective Of Public Health Students: A Qualitative Study, Leila Allahqoli, Vinnaras Nithyanantham, Azam Rahmani, Azra Allahveisi, Reza Ghanei Gheshlagh, Arezoo Fallahi, Babak Nemat-Shahrbabaki Oct 2019

Exploring The Factors Affecting The Motivation For Learning From The Perspective Of Public Health Students: A Qualitative Study, Leila Allahqoli, Vinnaras Nithyanantham, Azam Rahmani, Azra Allahveisi, Reza Ghanei Gheshlagh, Arezoo Fallahi, Babak Nemat-Shahrbabaki

Journal of Mind and Medical Sciences

Objective. Despite the significant role of motivation in achieving success among public health students, students often do not demonstrate adequate motivation for learning and education. This study was performed to determine factors affecting the motivation for learning from the perspective of public health students via content analysis approach. Methods. This qualitative study was conducted at Kurdistan University of Medical Sciences in Sanandaj, Iran in 2017. 15 students were included in the study by using purposive sampling. Data were collected through personal interviews, group discussions, and field notes, and they were analyzed through conventional content analysis. Several parameters were taken into …


Jefferson Digital Commons Quarterly Report: July-September 2019, Kelsey Duinkerken, Msi, James Copeland, Libt, Larissa Gordon, Mslis, Med, Ma Oct 2019

Jefferson Digital Commons Quarterly Report: July-September 2019, Kelsey Duinkerken, Msi, James Copeland, Libt, Larissa Gordon, Mslis, Med, Ma

Jefferson Digital Commons Reports

This quarterly report includes:

  • Articles
  • Conferences
  • From the Archives
  • Grand Rounds and Lectures
  • Journals and Newsletters
  • Master of Population Health Capstone Presentations
  • Master of Public Health Capstone Presentations
  • Posters
  • What People are Saying About the Jefferson Digital Commons


Mapping 123 Million Neonatal, Infant And Child Deaths Between 2000 And 2017, Roy Burstein, Simon I. Hay, Veincent Christian F. Pepito, 556 Co-Authors Oct 2019

Mapping 123 Million Neonatal, Infant And Child Deaths Between 2000 And 2017, Roy Burstein, Simon I. Hay, Veincent Christian F. Pepito, 556 Co-Authors

Ateneo School of Medicine and Public Health Publications

Since 2000, many countries have achieved considerable success in improving child survival, but localized progress remains unclear. To inform efforts towards United Nations Sustainable Development Goal 3.2—to end preventable child deaths by 2030—we need consistently estimated data at the subnational level regarding child mortality rates and trends. Here we quantified, for the period 2000–2017, the subnational variation in mortality rates and number of deaths of neonates, infants and children under 5 years of age within 99 low- and middle-income countries using a geostatistical survival model. We estimated that 32% of children under 5 in these countries lived in districts that …


Pubh 4132: Health Promotion Program Planning I, Raymona H. Lawrence Oct 2019

Pubh 4132: Health Promotion Program Planning I, Raymona H. Lawrence

College of Public Health: Faculty Syllabi (2014-2021)

Provides the student with the theory and practical applications of planning, developing, implementing and evaluating health promotion programs in a variety of settings. The focus will be on a global approach to planning with emphasis on the 5 settings for health promotion programming which include school, community, clinical, college, and worksite settings.


88th Annual Georgia Public Health Association Meeting & Conference Report, Colin K. Smith, Regina Abbott, Eleanora Zhilyak, Christy Sims Oct 2019

88th Annual Georgia Public Health Association Meeting & Conference Report, Colin K. Smith, Regina Abbott, Eleanora Zhilyak, Christy Sims

Journal of the Georgia Public Health Association

The 88th Annual Meeting of the Georgia Public Health Association (GPHA) was held in Atlanta, Georgia, on April 11-12, 2017, with pre-conference (April 10th) and post-conference (April 12th) Executive Board meetings. As Georgia’s leading forum for public health researchers, practitioners, and students, the annual meeting of the GPHA brings together participants from across the state to explore recent developments in the field and to exchange techniques, tools, and experiences. In recent years the venue for the GPHA annual conference has been Atlanta, but in an effort to expand participation across the state the 2018 GPHA Annual Meeting and Conference is …


Hspm 7135-A: Public Health Policy Development & Evaluation, Ho-Jui Tung Oct 2019

Hspm 7135-A: Public Health Policy Development & Evaluation, Ho-Jui Tung

College of Public Health: Faculty Syllabi (2014-2021)

This course introduces students to health policy development, analysis and management by examining issues in the health sector. It fosters an appreciation of the complexity of policy problems and provides the basic tools used in public health policy design, implementation and evaluation.


Phld 9334: Financial Management Of Public Health, Linda Kimsey Oct 2019

Phld 9334: Financial Management Of Public Health, Linda Kimsey

College of Public Health: Faculty Syllabi (2014-2021)

This course examines the structure and functioning of the finance components of the Public Health System using Federal Basis Generally Accepted Accounting Principles (FGAAP). It will provide DrPH students with the theory, concepts, and tools necessary to make better decisions regarding the acquisition and deployment of resources, and promote the financial well-being of public health organizations. The course will discuss the following topics: financial goals; time value analysis; financial risk and return; debt and equity financing; capital decisions; cost of capital; capital investment decisions; business valuation; and leasing decisions. Students will apply the material learned in real world (case) settings …


Phld 9231 – Health Informatics & Decision Making, Gulzar H. Shah, Kristie Cason Waterfield Oct 2019

Phld 9231 – Health Informatics & Decision Making, Gulzar H. Shah, Kristie Cason Waterfield

College of Public Health: Faculty Syllabi (2014-2021)

This course focuses on the fundamental concepts of managing information as an asset in public health and healthcare delivery contexts. Emphasis will be placed on converting data into information and converting information into decision support models.


Hadm 7300 – Healthcare Financial Management Ii, James H. Stephens Oct 2019

Hadm 7300 – Healthcare Financial Management Ii, James H. Stephens

College of Public Health: Faculty Syllabi (2014-2021)

This course addresses selected financial management concepts and practices in health care organizations. It is a broad introduction to important financial theories, issues, tools and terminology that administrators need to know to manage health care organizations.

The health care environment today places increased emphasis on the financial implications of both managerial and clinical decisions. This emphasis, in turn, has created a need for financial skills among many clinicians and managers that in the past have not been required.

All business decisions have financial implications. As a result, all health care managers must be financially literate so that they can work …


Hspm 7090-02f: Managerial Epidemiology, Bill Mase Oct 2019

Hspm 7090-02f: Managerial Epidemiology, Bill Mase

College of Public Health: Faculty Syllabi (2014-2021)

No abstract provided.


Hadm 7500 - Strategic Planning And Marketing In Health Care, Linda Kimsey Oct 2019

Hadm 7500 - Strategic Planning And Marketing In Health Care, Linda Kimsey

College of Public Health: Faculty Syllabi (2014-2021)

This course offers an introduction to strategic planning and marketing in health services organizations. Processes and formats employed in strategic planning and marketing are presented and applied in case studies and a final project. Elements of market assessment, environmental analysis and strategy development are presented and applied to course practices.


Epid 9132 – Epidemiology Of Infectious Diseases Transmitted Via Bodily Fluids (Aka “Infectious Disease 2” Listed In Folio), (Isaac) Chun Hai Fung Oct 2019

Epid 9132 – Epidemiology Of Infectious Diseases Transmitted Via Bodily Fluids (Aka “Infectious Disease 2” Listed In Folio), (Isaac) Chun Hai Fung

College of Public Health: Faculty Syllabi (2014-2021)

This course covers advanced topics in epidemiology of infectious diseases transmitted via bodily fluids, primarily sexually transmitted infections and bloodborne infections. Important themes may include outbreak preparedness and response, surveillance, and interventions that prevent and control transmissions. Computational, mathematical and statistical tools relevant to the practice of infectious disease epidemiology will be introduced.


Hadm 7300 – Healthcare Financial Management Ii, James H. Stephens Oct 2019

Hadm 7300 – Healthcare Financial Management Ii, James H. Stephens

College of Public Health: Faculty Syllabi (2014-2021)

This course addresses selected financial management concepts and practices in health care organizations. It is a broad introduction to important financial theories, issues, tools and terminology that administrators need to know to manage health care organizations.

The health care environment today places increased emphasis on the financial implications of both managerial and clinical decisions. This emphasis, in turn, has created a need for financial skills among many clinicians and managers that in the past have not been required.

All business decisions have financial implications. As a result, all health care managers must be financially literate so that they can work …