Social and Behavioral Sciences Commons^™

An Initial Assessment Of The Effects Of Medicaid Documentation Requirements On Health Centers And Their Patients, Peter Shin, Brad Finnegan, Lauren Hughes, Sara J. Rosenbaum

Health Policy and Management Issue Briefs

This policy brief presents the initial effects of recent federal Medicaid reforms on health centers and their patients. Specifically, this report examines the impact of changes in federal Medicaid policy, contained in the Deficit Reduction Act of 2006 (DRA), which requires applicants and recipients to document both their citizenship or legal U.S. residence and proof of their personal identity.

The Continuing Cost Of Privatization: Extra Payments To Medicare Advantage Plans: Updated Tables For 2007: February 2007 Ma Plan Enrollment, 2007 Ma And Ffs Payment Rates, Brian Biles, Emily Adrion

Health Policy and Management Faculty Publications

No abstract provided.

Debra L. Delaet On Health And Human Rights: Basic International Documents, 2d Edition, Edited By Stephen P. Marks. Cambridge, Massachusetts: Published By Francois-Xavier Bagnoud Center For Health And Human Rights; Distributed By Harvard University Press, 2006. 392pp., Debra L. Delaet

Human Rights & Human Welfare

A review of:

Health and Human Rights: Basic International Documents, 2d Edition, edited by Stephen P. Marks. Cambridge, Massachusetts: Published by Francois-Xavier Bagnoud Center for Health and Human Rights; Distributed by Harvard University Press, 2006. 392pp.

Structural Adjustment Programs And The Delivery Of Health Care In The Third World, Bianca Brunelli

Pell Scholars and Senior Theses

World Bank and International Monetary Fund became involved in the 1982 Third World debt crisis in order to solve global economic difficulties. While these institutions were not created for this purpose, after a series of economic shocks in the 1970s, they swept in order to alleviate the economic difficulties Third World countries faced. By following a strict regime of neoliberal inspired policies, they attempted to alleviate the debt crunch. Despite intentions, the World Bank’s and IMF’s involvement has exacerbated poverty in the Third World. As demonstrated, key factors in structural adjustment programs have impeded health care delivery and have contributed …

Defining Programmatic Access To Healthcare For People With Disabilities, Nancy R. Mudrick, Silvia Yee

Social Work - All Scholarship

People with disabilities face disability-related barriers that affect their receipt of health care. These often are discussed in terms of three categories: financial, structural, and programmatic barriers. Financial barriers may involve the lack of insurance, inability to pay for care, or coverage limitations for such items as durable medical equipment and medication. Structural barriers primarily arise from the architectural characteristics of health care delivery settings, such as parking location, building entrances, stairs and ramps, and bathrooms. Programmatic barriers are barriers involving the processes used to deliver health care. This category is the least understood, yet an important factor for access …

Physician Colorectal Cancer Screening Recommendations: An Explanation Based On Informed Decision-Making, Yelena N. Tarasenko, Sarah B. Wackerbarth, Jennifer M. Joyce, Steven A. Haist

Yelena N. Tarasenko

Objective: The purpose of this research was to examine the content of physicians’ colorectal cancer screening recommendations. More specifically, using the framework of informed decision making synthesized by Braddock and colleagues, we conducted a qualitative study of the content of recommendations to describe how physicians are currently presenting this information to patients.

Methods: We conducted semi-structured interviews with 65 primary care physicians. We analyzed responses to a question designed to elicit how the physicians typically communicate their recommendation.

Results: Almost all of the physicians (98.5%) addressed the “nature of decision” element. A majority of physicians discussed “uncertainties …

Global Health And Global Hegemony, Randall Kuhn

Human Rights & Human Welfare

As the new director of a unique graduate program in Global Health Affairs, coming from the world of basic research, I have been faced with the need to reconcile a central paradox of American power and hegemony: I conduct my work as an American citizen and often with U.S. government funding in the hope that it will make a positive or at least neutral impact on my world. Yet my government (not only under the present administration) initiates imperial adventures that cause untold damage to the health, welfare, and survival of individuals throughout the world.

The Politics Of The Response To Hiv/Aids In Egypt And Sudan: Analysis Of Ngo, State And Donor Involvement, Lenka Benova

Archived Theses and Dissertations

No abstract provided.

Dental Hygienists' Contributions To Improving The Nation's Oral Health Through School-Based Initiatives From 1970 Through 1999: A Historical Review, Gayle B. Mccombs, Cynthia C. Gadbury-Amyot, Rebecca S. Wilder, Karen O. Skaff, Margaret Lappan Green

Dental Hygiene Faculty Publications

PURPOSE: The purpose of this literature review is to document the contributions dental hygienists have made over the past 3 decades to improve the nation's oral health. This historical review encompasses selected literature that acknowledged dental Hygienists' direct involvement in U.S. school-based or school-linked oral health programs from 1970-1999.

METHODS: Five researchers independently searched MEDLINE, PubMed, and other electronic databases to identify relevant literature for the years 1970-1999. The search aimed to locate articles authored by or that documented dental Hygienists' involvement as "service provider" in U.S. school-based oral health programs. For the purpose of this review, service provider was …

Does Hipaa Preemption Pose A Legal Barrier To Health Information Transparency And Interoperability?, Sara J. Rosenbaum, Phyllis Borzi, Taylor Burke, Sonia W. Nath

Health Policy and Management Faculty Publications

This paper summarizes the results of a review of nearly 500 judicial opinions decided as of fall 2006, involving access to protected health information (PHI) and privacy of medical information under the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA). This review was undertaken to determine whether HIPAA, which permits application of state privacy laws that are more stringent than the federal privacy standard, acts as a legal barrier to the creation of interoperable health information systems that permit transparency of health information. The availability of transparent and complete information regarding health system performance has been recognized as …

Health And Security In Foreign Policy, Rebecca L. Katz, Daniel A. Singer

Health Policy and Management Faculty Publications

No abstract provided.

A Benchmark Report On Diversity In State And Local Government, Carol Hardy-Fanta Phd

Publications from the Center for Women in Politics and Public Policy

The Pipeline to Public Service Initiative asked the McCormack Graduate School’s Center for Women in Politics & Public Policy at the University of Massachusetts Boston to ascertain the racial diversity in state and local government. The project had the following three goals:

--To identify the race (and gender) of those holding top-level positions filled through gubernatorial appointments, e.g., secretaries, commissioners, directors, deputy commissioners/directors, and undersecretaries, in the Commonwealth’s executive offices and major departments.

--To compile the same information for members of the most influential boards and commissions in the Commonwealth filled through gubernatorial appointments.

--To assess the diversity of elected …

Politics And Volunteering In Japan: A Global Perspective, Mary Alice Haddad

Mary Alice Haddad

Politics and Volunteering begins by painting a portrait of volunteering in Japan, and demonstrates that our current understandings of civil society have been based implicitly on a U.S. model that does not adequately consider participation patterns found in other parts of the world. The book develops a theory of civic participation that, incorporates citizen attitudes about governmental and individual responsibility, with societal and governmental practices that support (or hinder) volunteer participation. This theory is tested using cross-national and sub-national statistical analysis, and it is refined through detailed case studies of volunteering in three Japanese cities. The findings are then used …

Final Report Technical Assistance To Improve Quality Oversight Of The Oklahoma Advantage Waiver, Maureen Booth, Louise Olsen

Disability & Aging

No abstract provided.

The Health Insurance Debate In Canada: Lessons For The United States?, Mary Anne Bobinski

Faculty Articles

This Essay begins with an intentionally ambiguous title. Are comparisons to Canada relevant and useful for policy-makers in the United States and, if so, what lessons can we learn? Part II of this Essay highlights some of the risks and benefits of cross-border comparisons between the United States and Canada. In Part III, I analyze some of the key data points often cited in comparing the two health care systems. Part IV explores the current Canadian debate about private health insurance. Finally, in Part V, I focus on the lessons from Canada for the health insurance debate in the United …

Exploring Indigenous Concepts Of Health: The Dimensions Of MéTis And Inuit Health, Chantelle A.M. Richmond, Nancy A. Ross, Julie Bernier

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

The Transition From The Historical Inuit Suicide Pattern To The Present Inuit Suicide Pattern, Jack Hicks, Peter Bjerregaard, Matt Berman

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Aboriginal Participation In Health Planning: Representation, Reconciliation, And Relationship Building With An Aboriginal Advisory Committee, Geeta Cheema

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Healing Historic Trauma: A Report From The Aboriginal Healing Foundation, Marlene Brant Castellano, Linda Archibald

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

A Regional Model For Ethical Engagement: The First Nations Research Ethics Committee On Manitoulin Island, Marion A. Maar, Mariette Sutherland, Lorrilee Mcgregor

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

Public Health Decision Makers’ Informational Needs And Preferences For Receiving Research Evidence, Maureen Dobbins, Susan Jack, Helen Thomas, Anita Kothari

Anita Kothari

Objectives: The purpose of this study was to identify decision-makers’ preferences for the transfer and exchange of research knowledge. This article is focused on how the participants define evidence-based decision-making and their preferences for receiving research evidence to integrate into the decision-making process.

Methods: Semistructured interviews were conducted with a purposive sample of 16 Ontario public health decision-makers from six Ontario public health units in this fundamental qualitative descriptive study. The sample included nine program managers, six directors, and one Medical Officer of Health. Participants were asked to define the term evidence-based decision-making and identify preferred research dissemination strategies. The …

Los Trabajadores De La Salud, Su Migracion Y Sus Consecuencias. Health Workers, Their Migration And Its Consequences., Diego A. Bernardini

Diego Bernardini MD, PhD

No abstract provided.

Empirical Analysis Of Poverty And Inequality In West Virginia, Hector Addison

Hector Addison

Poverty and income inequality have attracted a lot of attention in recent literature and policy discussions. Using Ordinary Least Squares and Two stage least squares and cross sectional data for all counties in West Virginia, this study examines the determinants of poverty and income inequality and possibility of simultaneous relationship between them. Findings indicate there is a weak simultaneous relationship and income inequality is declining among aged 65 and above. Education, seen as social equalizer does not provide any evidence in reducing income inequality in West Virginia but as more and more women take up headship in families, poverty and …

Critical Examination Of Ghana’S Agriculture Policy Under Vision 2020 Document - Ppt, Hector Addison

Hector Addison

Ghana, like many developing economies has a huge agricultural based with cocoa being the major export commodity. Since independence in 1957, Ghana had struggled to put together and implement and model of development that guarantees better life for her citizenry. This paper looks at one such document and analyzes it from agriculture perspective in the context of present realities. It is clear that Ghana stands to gain from a transformed agricultural sector which might lead the way to discover the eluded glory as a resource endowed nation

Caring Globally: Jane Addams, World War One, And International Hunger, Marilyn Fischer

Philosophy Faculty Publications

Several feminist philosophers, including Virginia Held, Joan Tronto, and Fiona Robinson, see the need for, and the potential of, care ethics for achieving far-reaching political and even global transformation. Tronto recommends that care be used as "a basis for political change" and a "strategy for organizing" (Tronto 1993, 175). Held advocates that "the ethics of care should transform international politics and relations between states as well as within them" (Held 2006, 161).

During and immediately after World War One, Jane Addams attempted to do just that. She sought to bring perspectives and moral sensibilities that have since been theorized in …

Hpv Vaccination: Should It Be Recommended Or Required?, Alexandra M. Stewart

Health Policy and Management Faculty Publications

Legislation introduced by two members of the District of Columbia Council on January 9, 2007 would require all girls to be vaccinated against the human papillomavirus (HPV), the primary cause of cervical cancer, by the time they enter the sixth grade, unless a parent or guardian specifically "opts out" of the mandate. A similar bill was introduced last week in Virginia, and Maryland and West Virginia are poised to consider legislation. To place the proposals in a broader context, this paper reviews some of the scientific, legal, ethical and financial issues surrounding the HPV vaccine and compulsory vaccinations.

Non-Physician Clinicians In 47 Sub-Saharan African Countries, Fitzhugh Mullan, Seble Frehywot

Health Policy and Management Faculty Publications

Many countries have health-care providers who are not trained as physicians but who take on many of the diagnostic and clinical functions of medical doctors. We identified non-physician clinicians (NPCs) in 25 of 47 countries in sub-Saharan Africa, although their roles varied widely between countries. In nine countries, numbers of NPCs equalled or exceeded numbers of physicians. In general NPCs were trained with less cost than were physicians, and for only 3–4 years after secondary school. All NPCs did basic diagnosis and medical treatment, but some were trained in specialty activities such as caesarean section, ophthalmology, and anaesthesia. Many NPCs …

What Is Fair? Choice, Fairness And Transparency In Access To Prescription Medicines In The United States And Australia, Ruth Lopert, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

The importance of prescription drugs to modern medical practice, coupled with their increasing costs, has strengthened imperatives for national health policies that ensure safety and quality, facilitate affordable access, and promote rational use. Australia has made universal and affordable prescription drug coverage a priority for decades, within a policy framework that emphasizes equity and increasing transparency in coverage design and payment decisions. By contrast, the U.S. lacks such a national policy. Furthermore, federal Medicare reforms aimed at making appropriate drug coverage affordable and accessible employs two icons of the U.S. perception of fairness--the right to choose and the right to …

An Analysis Of Propsed Rules Restricting Federal Medicaid Payments For Publicly Supported Healthcare Services, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

During its 47-year existence, Medicaid has been the subject of countless analyses, articles, books, and studies, in view of its sheer size (federal expenditures standing at $190 billion in FY 2006),[1] its complexity (more than five dozen separate federal eligibility categories), and its importance in the American healthcare system. Medicaid funds nearly 40% of all births,[2] covers about one-third of all children,[3] and is the primary source of healthcare financing for persons with severe and chronic physical and mental disabilities.[4] Medicaid virtually enables the operation of public healthcare providers, such as school-based clinics, community health centers, and public hospitals, whose …

Disability Rights, Annika Johnson

Human Rights & Human Welfare

Disability rights are often ignored in discussions of human rights. Recently, however, scholars and activists have begun producing a body of literature on disability rights in Russia and the former Soviet bloc states. Much of the literature focuses on children’s rights with an emphasis on the right to inclusive education. The literature addressing adult issues includes articles considering civil society, civil rights, and community integration. Finally, several articles address the intersection of disability rights with gender rights and ethnic minority rights.