Public Affairs, Public Policy and Public Administration Commons^™

The Cost-Effectiveness Of Improving Diabetes Care In U.S. Federally Qualified Community Health Centers, Elbert S. Huang, Qi Zhang, Sydney E. S. Brown, Melinda L. Drum, David O. Meltzer, Marshall H. Chin

Community & Environmental Health Faculty Publications

Objective. To estimate the incremental cost-effectiveness of improving diabetes care with the Health Disparities Collaborative (HDC), a national collaborative quality improvement (QI) program conducted in community health centers (HCs).

Data Sources/Study Settings. Data regarding the impact of the Diabetes HDC program came from a serial cross-sectional follow-up study (1998, 2000, 2002) of the program in 17 Midwestern HCs. Data inputs for the simulation model of diabetes came from the latest clinical trials and epidemiological studies.

Study Design. We conducted a societal cost-effectiveness analysis, incorporating data from QI program evaluation into a Monte Carlo simulation model of diabetes.

Data Collections/Extraction …

Multi-Stakeholder Collaborative Learning And Action Processes For Social Change And Sustainability : The Case Of A Regional Food System Effort In The Pacific Northwest, Janet Michelle Hammer

Dissertations and Theses

Multi-Stakeholder Collaborative Learning and Action (MCLA) is defined as a type of multi-stakeholder process that convenes diverse system members for the purpose of increasing individual and system knowledge and facilitating individual and collaborative activity supportive of movement toward a shared vision or goal. Despite increased theoretical and practitioner attention to the topic, questions remain regarding what reasonably to expect from MCLA processes and how best to design them. Further, little research has addressed the assertion that certain MCLA processes can facilitate domain development. Addressing these questions, this case study applies quantitative and qualitative methods to the analysis of two components …

Judicial Implementation Of The Revised Family Code In Addis Ababa, Tassew Shiferaw Gizaw

School of Public Service Theses & Dissertations

This study is concerned with the judicial implementation of the revised family code in Addis Ababa, Ethiopia. The revised family code pertains to the family courts of Addis Ababa which are situated at the lower level of government structure. These courts have a public mandate and are the legitimate public forums wherein to authorize the implementation of the provisions of the code. Open-ended interviews were conducted with judges, attorneys and people affiliated with gender advocacy institutions. The results show that the revised family code contains both strengths and weaknesses. The strengths include the observation that the application of the revised …

Evolution Of An Academic Village: Vision For Inner South Portland, Scott Beattie, Manzell Blakeley, Allen Davis, Malia Kalahele, Alexander Moore, Michael Pina, Thomas Rousculp, Sky Rousse, Sierra Gardiner, Nick Ofcacek, Oren Eshel, Harleen Kaur, Kenya Williams, Rey Erickson

Urban Design Workshop

This vision of an Academic Village is a culmination of three months of work by 12 students in the Spring 2007 Urban Design Workshop at Portland State University. Our understanding of the Academic Village arose out of an exploration of connections between neighboring academic institutions – Portland State University, Oregon Health and Sciences University on Marquam Hill, and OHSU’s emerging campus on the South Waterfront – and the Corbett and Lair Hill neighborhoods. We discovered that people from these institutions and communities live, work, study, and play in a shared urban space, but that the potential for creating an Academic …

A People's Plan For Overcoming The Hurricane Katrina Blues: A Comprehensive Strategy For Building A More Vibrant, Sustainable, And Equitable 9th Ward, Richard Hayes, Ken Reardon, Lisa K. Bates

Urban Studies and Planning Faculty Publications and Presentations

The Peoples’ Plan is a strategic action plan for the recovery of the 9th Ward. We’ve created it based on conversations with residents – some struggling to return home, others intent on remaining in a neighborhood that has always been there own. The Peoples’ Plan provides a thorough assessment of what must be done to provide recovery in one of the hardest hit areas of the City, and provides a recovery model for all badly flooded areas. Our Plan seeks to transform the 9th Ward as it is rebuilt. The proposed transformation will be resident-driven and will provide improved employment …

Focal Point, Volume 21 Number 01, Portland State University. Regional Research Institute

Research and Training Center - Focal Point

This Focal Point issue focuses on child traumatic stress, particularly as experienced by children involved in the child welfare system. The causes and effects of traumatic stress are discussed, as are evidence-based treatments, and prevention strategies.

Key Findings From An Evaluation Of The Mothers2mothers Program In Kwazulu-Natal, South Africa, Carolyn Baek, Vuyiswa Mathambo, Sibongile Mkhize, Irwin Friedman, Louis Apicella, Naomi Rutenberg

HIV and AIDS

The Horizons program of Population Council, in collaboration with Health Systems Trust, completed the first evaluation of mothers2mothers (m2m) as part of its introduction in KwaZulu-Natal Province, South Africa. It is the first external evaluation that provides quantitative evidence about the role of the well-known m2m program in complementing services to prevent mother-to-child transmission of HIV (PMTCT). m2m is a peer support program that aims to provide education and psychosocial support to HIV-positive pregnant women and new mothers, help women access existing health care, and follow up with mothers and babies to ensure they receive appropriate medical care after delivery. …

Xdr Tuberculosis, The New International Health Regulations, And Human Rights, David P. Fidler, Philippe Calain

Articles by Maurer Faculty

No abstract provided.

Nebraska Judictial Structure & Administration Task Force Final Report

University of Nebraska Public Policy Center: Publications

The Nebraska courts face a challenge shared by many state courts, determining the optimum number of judges needed to successfully do the work of the district, county and juvenile courts. Maintaining an adequate level of judicial resources is essential to effectively manage and resolve court business while providing meaningful access to the courts for the citizens of Nebraska. In order to meet these challenges, an objective assessment of the number and allocation of judges needed to handle caseloads is necessary. To this end, the Administrative Office of the Courts contracted with the National Center for State Courts (NCSC) to conduct …

Biodosepr-2006 Consensus Committee Report On Biodosimetric Methods To Evaluate Radiation Doses At Long Times After Exposure, Steven L. Simon, Ian Bailiff, André Bouville, Paola Fattibene, Ruth A. Kleinerman, David C. Lloyd, Stephen W.S. Mckeever, Alexander Romanyukha, Alexander V, Sevan’Kaev, James D. Tucker, Albrecht Wieser

Uniformed Services University of the Health Sciences

The requirements for biodosimetric techniques used at long times after exposure, i.e., 6 months to more than 50 years, are unique compared to the requirements for methods used for immediate dose estimation. In addition to the fundamental requirement that the assay measures a physical or biologic change that is proportional to the energy absorbed, the signal must be highly stable over time to enable reasonably precise determinations of the absorbed dose decades later. The primary uses of these biodosimetric methods have been to support long-term health risk (epidemiologic) studies or to support compensation (damage) claims. For these reasons, the methods …

Data Note: Employment Rates For People With And Without Disabilities, Frank A. Smith, Dana Scott Gilmore

Data Note Series, Institute for Community Inclusion

Data show that people with disabilities are consistently less likely to be working than their non-disabled counterparts. In this data note, we compare the employment rate for working-age people with and without disabilities.

Data Note: Ssi Recipients With Disabilities Who Work And Participation In 1619b, Brooke Dennee-Sommers, Frank A. Smith

Data Note Series, Institute for Community Inclusion

Supplemental Security Income (SSI) is a federally funded program that provides cash assistance for basic needs. Individuals with a low-income who are over the age of 65, blind, or have a disability are eligible for assistance. SSI beneficiaries typically also receive health insurance coverage through Medicaid. Losing Medicaid benefits can be of concern for SSI recipients with disabilities who desire to work, or are currently working. Section 1619b of the Social Security Act allows individuals to work and continue to receive Medicaid assistance when their earnings are too high to qualify for SSI cash payments as long as they meet …

State Agency Promising Practices: Washington State’S Working-Age Adult Policy, Allison C. Hall, Thinkwork! At The Institute For Community Inclusion At Umass Boston

ThinkWork! Publications

Washington’s Division of Developmental Disabilities (DDD) has recently issued a new policy which went into full effect on July 1, 2006. This policy “designates employment supports as the primary method of furnishing state-financed day services to adult participants.” Emphasizing community employment as the primary service option, the policy further states that: “services for persons under the age of 62 that do not emphasize the pursuit or maintenance of employment in integrated settings can be authorized only by exception to policy” (WA DHSH, DDD, “County Services for Working Age Adults” Policy 4.11). Initially adopted in 2004, this policy does not eliminate …

Bridging The Gaps: Structuring Benefits To Promote Mobility For Low Wage Workers, Randy Albelda, Heather Boushey

Center for Social Policy Publications

Low-wage workers have always faced difficulties earning enough to meet their basic needs in the context of the complex financial tradeoffs between receiving public benefits and taking on any or more employment. However, welfare reform and skyrocketing housing and medical costs have exacerbated these challenges to low income families, policy makers, and the providers and agencies that serve them. Employment – often at low-wages – is imperative for most families and, even with supplementary public benefits, financial independence is not easy to achieve for many working families. Wages are too often too low to meet the high cost of living …

Estimating Guard Labor, Arjun Jayadev

Economics Faculty Publication Series

As a background paper to Jayadev and Bowles (2006), this paper provides details on our measure of guard labor as we measure these in labor units. Data from the United States indicate a significant increase in its extent in the U.S. over the period 1890 to the present. Cross-national comparisons show a significant statistical association between income inequality and the fraction of the labor force that is constituted by guard labor, as well as with measures of political legitimacy (inversely) and political conflict.

The Meaning Of Poverty: Questions Of Distribution And Power, Arthur Macewan

Economics Faculty Publication Series

Focusing on the low-income parts of the world and reviewing the different ways we can define poverty, I first argue that what people generally mean by poverty – or, more broadly, by economic well-being – cannot be adequately captured by a single, absolute measure such as income level or a more complex aggregate such as the Human Development Index. Not only do these measures fail to account for the complexity of human material needs, but they also fail to recognize the importance of distributional issues. The failure to incorporate a consideration of distribution in defining poverty (or, more generally, economic …

The Class Content Of Preferences Towards Anti-Inflation And Anti Unemployment Policies, Arjun Jayadev

Economics Faculty Publication Series

This paper assesses class based preferences towards anti-inflationary and anti-unemployment policy. Using a consistent cross-country social survey, I find that the working class broadly defined, and those with lower occupational skill and status are more likely to prioritize combating unemployment rather than inflation. The result is robust to the inclusion of several plausible controls. The idea that the working class is less ‘relatively inflation averse’ is consistent with earlier predictions coming from large body of political economy research in the 1970s. The finding that inflation and unemployment aversion have a distinct class character has implications for current debates on the …

Clean Energy In Massachusetts: Already Strong, This Emerging Sector Is Poised For Greater Growth, David Levy, David Terkla

Management and Marketing Faculty Publication Series

This article reviews Massachusetts’ clean energy sector in the context of the industry nationally and worldwide. We also suggest policy options to enhance the sector’s potential for the Massachusetts economy.

Washington Dollars And The Puerto Rican Economy: Amounts, Impacts, Alternatives, Arthur Macewan, Angel Ruiz

Economics Faculty Publication Series

By examining the Washington to Puerto Rico flow of funds in some detail and comparing it with the flow of federal funds to the states, this paper demonstrates that the island’s receipt of funds is not uniquely large and cannot be viewed as representing the “largess” of U.S. taxpayers. The funds coming from Washington to Puerto Rico cannot bear the weight of responsibility for the island’s economic problems that various sources have placed upon them. Puerto Rico’s economic ills have to be explained by a larger set of factors. Nonetheless, some of the Washington to Puerto Rico transfer programs may …

Economic Growth And The Interests Of Future (And Past And Present) Generations: A Comment On Tyler Cowen, Matthew D. Adler

Faculty Scholarship

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 …

The Effects Of Eicu Technology On Clinical Outcomes Of Icu Patients: Analysis Of The Relationship Of Patient, Hospital, And Unit Characteristics To Proximal And Distal Outcomes, Michelle G. Chandler

Electronic Theses and Dissertations

Each year approximately five million people are treated in the nation's intensive care units making intensive care one of the most expensive components of the U.S. healthcare system. Of these patients, 400,000-500,000 will die annually giving the ICU the distinction of having the highest rate of mortality and complications in the hospital setting. Studies have demonstrated that one in ten patients who die each day in ICUs might survive if intensivists were present to manage clinical care and direct treatment plans (Randolph & Pronovost, 2002; Dimick, Pronovost, Heitmiller & Lipsett, 2001; Pronovost et al., 2002). The utilization of supplemental remote …

How Revenue Sources Have Adjusted To Changes In State Appropriations At The Three New Jersey Public Research Universities From 1994-2003, Tsung Y. Soo Hoo

Seton Hall University Dissertations and Theses (ETDs)

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Realistic Possibilities Of Passing Interest [Photo Essay], Nancy Viva Davis Halifax, Fred Yurichuk

Reconstruction: Studies in Contemporary Culture

This reflection on a series of photographs from the exhibition URGENT gathered by members from "A day in the life photography and story collective" begins to examine the way social structures are implicated in the lives of those who are living in poverty and how their lives can be rendered visible. Through our work in communities with people who are experiencing homelessness and insecure housing we consider the role of photography in picturing and subjecting communities to a gaze that has the potential to be empathic and engaged or uncaring and disengaged.

Fiasco: The American Military Adventure In Iraq By Thomas E. Ricks, Kevin Mills

Global Tides

A book review of Fiasco: The American Military Adventure in Iraq (2006) by Thomas E. Ricks.

The Assassins' Gate By George Packer, John Deniston

Global Tides

A book review of The Assassins' Gate (2005) by George Packer.

An Innocent Murder? The Laws Of International Armed Conflict And The 2006 Tragedy At Qana, Brendan Groves

Global Tides

In the early morning of June 30, 2006, Israeli warplanes struck a civilian apartment complex in Qana, Lebanon, killing some 28 persons, none of whom were thought to have been Hezbollah militants. Footage of the attack was streamed instantly across the world, leading many to decry Israel’s tactics in its conflict against Hezbollah. But did the attack actually violate the Laws of International Armed Conflict? Or, worse, does the attack epitomize the notion of an innocent murder—terrible, perhaps immoral, but lawful? Furthermore, do Hezbollah’s violations of the LOIAC excuse reactionary violations by Israel? This paper offers an analysis of the …

Influence In An Age Of Terror: A Framework Of Response To Islamist Influence Operations, John Deniston

Global Tides

Adversarial influence operations perpetrated by Islamist terrorist networks confront the most foundational of America’s national defense capabilities: the will of the American people to fight. This assertion is predicated on four key determinations. First, Islamist terrorist networks use influence operations as an integral tool of global jihad. Second, these adversarial influence operations should be perceived as attacks and, subsequently, should demand response. Third, a wide array of US Government tools and institutions currently exists to counter this challenge. Fourth, precision-strike doctrine and cyber-attack response frameworks provide instructional examples of methods to create a coordinated US Government response to such influence …

Theorizing Threat: An Investigation Of Contentious Embodiment, Jennifer Musial, Emily Van Der Meulen

Reconstruction: Studies in Contemporary Culture

[First paragraph]

In early summer 2006, we had a phone conversation that generated interest in this topic. Emily was reminiscing about her experiences at the Washington, D.C. March for Women's Lives in April of 2004. The March, a demonstration for reproductive justice, brought out feminists and anti-abortion protestors alike. Emily remembered seeing African-American men holding signs that equated abortion to the airplane attacks in New York City on September 11, 2001. This sparked curiosity: how does abortion become equated with "terrorism"? [1] One answer to this question is that a woman who has an abortion is said to commit "body-terrorism" …

Public Administration In Transition: Theory, Practice, Methodology, Gunnar Gjelstrup, Eva Sorenson, Gary S. Marshall

Faculty Books and Monographs

Chapter 11: Framing Network Style Interactions in Local Governance: Three Narratives, co-authored by Gary S. Marshall, UNO faculty member.

Public administration has changed radically over the last 30 years in organizational forms, role perceptions, practice, and the relevant research questions. Skillfully mastered public administration makes a difference in resolving conflicts, providing predictability, ensuring rights, and coping with problems of inclusiveness. This festchrift provides necessary information about public administration theory and practice, adding critical value to theoretical and methodological knowledge. The book demonstrates how a transformed public administration in practice makes a difference. It shows — through examination from various angles …