Health Policy Commons^™

“Heat Mapping” Of Pediatric And Adolescent Gun Violence In An Urban Center: Is Targeted Intervention One Possible Solution?, Emerson Rowe, Abbey Glover, Martin J. Herman

St. Chris Research Day

No abstract provided.

Exploring Hypertension Prevalence Among Ill-Housed Individuals In Urban Environments, Lia Goldberg, Sameer Shah, Nikhila Archakam, Murod Khikmatov, Kesha Choksi, Anddee White

Rowan-Virtua Research Day

This study explores the interrelations of hypertension, homelessness, and access to healthcare in urban ill-housed populations. It was found that conditions such as heart disease and diabetes significantly exacerbate hypertension, which remains highly prevalent due to the population's limited access to consistent medical care. Homelessness further complicates the management of hypertension due to unstable living conditions, making adherence to treatment and follow-up with healthcare providers challenging. Additionally, factors like higher rates of substance abuse and malnutrition among homeless populations contribute to worsening hypertension, which, if untreated, can lead to severe health crises including heart attacks and strokes.

The research underscores …

Pros, Cons, And The Barriers To Implementing A Universal Healthcare System In The United States, Arpun Shah

Rowan-Virtua Research Day

Background: The United States has the most expensive healthcare system in the world. Despite that, it also has worse health outcomes than that of several other countries. The United States is also the only wealthy/developed country without universal healthcare. Universal healthcare, also known as a single-payer healthcare system, refers to the concept that the government finances and governs healthcare for most, if not all residents of the country. The United States currently has a multi-payer system, which means that healthcare is financed through various sources such as the public and private sectors. Purpose: The purpose of this is …

Unveiling The Impact: Structural Racism And Childhood Lead Exposure's Health Consequences In Philadelphia, Mahhum Naqvi, Mahrukh Naqvi, Justin Stout, Colton Spencer

Rowan-Virtua Research Day

Childhood lead exposure poses a significant risk to health and well-being, adversely affecting brain function, nervous system development, and behavioral patterns. This study examines the health disparities and inequities associated with childhood lead exposure in Philadelphia, focusing on structural racism and residential segregation as crucial lenses for analysis. By delving into the sociocultural context of lead exposure, this study underscores the imperative of collaborative efforts among stakeholders to safeguard Philadelphia's most vulnerable populations. Healthcare professionals and policymakers play pivotal roles in enhancing funding and prevention strategies. Addressing this issue through the prism of structural racism allows for the identification and …

How Do Differences In Sex Education Alter Perception Of Consent?, Hannah G. Stone

ATU Research Symposium

The following research was conducted to answer the question: how do differences in sex education alter perception of consent? As of 2021, only 7 states and the District of Columbia mandate comprehensive sex education policies that include consent education, and in contrast, 17 states do not mandate comprehensive or non-comprehensive sex education (“Sex and HIV Education” 2021). Because sex education in schools is where a large proportion of young adults receive all of their instruction on sexual topics, it can be inferred that the lack of sex education would constitute a lack of consent education as well (Deluna 2019; “Section …

The Impact Of The Deinstitutionalization Policies On Homelessness, Henrique Krigner

Helm's School of Government Conference - American Revival: Citizenship & Virtue

Homelessness is a growing issue in America. In 2019 there were 567,715 homeless individuals in the United States, distributed in emergency shelters (63%) or residing unsheltered on streets (27%). In 2021, even though specialists argue that the Covid-19 restrictions greatly harmed an accurate counting, the total number of unsheltered homeless in America increased in 20%. Such increase became a central discussion not only to regular citizens and neighborhood associations, but it also became a great concern within the federal government which has been appropriating billions of dollars each year to “end homeless”.

Specialists point out that the growth of the …

Breaking Down Barriers: Investigating Structural And Systemic Factors That Contribute To Covid-19 Disparities In African American Communities In New Jersey, Fazal Choudhary, Suraj Pothineni

Rowan-Virtua Research Day

Background: The COVID-19 pandemic has affected the lives of millions of Americans; however, minority communities have been hit the hardest as infection rates continue to sky rocket and new variants arise. As of October 5, 2021, the CDC reports that African Americans make up a similar share of cases relative to the overall population, at about 12%, but have a significantly higher rate of deaths compared to the population, at approximately14%. African American communities are being disproportionately affected because of higher incidence of chronic diseases, inadequate access to health care, and poorer living and working conditions, which increases their vulnerability …

Fighting For The Public’S Health: Challenges And Opportunities To Reinvigorate Public Health Advocacy, Madeleine S. Frey

Georgia Public Health Association Annual Meeting and Conference

Background

Covid-19 shed a painful light on racial health disparities. As health officials asserted their public health authority to stop the pandemic and promote health equity, elected officials moved to limit their ability to do so. Without strong advocacy infrastructure, public health has struggled to defend its legal public health authority, support the workforce, and ensure equitable health outcomes for everyone.

Methods

Fighting for Public Health, a 2022 Feasibility Study from the Network for Public Health Law, assessed what’s happening in public health advocacy, and what’s needed to strengthen it on state and national levels. With funding from Healthcare …

Spending On Public Benefit Programs And Exposure To Adverse Childhood Experiences, Megan Collins

Research Days

Watch recording of live presentation.

Background: Adverse childhood experiences (ACEs) have been shown to be associated with poor health outcomes, and children living in poverty are more likely to experience ACEs. Our objective was to estimate the association between spending on benefit programs and cumulative exposure to ACEs among children.

Methods: This cross-sectional study examined state and federal spending, at the state-level, on 5 categories of public benefit programs: cash, housing, and in-kind assistance; housing infrastructure; childcare assistance; refundable Earned Income Tax Credit; and Medical Assistance Programs (e.g., Medicaid). The primary exposure was median annual spending per person living below …

Pharmacists Provision Of Non-Dispensing Services In Health Professional Shortage Areas, Haley L. Kessinger, Emily R. Landis

ONU Student Research Colloquium

Background: Individuals living in primary care health professional shortage areas (PCHPSAs) experience health inequities. Community pharmacists are healthcare professionals with an opportunity to provide care to underserved populations. The objective of this study was to compare non-dispensing services provided by Ohio community pharmacists in PCHPSAs and non-PCHSPAs.

Methods: An electronic, IRB-approved 19-item survey was sent to all community pharmacists practicing in full PCHPSA counties and a random sample practicing in non-PCHPSA counties in Ohio (n=324). Questions assessed current provision of non-dispensing services as well as interest and barriers regarding such services.

Results: Seventy-three usable responses were received (23% response rate). …

Public Health Interventions For Children Of Incarcerated Parents, Daniel Bullman

GS4 Georgia Southern Student Scholars Symposium

The impact of social and structural determinants of health have lifelong consequences on an individual’s quality of life. Literature focusing on child health and wellbeing of incarcerated parents indicate significant negative health outcomes and adopted detrimental health behaviors. Using a systematic realist review, recent publications were reviewed for their potential discussion or recommendation for interventions in changing health outcomes. This review found that additional research is needed in identifying and testing potential interventions or determining if parallel public health initiatives have had positive impacts in promoting the health behavior change process for children and adolescents of incarcerated parents.

Geography Of Covid-19 Waves In Georgia, Walker Tompkins

Symposium of Student Scholars

Geography of COVID-19 Waves in Georgia

Over the past 2 years everyone on the globe’s lives have been changed drastically after the COVID-19 virus spread across the world. This united and divided us more than any other event in most of our lifetimes. The pandemic everyone and now that there are two years of data, it is important to examine impacts at various geographic scales. As such, focusing on the state of Georgia, this project explores how the different variants, public policy, and vaccination of our population has changed the trajectory of the virus and how many deaths it has …

The Program To Reduce Implicit Bias In Carroll Hospital Center Using The Implicit Association Test, Katherine E. Traynor

Capstone Showcase

Natural brain processes make all individuals susceptible to unconscious bias; however, stressful, fearful, or anger-evoking situations as well as the negative influence of media and social surroundings increase the risk of holding obstructive bias, and there is a greater risk of being negatively impacted by this phenomenon when belonging to a minority population (Rose & Flores, 2020). As a result, high rates of infant mortality (10.2 deaths per 1,000 live births for the Non-Hispanic Black population compared to 4.1 in the White population) and cardiovascular related diseases (190.0 cases per 1,000 in the Non-Hispanic Black population compared to 161.3 in …

Covid-19 Pandemic Response In Brazil, Maria P. Ruiz

Ideas: Exhibit Catalog for the Honors College Visiting Scholars Series

In 2020, the world got struck by a pandemic no one was ready for. Due to the lack of preparation, the world was forced to go into quarantine while scientists tried to create a vaccine. Every country took the actions they thought would be best, however not all of them saw positive outcomes from those decisions. In this paper Brazil’s decision on how to tackle the pandemic is analyzed, specifically how they tried to go for herd immunity, and their outcomes will be compared to the outcomes of the United States, who followed mask and quarantine mandates from specialists.

Exploring Optimal Lockdown Policies During The Covid-19 Pandemic, Cameron Bundy

Symposium Of University Research and Creative Expression (SOURCE)

COVID-19 has impacted public and economic health worldwide. To bolster the economy and maintain human life, economic and epidemiological research is vital. Nations have implemented lockdowns intent on slowing the spread of the virus. This research examines how lockdown parameter adjustments can help control a nations fatalities. The study incorporated an SIRD disease model that is simulated over a 200 day period. The goal of the research is to take the SIRD model and use it to create a minimization function that analyzes dynamics that best produce minimal loss of GDP as well as low loss of life in a …

Anti-Vaxxers: Parents Fighting Science, Katie West

Symposium of Student Scholars

Immunizing children helps protect the health of our community, especially those people who cannot be immunized. Yet, since 1996 after a study was released that linked autism to vaccinations, there has been a trend of parents refusing to vaccinate their children. What are the demographics of the parents who believe their children are better off without vaccines? By knowing where these parents live and what decisions they make for their children’s education, counties and medical professionals can provide education and address their concerns.

My research involves data on 116,141 kindergarten classes from 2000-2015 in California. The two vaccine exemption options …

Global Impact Of Social Determinants On Access To Childhood Hearing Healthcare: A Scoping Review, Bahar Rafinejad-Farahani

Undergraduate Student Research Internships Conference

No abstract provided.

Network Modeling The Impact Of Community-Based Male-Screening On The Chlamydia Trachomatis Prevalence In Women, Zhuolin Qu

Biology and Medicine Through Mathematics Conference

No abstract provided.

Act To Save A Life: Evidence-Based Youth Suicide Prevention, Meghan Diamon

National Youth Advocacy and Resilience Conference

Youth suicide is a preventable tragedy that can occur when children's mental health needs are unmet. Participants will discuss published research on risk factors for youth suicide, how to implement an evidence-based prevention program, and how to tackle common obstacles encountered. Participants will be prepared to mobilize school staff, parents, and community members to address the critical issues of depression awareness and suicide prevention.

Greencap In The House: Resilience Tools To Unify The Black Community, Rick Held, Treasure Hightower, Stan Johnson, Ida Miles, John Floersh, Kaleeisha Huffine

Black Issues Conference

GreenCAP in the House: Resilience Tools to Unify the Black Community

This presentation describes how a small, scruffy youth development organization is leveraging its community outreach and engagement efforts around environmental literacy in the 'hood to build a coalition of inner city organizations aligned to identify and address a broad swath of community resilience issues.

Gambling-Related Harms: Developing Priorities For Harm Reduction Policy Setting, Judith Glynn Msc, Margo Hilbrecht Phd

International Conference on Gambling & Risk Taking

As jurisdictions worldwide have overseen gambling expansion, most have implemented regulatory and public policy regimes to reduce harm. This study was conducted to specify the nature and extent of gambling-related harm that public policy efforts could prevent or mitigate in Ontario, Canada.

Research has historically operationalized harm from gambling as cases of disordered gambling; and policy work has focused on the prevalence and treatment of these cases. Recent work to fully conceptualize and measure gambling-related harm in individual gamblers, their families, and communities (Blaszczynski et al, 2015, Browne et al., 2016, 2017; Langham et al., 2016,) dovetailed with the desire …

From Beshear To Bevin: The Rise And Fall Of The Aca In Kentucky, Ellen Baker

Annual Undergraduate Conference on Health and Society

No abstract provided.

Trying To Cover The Sun With Your Thumb: A Critical Ethnography Of Maternity Care Provision In Rural Northern New Mexico, Abigail Reese

Shared Knowledge Conference

Access to maternity care is disappearing for women across rural America. In New Mexico, women often travel long distances in order to access hospitals and providers that offer childbirth services, as these resources are primarily concentrated in metropolitan areas. Although data on provider distribution is available, very few studies have explored the maternity care access crisis from the perspectives of the midwives and physicians who work in rural areas. The purpose of this study was to explore barriers and facilitators to the provision of childbirth services from providers’ perspectives with the intent of informing policy debates around the maintenance of …

The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy

Shared Knowledge Conference

Based on a review of research and best practices in mental health awareness and skills, this inquiry project argues for state legislative policies that would require mental health awareness and skills in the K-12 curriculum. Mental health affects individual accomplishments in every stage of people’s lives beginning in early childhood and throughout the life cycle. Prevention and treatment of mental illness plays a key role in the ability of an individual to cope with loss and develop resiliency and perseverance in challenging times and to make better decisions that improve the individual’s life and the lives of those around them. …

The Pricing Impact Of The Decreasing Competitiveness Of The Health Insurance Market, Lauren N. Patterson

EURēCA: Exhibition of Undergraduate Research and Creative Achievement

The Affordable Care Act created the national insurance exchanges of qualified health plans to encourage a higher insured rate, larger risk pools, and lower prices for quality health coverage. Consolidation of insurers can have opposing effects. The insurers’ risk pools will grow, allowing insurers to better hedge for risk. However, consolidation decreases the prevalence of competition in the market, and past research shows that insurer consolidation decreases market competition and increases prices.

I examine how the number of plans offered in a set market, pricing components, and county health variables impact the monthly premium pricing of plans sold on the …

The Changing Composition And Capacity Of Medicare Providers, 2012-2015, Xinxin Han, Clese Elaine Erikson, Qian Luo

GW Research Days 2016 - 2020

Objective: Over the past decade, U.S. medical school enrollment has increased nearly 30 percent, and the growth in mid-level new graduates was even faster. Many of these new graduates are currently serving the large and growing Medicare population. Yet, little evidence so far has documented the workforce that are serving Medicare population. In the anticipation of physician supply shortages, it is important to understand who are taking care of Medicare population recently, and whether there are changes in the overall capacity and patient risk profiles of Medicare providers.

Methods: Data were from 2012-2015 Medicare Physician and Other Supplier Aggregate Tables …

(Video) Barriers To Implementing Advance Care Planning In The Healthcare Setting, Dona Occhipinti, Matias Attene Ramos

GW Research Days 2016 - 2020

Objectives: Current barriers to implementing Advanced Care Planning (ACP) will be examined as applied to the healthcare system.

Methods: A literature review was performed looking at the current practices of ACP (e.g. filling out advanced directives (AD), Medical Orders for Life Sustaining Treatment (MOLST)/ Physician Orders for Life Sustaining Treatment (POLST), etc.), physician comfort level with having end-of-life discussion (EOL), successful/unsuccessful interventions to increase ACP/EOL discussions among health care providers (HCP), and the current political environment with respect to physicians’ ability to implement ACP/EOL discussions. Cochrane, Pubmed, and Google Scholar were searched for papers written in English after …

Coverage For Obesity Prevention & Treatment Services: Analysis Of Medicaid & State Employee Health Insurance Programs, Nichole Jannah, Christine Gallagher, William Dietz

GW Research Days 2016 - 2020

BACKGROUND

Despite the high prevalence of obesity among U.S. adults, coverage for evidence-based obesity treatment modalities is inconsistent across states. The primary objective of this study was to examine changes in coverage for adult obesity prevention and treatment services within Medicaid programs and state employee health plans between 2009 and 2017.

METHODS

Changes in coverage were assessed by comparing data from plan year (PY) 2016/2017 to baseline data collected during PY 2009/2010. Data were obtained through an extensive review of administrative documents, health plan websites, provider manuals, subscriber handbooks, fee schedules, and drug formularies from Medicaid and state employee health …

Engaging Human Rights Norms To Realize Universal And Equitable Health Care In Massachusetts, April Jakubec, Mariah Mcgill, Gillian Macnaughton

Biennial Conference: The Social Practice of Human Rights

Massachusetts health care law served as the model in 2010 for the federal Patient Protection and Affordable Care Act (PPACA). In 2006, Massachusetts adopted sweeping health care reforms. The law sought to increase health care insurance coverage for residents of Massachusetts by:

(1) Mandating that all adults in the state have health care insurance unless an affordable option was not available;

(2) Expanding Medicaid;

(3) Creating a new program of subsidized private insurance for low- and moderate-income residents; and

(4) Establishing a transparent health care insurance market exchange.

Previous studies on the Massachusetts health care reforms of 2006 have analyzed …

High School Student Concussion Recovery Program: Teacher Involvement In Student Academic Transitions To Classroom And To Sports, Brittany Diego

Scholarly and Creative Works Conference (2015 - 2021)

Many symptoms of concussions can greatly interfere with the cognitive abilities and skills students use in school. Although students may have similar symptoms, they experience concussions differently. Students returning to the classroom from a concussion often have different needs and abilities.

Research shows that a formal, individualized protocol to treat suspected concussions, both academically and physically, is vital to the successful recovery of each student. Much research is available on concussions for professional athletes, specifically related to recovery and returning to their sport. However, there is little research about high school students regarding concussions. Concussion recovery programs for high school …