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2005

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Articles 31 - 49 of 49

Full-Text Articles in Health Policy

Scope Of Services Offered By Critical Access Hospitals: Results Of The 2004 National Cah Survey, David Hartley Phd, Mha, Stephenie L. Loux Ms Mar 2005

Scope Of Services Offered By Critical Access Hospitals: Results Of The 2004 National Cah Survey, David Hartley Phd, Mha, Stephenie L. Loux Ms

Rural Hospitals (Flex Program)

No abstract provided.


Smoke-Free Laws And Indoor Air Pollution In Lexington And Louisville, Ellen J. Hahn, Kiyoung Lee, Chizimuzo T.C. Okoli, Adewale Troutman, Robert W. Powell Mar 2005

Smoke-Free Laws And Indoor Air Pollution In Lexington And Louisville, Ellen J. Hahn, Kiyoung Lee, Chizimuzo T.C. Okoli, Adewale Troutman, Robert W. Powell

Nursing Faculty Publications

No abstract provided.


Access Choice And Control: A Comparative Analysis Of Maine's Personal Assistance Services Programs, Eileen Griffin Jd Feb 2005

Access Choice And Control: A Comparative Analysis Of Maine's Personal Assistance Services Programs, Eileen Griffin Jd

Disability & Aging

The purpose of this analysis was to identify opportunities for eliminating unnecessary inconsistency and increasing consumer choice and control across Maine's personal assistance services (PAS) programs. Thirteen recommendations were made based on the findings which indicated that Maine PAS programs vary in the level of support they offer but the difference in support cannot necessarily be explained by differences in the level of need. Additionally, Maine PAS programs have been and are currently working toward increasing opportunities for expanding consumer choice and control over services.


Perfecting Patient Flow: America's Safety Net Hospitals And Emergency Department Crowding, Marcia J. Wilson, Bruce Siegel, Mike Williams Jan 2005

Perfecting Patient Flow: America's Safety Net Hospitals And Emergency Department Crowding, Marcia J. Wilson, Bruce Siegel, Mike Williams

Health Policy and Management Faculty Publications

Emergency department crowding and delays have become major issues for America's safety net hospitals and health systems. Many facilities are experiencing increasing wait times, a need to "board" admitted patients in emergency department (ED) hallways, and rising numbers of hours spent on "diversion" or "bypass." These trends result from increased patient demand at a time when the number of emergency departments has declined and hospital inpatient capacity has lagged. Other factors also may contribute to the crisis. Patients without access to medical specialists may view the ED as the quickest route to specialized services. Overburdened physicians may be more likely …


Assessing Legal Implications Of Using Health Data To Improve Health Care Quality And Eliminate Health Care Disparities, Sara J. Rosenbaum, Michael W. Painter Jan 2005

Assessing Legal Implications Of Using Health Data To Improve Health Care Quality And Eliminate Health Care Disparities, Sara J. Rosenbaum, Michael W. Painter

Health Policy and Management Faculty Publications

Information is — and always has been — essential to virtually all aspects of health care. Clinical treatment as well as coverage, payment, care quality, and certainly one's own personal health care decisions all depend profoundly on robust, accurate, appropriate, timely, private and secure information. Further, the ability to conduct largescale health services research is inextricably linked to information, as is the ability to measure population health and conduct surveillance of public health risks.


Managed Mental Health Care: Findings From The Literature, 1990–2005, D. Richard Mauery, Lissette Vaquerano, Rachel Sethi, Joanne Jee, Lisa Chimento Jan 2005

Managed Mental Health Care: Findings From The Literature, 1990–2005, D. Richard Mauery, Lissette Vaquerano, Rachel Sethi, Joanne Jee, Lisa Chimento

Health Policy and Management Faculty Publications

No abstract provided.


Public Policy In Connecticut: Challenges And Perspectives, Gary L. Rose Ed. Jan 2005

Public Policy In Connecticut: Challenges And Perspectives, Gary L. Rose Ed.

Sacred Heart University Press Books

Public Policy in Connecticut examines ten of the key policy challenges that currently confront Connecticut lawmakers. Following an overview essay by the editor, discussing the recent transfer of power to state governments and outlining the policy challenges faced by lawmakers, each of these challenges is taken up in a separate essay by the volume's contributors. The first challenges considered, associated with economic growth, transportation, environmental protection, ethnic diversity, and ethics in politics, affect the Connecticut public at large. The remaining issues discussed are health care, services for the aged, prison overcrowding and recidivism, inner-city education, and higher education affect more …


Mainecare And Its Role In Maine’S Healthcare System, Paul Saucier Jan 2005

Mainecare And Its Role In Maine’S Healthcare System, Paul Saucier

Disability & Aging

No abstract provided.


The Epidemiology Of U.S. Immunization Law: Immunization Requirements For Staff And Residents Of Long-Term Care Facilities Under State Laws/Regulations, Alexandra M. Stewart, Marisa A. Cox, Sara J. Rosenbaum Jan 2005

The Epidemiology Of U.S. Immunization Law: Immunization Requirements For Staff And Residents Of Long-Term Care Facilities Under State Laws/Regulations, Alexandra M. Stewart, Marisa A. Cox, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

Medically appropriate, timely immunizations are an important component of the medical plans for approximately 1.6 million individuals who reside in the nation's long-term care (LTC) facilities. Increasing the immunization rates among these persons is a recognized public health goal. LTC facility residents are often members of high risk groups and are more susceptible to infectious diseases. The elderly, many of whom reside in LTC facilities, comprise 90% of the 36,000 annual deaths from influenza. Immunizations are equally important for employees of LTC facilities. Immunizations not only improve the individual's health status, but staff who have direct contact with residents represent …


Reducing The Transmission Of Hiv And Sexually Transmitted Infections In A Mining Community: Findings From The Carletonville Mothusimpilo Intervention Project: 1998 To 2001, Lewis Ndhlovu, Catherine Searle, Johannes Van Dam, Yodwa Mzaidume, Bareng Rasego, Solly Moema Jan 2005

Reducing The Transmission Of Hiv And Sexually Transmitted Infections In A Mining Community: Findings From The Carletonville Mothusimpilo Intervention Project: 1998 To 2001, Lewis Ndhlovu, Catherine Searle, Johannes Van Dam, Yodwa Mzaidume, Bareng Rasego, Solly Moema

HIV and AIDS

The Horizons program, in collaboration with the Center for Scientific and Industrial Research, the South African Institute for Medical Research, and the London School of Economics, conducted an intervention study in the mining town of Carletonville, South Africa to examine the social determinants of the HIV epidemic, and to assess the impact of a targeted program of HIV and STI prevention and service delivery. The project did not reduce STI prevalence or HIV prevalence, as changing sexual behavior is far more complex than educating individuals about HIV. The report recommends interventions to support behavioral change education, STI treatment, the role …


Programming For Hiv Prevention In South African Schools: A Report On Program Implementation, Priscilla Reddy, Shegs James, Ann P. Mccauley Jan 2005

Programming For Hiv Prevention In South African Schools: A Report On Program Implementation, Priscilla Reddy, Shegs James, Ann P. Mccauley

HIV and AIDS

An evaluation study conducted in KwaZulu Natal, South Africa, provides important insights into whether learners who participated in a fact-based, interactive course had more knowledge about HIV risks, prevention, and care practices; more positive attitudes toward prevention practices and people living with HIV and AIDS; and a higher prevalence of reported safe behaviors than comparable learners who did not participate in the course. Results show that the Life Skills Grade 9 Curriculum had a positive impact of students’ knowledge of HIV/AIDS, attitudes about abstinence, and intention to use condoms. There was, however, no evidence of increased adoption of such protective …


Against “Individual Risk”: A Sympathetic Critique Of Risk Assessment, Matthew D. Adler Jan 2005

Against “Individual Risk”: A Sympathetic Critique Of Risk Assessment, Matthew D. Adler

Faculty Scholarship

No abstract provided.


Understanding The Hiv/Sti Risks And Prevention Needs Of Men Who Have Sex With Men In Nairobi, Kenya, Washington Onyango-Ouma, Harriet Birungi, Scott Geibel Jan 2005

Understanding The Hiv/Sti Risks And Prevention Needs Of Men Who Have Sex With Men In Nairobi, Kenya, Washington Onyango-Ouma, Harriet Birungi, Scott Geibel

HIV and AIDS

Despite increasing awareness of the role men who have sex with men (MSM) can play in the dynamics of HIV transmission in Africa, research on MSM in Kenya has been limited. In response to this gap, researchers from the Institute of African Studies at the University of Nairobi and the Horizons and FRONTIERS programs of the Population Council undertook a study of MSM in Nairobi. The overall goals of the study were to understand the extent to which MSM are at risk of HIV and other STIs, identify the factors associated with risk behaviors, and identify MSM sexual health needs …


Health As Foreign Policy: Between Principle And Power, David P. Fidler Jan 2005

Health As Foreign Policy: Between Principle And Power, David P. Fidler

Articles by Maurer Faculty

No abstract provided.


The Effect Of Community Nurses And Health Volunteers On Child Mortality: The Navrongo Community Health And Family Planning Project, Brian Wells Pence, Philomena Nyarko, James F. Phillips, Cornelius Debpuur Jan 2005

The Effect Of Community Nurses And Health Volunteers On Child Mortality: The Navrongo Community Health And Family Planning Project, Brian Wells Pence, Philomena Nyarko, James F. Phillips, Cornelius Debpuur

Poverty, Gender, and Youth

This report presents the child mortality impact of a trial of primary health-care service-delivery strategies in rural Ghana. After adjustment for sociodemographic factors, under-five mortality in areas with village-based community-nurse services fell by 16 percent during the five years of program implementation compared with mortality before the intervention. Reductions were observed in infant (6 percent), early child (20 percent), and late child (41 percent) mortality. Community involvement and training of a local health volunteer were associated with an 11 percent increase in mortality, primarily driven by a 124 percent increase in early child mortality. Areas with both nurses and volunteers …


The Challenge Of An Aging Population, Nicole Cauvin, Elaine B. Davis Jan 2005

The Challenge Of An Aging Population, Nicole Cauvin, Elaine B. Davis

Sociology Faculty Publications

In chapter seven of Public Policy in Connecticut, Nicole X. Cauvin and Elaine B. Davis discuss the policy challenges associated with an aging or "graying" state population. Demographic data clearly demonstrate that Connecticut's population, similar to the population of other states, is becoming older. The authors propose innovative public policies designed to accommodate the long-term health care and social service needs of the state's elderly.


Spending Health Care Dollars Wisely: Can Cost-Effectiveness Analysis Help?, Milton C. Weinstein Jan 2005

Spending Health Care Dollars Wisely: Can Cost-Effectiveness Analysis Help?, Milton C. Weinstein

Center for Policy Research

Are we getting the most health improvement possible for our money. In other words, are all the things that we do in medicine really worth it? That is where cost-effectiveness comes in. As a nation, we have been unwilling, at least publicly, to look explicitly at the value, in terms of improved health outcome, that we get for our health care dollars. With advances in medical technology putting unsustainable pressure on health care costs, our historical reluctance to measure value for health care may have to change. I start this brief by describing cost-effectiveness analysis as a method of determining …


The Challenge Of Health Care Delivery In Connecticut, Joanne M. Bortone, Michael Emery, Patricia W. Walker Jan 2005

The Challenge Of Health Care Delivery In Connecticut, Joanne M. Bortone, Michael Emery, Patricia W. Walker

Occupational Therapy Faculty Publications

The challenge of health care is explored by Jody Bortone, Michael J. Emery, and Patricia W. Walker in chapter six of Public Policy in Connecticut. They focus particularly on the shortage of health care professionals in the Connecticut workforce, the increasing difficulty Connecticut residents face with respect to accessing and receiving appropriate health care services, and the rising costs associated with the many dimensions of health care. The authors conclude their essay with a very specific set of remedial measures designed to resolve the disturbing trends in the state's health care system.


Obesity And The Struggle Within Ourselves, Maxwell Gregg Bloche Jan 2005

Obesity And The Struggle Within Ourselves, Maxwell Gregg Bloche

Georgetown Law Faculty Publications and Other Works

The author argues that we ought to treat our eating, exercise habits, and girth as personal matters, for the most part, but that law can and should make a contribution, as an ally of our longer-term will against our immediate cravings. Law can be our ally in this fashion without command-and-control intrusion into our private lives. Such intrusion is at odds with our core beliefs and unlikely to produce public health success. It is more likely to provoke popular backlash--one reason why some who stand to gain from our unhealthy dining choices try to cast government efforts to inform these …