Health Policy Commons^™

“Listen Carefully:” A Study Of Ageist Stereotypes And Undergraduates’ Desire To Work With Elders, Genevieve Ilg

Annual Undergraduate Conference on Health and Society

“Listen Carefully:” A Study of Ageist Stereotypes and Undergraduates’ Desire to Work with Elders identifies and assesses how prior experience with elders and ageist stereotypes informs the degree to which undergraduates are inclined (or disinclined) to consider geriatrics as a potential career. Current literature indicates a lack of interest among social workers and other allied-health professionals in working with this demographic. Here, the “generation gap” not only pertains to the differences between younger people and their elders, but to the gap between the aging population’s increasing demand of need and how many individuals plan to serve the elderly. For this …

Combating The Stigmatization Of Leprosy: How The First Decade Of The Star’S Publication Made The Case For Romantic Relationships And The Preservation Of Domestic Life In The Carville Leprosarium, Gabriela Reed

Annual Undergraduate Conference on Health and Society

The stigmatization of leprosy has long been acknowledged as one of the primary obstacles to not only effectively treating leprous patients on a physical level, but also achieving their integration and acceptance into society. The Carville Leprosarium, founded as the Louisiana Leper Home in 1894, and the intense ostracism that it institutionalized, demonstrate one of the most influential expressions of this stigma. However, Carville residents were not passive in accepting their fate. The Star, a magazine founded by Stanley Stein and subsequently published in conjunction with his fellow residents, worked to combat such stigma. Building on the work of …

Terrains Of Terror And Modern Apparatuses Of Destruction: Organ Transplantation, Markets, And The Commoditized Kidney, Ayan Kassim

Annual Undergraduate Conference on Health and Society

Recent innovations in biomedicine and medical technologies within the last 40 years have altered understandings of the body and its parts; burgeoning global markets in organs is symptomatic of this. Although procurement policies by most nations solicit organs through donation only, lengthy wait lists have prompted the fiscally privileged sick to pursue other means of survival. In light of the current global realities of kidney trafficking in particular, this paper considers the following questions: How and why has the kidney become a commodity? In what historical moment did a kidney market emerge? What and who are the key actors in …

Ethical Issues In The Drug Approval Process, Meghan Mcinnis

Annual Undergraduate Conference on Health and Society

The Food and Drug Administration’s (FDA) drug approval process carries great significance for both pharmaceutical companies and for patients. In recent decades, there has been a shift towards expedited approval so that drugs, especially those for terminally ill patients, can be brought to market faster. However, the FDA still has the responsibility of protecting patients from harm. The case studies of two drugs, Vioxx and Avastin, highlight several of the ethical and practical issues of the drug approval process, including the nature of clinical trial research, the risk-benefit analysis of new treatments, the growth of Contract Research Organizations (CROs) and …

A Developing Say Against Aids, Joanna Rydzefski

Annual Undergraduate Conference on Health and Society

Lack of access to medicines is a hurdle for many countries, especially developing nations, in their fight against serious health problems. The World Trade Organization (WTO) has frequently been scrutinized regarding its impact on access to essential medicines after its Agreement on Trade-Related Aspects of Intellectual Property Rights (TRIPS) created a framework for the protection of physical and intellectual goods. The main goal of TRIPS is to promote scientific development through patents, but the repercussions of this monopoly over drug production sparked opposition from developing nations, specifically Brazil and South Africa (Dounis 2011, 3). This paper aims to explore how …

Vocalizing The Vindications Of Our Veterans: Evaluating The Needs Of Our Returning Soldiers, Alexandra Rawson

Annual Undergraduate Conference on Health and Society

The soldiers of the United States devote their lives, families, and careers in order to ensure our limitless opportunities of liberty and justice. It is therefore our duty, as grateful citizens of America to meet their needs upon return from war. This research evaluates the effects that Post-Traumatic Stress Disorder places on the returning soldiers. This study proposes that in order to support our veterans, there must be established policies that will accommodate for their mental health conditions as well as the required treatments that pertain to such diagnosis. In an effort to evaluate the necessary treatments and conditions needed …

High School And College Athletes Should Be Required To Undergo Pre-Participation Cardiac Screening Prior To Participation In Competitive Sports, Kathleen Harrington

Annual Undergraduate Conference on Health and Society

Sudden Cardiac Arrest (SCA) is the leading cause of death in young athletes. Most of these athletes are unaware they have a condition that puts them at risk. In addition it is estimated that approximately 1 in 220,000 young athletes experience Sudden Cardiac Death (SCD) each year, although, these numbers are not truly reliable because there is no national mandatory reporting system in the United States. My paper argues that all high school and college athletes should be required to undergo pre-participation cardiac screening (i.e. an ECG and extensive family health history) as a part of a required physical exam …

Sweet Freedom: Smokers’ Rights & The Rebranding Of Philip Morris, Amy Dipierro

Annual Undergraduate Conference on Health and Society

This paper discusses how Philip Morris invoked strong American values to defend its own corporate speech as well as “smoker’s rights.” In particular, it examines Philip Morris Company’s Bill of Rights advertising campaign of the early 1990s, especially focusing on an advertisement featuring Everett Alvarez, a prisoner of war during Vietnam. This strategy reveals how Philip Morris was able to manipulate the public conversation about smoking from one about health and disease to one about human rights and freedoms.

The Global Ability To Respond: Applying Sars Knowledge To H1n1 And Beyond, Meaghan Drees

Annual Undergraduate Conference on Health and Society

Influenza outbreaks may be alarming, but they are nothing new in the 21^st century. At this point, the various strains of influenza have broken into cities and homes, acted as silent killers by causing fear, death and destruction, and spreading uncontrollably. This repetitive cycle arouses the question of when people will learn how to take care of these epidemics. Well, according to Flahault and Zylberman, knowledge may not be the only factor necessary to stop influenza from disrupting lives. The authors reveal that “Influenza epidemics occur regularly and prediction of their conversion to pandemics and their impact is …

Polio Eradication: How The War On Terror Has Led To The Persistence Of Polio In Afghanistan, Pakistan, And Nigeria, John Michel Rouhana

Annual Undergraduate Conference on Health and Society

In 1988, the World Health Organization (WHO) initiated a campaign to eradicate the polio virus from the world population (Bari 2006). Since 1988, the WHO has used polio vaccines to successfully interrupt transmission of the disease to new individuals in all but three countries: Afghanistan, Pakistan, and Nigeria (WHO 2012). This paper examines how The War on Terror, stated by President George W. Bush to be a war against every terrorist group of global reach and the governments that support these groups, has led the populations of Afghanistan, Pakistan, and Nigeria, as well as vaccinators and health officials in these …

The Individual Mandate: The Ultimate Conservative Idea, Erin Ellwanger

Annual Undergraduate Conference on Health and Society

The individual mandate is perhaps the most contested and least popular provision of the 2010 Affordable Care Act (ACA). The mandate, which requires most Americans to obtain health insurance or pay a penalty, was put in the ACA as a means to increase the number of Americans with access to health care insurance. A poll taken by Gallup in February 2012 revealed that 72% of Americans view the individual mandate as unconstitutional (Gallup poll, 2012). This extreme opposition towards the mandate intrigued me and I was interested in learning where this negativity was stemming from and why it seemed to …

The Effects Of Pre-Existing Illnesses On Pediatric Acute Respiratory Infections In South Africa, Haley Dumke

Annual Undergraduate Conference on Health and Society

The intent of this study was to explore the effect of pre-existing illnesses on acute respiratory infections, focusing on HIV and malnutrition as infection development risk factors in South African children. It investigates the economic burden imposed by these infections and analyzes how the country’s current socio-economic situation plays a major part in propagating infection development. Pneumonia and RSV were individually examined for their current role in the disease burden and potential methods for reducing incidence of pediatric respiratory infections were evaluated based on effectiveness and affordability for the country of South Africa. Data for this paper was compiled mainly …

The Danger Of Duality: Medicare And Medicaid As A Double Threat, Erica Barnum

Annual Undergraduate Conference on Health and Society

My paper discusses the topic of dual eligible beneficiaries – a group of some nine million individuals that has rightly earned a reputation for being the most costly, frail, sickly, and vulnerable population. Individuals are considered “dual eligible” when they qualify for the benefits of both government programs of Medicare and Medicaid. The main problem within the dual eligible arena is the lack of coordination between these two programs – the federal government wholly funds Medicare but Medicaid is a joint federal-state program that varies from state to state. Because these programs were not designed to work together and sometimes …

Assessing The Effectiveness Of A Clinic-Based Diabetes Management Program In A Community Setting, Justin Lupone

Annual Undergraduate Conference on Health and Society

Diabetes in the United States occurs in approximately 8% of adults.[i] Diabetes, if not treated, can lead to many health problems such as blindness or loss of physical functioning, sometimes leading to amputation. However, Type 2 diabetes can be cured or kept under control through effective diabetes management. Many Type 2 diabetes patients let their diabetes become out of control through at risk behaviors, such as smoking, and poor diet, which in turn can lead to a worsening of their condition. With effective disease management, patients can avoid more severe effects of the disease and have higher quality of …

The Birth Control Cascade: How The Policies Affect Access, And Access Affects Outcome, Meghan Nestor

Annual Undergraduate Conference on Health and Society

With the passing of Affordable Care Act (ACA) in August 2012, oral contraception has become free for all women with a prescription. Unfortunately, many women in the United States are without health insurance making it difficult to benefit from the new law. Many states’ intended restrictions on the ACA make it difficult for women to access birth control. Birth control methods, which are now considered part of standard preventative health care, give women the ability to make their own decisions about family planning. Increased access to birth control can also change many of the grim statistics related to rates of …

Aids: An Overview, Loretta Mclaughlin

New England Journal of Public Policy

"We stand nakedly in front of a very serious pandemic, as mortal as any pandemic there ever has been," said Halfdan Mahler, director-general of the World Health Organization (WHO). "I don't know of any greater killer than AIDS, not to speak of its psychological, social and economic maiming. Everything is getting worse and worse with AIDS and all of us have been underestimating it, and I in particular. We're running scared. I cannot imagine a worse health problem in this century." When asked to compare AIDS to other epidemics, such as smallpox, that have infected and killed over the course …

Examining Mainecare’S Coverage Options Under The Affordable Care Act, Erika C. Ziller Phd, Trish Riley

Population Health & Health Policy

The Affordable Care Act (ACA) was designed to achieve nearly universal access to health coverage in the United States—in part by standardizing Medicaid eligibility across the country so that each state’s program would cover individuals with incomes below 138% of the federal poverty level (FPL), or $15,856 for an individual and $32,499 for a family of four in 2013 (see Figure 1).i However, in June 2012, the U.S. Supreme Court determined that states could not be required to broaden Medicaid and retained the decision as a state option. States that choose to participate may do so by amending their state …

Community Health Centers In An Era Of Health Reform: An Overview And Key Challenges To Health Center Growth, Susan F. Wood, Debora Goetz Goldberg, Brian K. Bruen, Kay Johnson, Holly Mead, Peter Shin, Tishra Beeson, Julie Lewis, Shavon Artis, Katherine J. Hayes, Merle Cunningham, Xiaoxiao Lu, Trent White, Sara Rosenbaum

Health Policy and Management Faculty Publications

No abstract provided.

Health Centers And Family Planning: Results Of A Nationwide Study, Susan Wood, Debora Goetz Goldberg, Tishra Beeson, Brian K. Bruen, Kay Johnson, Holly Mead, Peter Shin, Julie Lewis, Shavon Artis, Katherine Hayes, Merle Cunningham, Xiaoxiao Lu, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

Community health centers (CHCs) provided primary health care to over 20 million patients in 2011, 60% of whom are women and 25% of whom are women of childbearing age. Health centers play a central role in women's health, because of their mission to furnish a full range of primary and preventive care services, including family planning and birth control for women of reproductive age. As a result of the Affordable Care Act, which provide for historic insurance expansions, broad first-dollar coverage of family planning services, and direct investment in CHCs, it is projected that health center capacity will virtually double …

Building The Science Of Public Health Delivery: Advances In Public Health Services And Systems Research, Glen P. Mays

Health Management and Policy Presentations

Efforts to improve the health and economic performance of the U.S. health system require evidence about how best to deliver public health strategies that protect health and prevent disease and injury on a population-wide basis. The field of public health services and systems research is building a "science of delivery" in public health that complements the evidence-based practice movement in medical care.

From The Frontier: Translating Research To Practice...A Story Of Economic Survival, Paul C. Erwin

Frontiers in Public Health Services and Systems Research

This article is number two in the series From the Frontier: Translating Research to Practice. The narrative describes the interactions between a local health department director and two academicians in addressing the impact of the 2008 financial crisis. In a first set of activities, practice-academic partners used Financial and Operational Ratio and Trend Analysis to identify periods of a negative total margin and the impact of that on the agency’s declining fund balance. The use of private sector processes of retrenchment, repositioning, and reorganization led to a financial turnaround for the agency. In a second set of activities, practice-academic …

Assessing The Potential Impact Of Sequestration On Community Health Centers, Patients, And Medically Underserved Communities, Peter Shin, Jessica Sharac, Carmen Alvarez, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

A new report by the Peter Shin, Jessica Sharac, Carmen Alvarez, and Sara Rosenbaum examines the potential impact of sequestration on community health centers and their patients and communities. "Assessing the Potential Impact of Sequestration on Community Health Centers, Patients, and Medically Underserved Communities" estimates that the nation's 1,200 federally funded health centers will lose $120 million in grant funding, and that this funding drop can be expected to translate into 900,000 fewer patients served and 3 million fewer visits. The analysis shows that the cuts will disproportionately impact the poorest Americans, children, young families, and members of ethnic and …

Poor Immigrants Use Public Benefits At A Lower Rate Than Poor Native-Born Citizens, Leighton Ku, Brian K. Bruen

Health Policy and Management Faculty Publications

No abstract provided.

Community Health Centers In An Era Of Health Reform: An Overview And Key Challenges To Health Center Growth, Peter Shin, Jessica Sharac, Carmen Alvarez, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Today, over 1,100 federally funded community health centers play a vital role in ensuring access to health care for a predominantly low-income population in medically underserved communities. Health centers’ ability to provide comprehensive primary care and improve access to high-quality care while holding down health care cost growth has been well-documented. As health reform spurs coverage expansion and efforts to improve quality, the nation’s reliance on health centers is likely to grow.

In the Affordable Care Act (ACA), Congress invested $11 billion over five years to expand the health center program, to broaden access to care in lower-income communities as …

Embedding Concepts Of Sex And Gender Health Differences Into Medical Curricula, Virginia M. Miller, Morrisa Rice, Londa Schiebinger, Marjorie R. Jenkins, Janice Werbinski, Ana Nunez, Susan Wood, Lynne T. Shuster

Health Policy and Management Faculty Publications

Sex, a biological variable, and gender, a cultural variable, define the individual and affect all aspects of disease prevention, development, diagnosis, progression, and treatment. Sex and gender are essential elements of individualized medicine. However, medical education rarely considers such topics beyond the physiology of reproduction. To reduce health care disparities and to provide optimal, cost-effective medical care for individuals, concepts of sex and gender health need to become embedded into education and training of health professionals. In September 2012, Mayo Clinic hosted a 2-day workshop bringing together leading experts from 13 U.S. schools of medicine and schools of public health, …

Community Health Centers In An Era Of Health Reform: An Overview And Key Challenges To Health Center Growth, Peter Shin, Jessica Sharac, Carmen Alvarez, Sara J. Rosenbaum, Julia Paradise

Health Policy and Management Faculty Publications

Over 1,100 federally funded community health centers play a vital role in ensuring access to health care for a predominantly low-income population in medically underserved communities. Health centers’ ability to provide comprehensive primary care and improve access to high-quality care while holding down health care cost growth has been well-documented. As health reform spurs coverage expansion and efforts to improve quality, the nation’s reliance on health centers is likely to grow.

In the Affordable Care Act (ACA), Congress invested $11 billion over five years to expand the health center program, to broaden access to care in lower-income communities as coverage …

Providing Long Term Services & Supports To People With Impaired Decision-Making Capacity: Results Of Data Analysis And Interviews Examining Needs And Characteristics Of Persons With Impaired Decision-Making Capacity In Maine, Eileen Griffin Jd, Louise Olsen, Julie T. Fralich Mba

Disability & Aging

This document:

• Reviews the prevalence of impaired decision-making capacity among adults and older adults receiving publicly funded home care services and supports in Maine, the characteristics of this population group, and the caregivers caring for persons with impaired decision-making capacity.
• Reports on interviews with providers describing their ideas for helping people with impaired decisionmaking capacity live in the community longer.
• Reviews the legal status of persons receiving long term services and supports in Maine, including the presence of a guardian or a Power of Attorney, among those with impaired decision-making capacity across settings.
• Reports on interviews with providers, describing kinds …

Health Inequalities And The Welfare State In European Families, Simone Sarti, Marco Alberio, Marco Terraneo

The Journal of Sociology & Social Welfare

Using EU-Silc data from 2005, our aim in this article is to estimate how self-assessed health and the gradient between education and health vary among individuals in different European countries, considering their contextual socioeconomic vulnerability. In order to do this, we use a hierarchical model with individuals nested in households at the second level, and in various European countries at the third level. Our main research interest is on the modelling variables associated with better health conditions and their improvement or worsening according not only to micro/ individual and macro/national levels but also to the household: a level on which …

Federal Health Care Reform: An Overview, Andrew F. Coburn Phd

Population Health & Health Policy

This policy brief discusses three of the main components of the Patient Protection and Affordable Care Act (ACA), also known as "Obamacare". These components are helath insurance coverage, delivery system improvement, and cost containment. The policy brief highlights some of the provision of the law that have already been implemented and those where importnat implementation decisions will have to be made. The brief is authored by Dr. Andrew Coburn, PhD, Professor of Public Health and Director of the Population Health and Health Policy program at the USM Muskie School, and was presented at the Maine Policy Leaders Academy Health Care …

Evidence-Based Decision Making To Improve Public Health Practice, Ross C. Brownson, Jonathan E. Fielding, Christopher M. Maylahn

Frontiers in Public Health Services and Systems Research

Despite the many accomplishments of public health, greater attention on evidence-based approaches is warranted. This article reviews the concepts of evidence-based public health (EBPH), on which formal discourse originated about 15 years ago. Key components of EBPH include: making decisions based on the best available scientific evidence, using data and information systems systematically, applying program planning frameworks, engaging the community in decision making, conducting sound evaluation, and disseminating what is learned. Core competencies for EBPH are emerging, including not only technical skills but also attention to administrative practices in public health agencies. To better bridge evidence and practice, the concepts …