Health Policy Commons^™

Healers And Researchers: Towards A More Balanced Relationship, Gracie Tewkesbury

Independent Study Project (ISP) Collection

In my seminar paper, I discussed the benefits for both parties of collaboration between traditional healers and modern scientific researchers. If research is done on the medicinal effects of plants, these cures can be used more safely and effectively by members of the community. This relationship is greatly beneficial in theory, but the reality is less than ideal. Researchers, especially foreign ones, depreciate and exploit the knowledge of healers, and as a result, healers are often distrustful and unwilling to collaborate. The relationship between healers and researchers potentially holds the cures to countless diseases and can contribute directly to greater …

Medicaid And Access To Health Care--A Proposal For Continued Inaction?, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

No abstract provided.

Influenza Vaccination Of The Healthcare Workforce: Developing A Model State Law, Alexandra M. Stewart, Marisa A Cox

Health Policy and Management Faculty Publications

No abstract provided.

Addressing The Challenges Of Reporting On Childhood Asthma In A Changing Health Care System: Building Better Evidence For High Performance, Meagan Lyon, Anne Rossier Markus, Maya Tuchman Gerstein, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Childhood asthma is a serious and costly chronic disease that burdens children and families as well as the health care systems that serve them. A key element to improving asthma outcomes is access to timely and useful data that can improve the quality of care and inform programs and policies to best serve those communities most burdened by asthma. This Policy Brief examines the nation’s data collection framework for childhood asthma and considers steps that might be taken to strengthen it, including the development, collection and refinement of community-level data to inform local health care systems. Through a review of …

Post-Hmo Health Care: Are Acos The Answer?, Zachary F. Meisel, Jesse M. Pines

Health Policy and Management Informal Communications

"Remember the 1990s" retrospective lists always include Nirvana, Monica Lewinsky and Wayne's World, but leave out another major product that defined American life in the '90s: the health maintenance organization, or HMO — that nefarious health-insurance plan that seemed expressly designed to prevent you from seeing the doctor of your choice or receiving the treatments recommended by doctors, all under the guise of lowering costs and "improving" medical care. Of course HMOs are still around, but they are no longer central to the national discussion on health care. Why? For the most part, HMOs have eased limits on patient choice …

An Overview Of The Administration's Aco Policy: Opportunities And Challenges, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

For nearly a century, proponents of health reform have advocated for greater clinical integration to improve quality, promote efficiencies, and control costs. A seminal 1932 report issued by the Committee on the Costs of Medical Care called for the provision of care through group practice arrangements as part of a broader set of recommendations that included universal coverage, extension of public health services to the entire population, and a major investment in health professions education. Resistance to its findings was a key factor in convincing the Roosevelt Administration to abandon national health insurance in the original Social Security Act.

Health Conditions And Health-Policy Innovations In Brazil: The Way Forward, Cesar G. Victoria, Mauricio L. Barreto, Maria Do Carmo, Carlos A. Monteiro, Maria Ines Schmidt, Jairnilson Paim, Francisco I. Bastos, Celia Almeida, Ligia Bahia, Claudia Travassos, Michael Reichenheim, Fernando C. Barros

Aboriginal Policy Research Consortium International (APRCi)

No abstract provided.

The Politics Of Health Outcomes And Income Inequality: A Time Series Cross-Sectional Analysis Of County-Level Mortality Rates In The United States, Timothy H. Callaghan

Honors Scholar Theses

: Health inequalities are pervasive in the United States today. Despite social epidemiologists frequently citing political and economic factors for this variance, political science has largely ignored these issues. Given this gap in the literature and the importance of the issue, more research is clearly needed to better understand the political and economic causes and implications of these health disparities. This study analyzes the topic in depth, examining how income inequality, which is believed to be a key factor in explaining health inequalities, is related to mortality rates at the county level. Examining aggregate data from all US counties from …

The Detroit Food System Report 2009-2010, Kameshwari Pothukuchi

Urban Studies and Planning Faculty Research Publications

Assesses the state of the city’s food system, including activities in production, distribution, consumption, waste generation and composting, nutrition and food assistance program participation and innovative food system programs.

Finger Lickin’ Good: An Analytical Investigation Into The Urban Diet, Jennifer T.R. Tomlinson

Master of Liberal Studies Theses

In this analysis, the origins, customs and implications of fast-food culture will be explored with important focus on the customs of fast-food urban eating. Research indicates that lower-income urban areas are more likely to consume fast-food. The high consumption of fast-food subsequently results in the development of social and economical implications, which include health implications, economic dilemmas, a disconnection between consumers and their consumption and issues of social classification. This analysis also explores the customs of fast-food culture of Pine Hills, Florida with added emphasis on Pine Hills’ cultural uniqueness.

Parks And Obesity In Rural And Urban Nebraska, Michaela S. Wolf

Department of Environmental Studies: Undergraduate Student Theses

In order to better understand the role community design plays in obesity rates, this project studies a potential relationship between distance of parks from homes and obesity rates in four Nebraska counties. Park use may contribute to important health benefits, such as reducing risk of obesity by increasing physical activity levels. There are limitations to park use, such as crime rates and facility upkeep that are important to understand so that they might be managed and communities can reap greater benefits from their parks, including better fitness. This study examines park distance from homes as a potential limiting factor to …

The Promise And Potential Of Federal Incentives For Electronic Health Records, Brian K. Bruen, Leighton C. Ku, Matthew Burke, Melinda Buntin

Health Policy and Management Faculty Posters and Presentations

No abstract provided.

The View From New Hampshire: The Imperative Of Linking Health Care Reform To Economic And Job Growth, Maggie Wood Hassan

Health Policy and Management Faculty Posters and Presentations

No abstract provided.

Program Keluarga Harapan Dan Pemanfaatan Pelayanan Kesehatan Preventif, Budi Hidayat, Hendratno Tuhiman, Rudy Prawiradinata, Pungky Sumadi

Kesmas

Program keluarga harapan (PKH) yang berbasis bantuan tunai bersyarat (conditional cash transfers, CCT) di bidang pendidikan dan kesehatan telah diluncurkan Pemerintah Indonesia sejak Juli 2007 di 348 kecamatan dari 48 kabupaten/kota di 7 provinsi, namun dampaknya dalam mengurangi angka kemiskinan dan meningkatkan kualitas sumber daya manusia warga miskin belum pernah dievaluasi. Studi ini mengevaluasi dampak awal PKH terhadap penggunaan layanan kesehatan preventif. Evaluasi ini menggunakan rancangan eksperimen, intervensi program PKH berbasis rumah tangga dengan pengukuran sebelum dan sesudah intervensi pada kelompok perlakuan dan kontrol yang sebelumnya dipilih acak pada tingkat kecamatan. Data diperoleh dari survei dasar CCT tahun 2007 dan …

Accountability And Social Mission: New Winds In Health Professions Education, Fitzhugh Mullan

Health Policy and Management Faculty Posters and Presentations

No abstract provided.

Measuring Primary Care: Theory, Policy, And Practice, Barbara Starfield

Health Policy and Management Faculty Posters and Presentations

No abstract provided.

The Right Care At The Right Time By The Right Professional, Mary Jean Schumann

Health Policy and Management Faculty Posters and Presentations

No abstract provided.

Medicare's Accountable Care Organization Regulations: How Will Medicare Beneficiaries Who Reside In Medically Underserved Communities Fare?, Sara J. Rosenbaum, Peter Shin

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

On March 31, 2011, the Centers for Medicare and Medicaid Services (CMS) released proposed regulations implementing the Medicare Shared Savings Program (MSSP). The thrust of the MSSP is to promote savings to Medicare as well as the greater clinical integration of health care through incentive payments to accountable care organizations (ACOs) that meet Medicare standards for structure, performance, and health care outcomes. The effort to spur greater clinical integration through the MSSP was part of a broader set of reforms contained in the Affordable Care Act (ACA) whose aim was to improve health care quality and efficiency. Among these reforms …

Exploring Student Perceptions To Explain The Relationship Between Physical Activity And Academic Achievement In Adolescents: A Mixed Methods Study, Megan J. Hylok

College of Education and Human Sciences: Dissertations, Theses, and Student Research

A nationwide survey conducted by the Center for Disease Control in 2007 reported 65% of high school students did not meet the recommendation that youth participate in at least 60 minutes of physical activity most days of the week (CDC, 2008). While research has focused its attention primarily on bodily health, growing evidence supports the benefits of physical activity on brain health (Ratey & Hagerman, 2008). Physical activity is important and many adolescents are not meeting the recommendation, therefore, it is important to explore the adolescent perceptions to understand which factors influence physical activity participation. The significance of this study …

Aids/Hiv Denialism: Patients’ Privacy Rights, Fadia Abdullah, Guadalupe Medrano

Festival of Communities: UG Symposium (Posters)

HIV is a sexually transmitted disease that develops into AIDS. There is no cure for it, only treatment. In this poster, we look at the pros and cons of disclosing this type of information. People who decide to disclose their HIV status may have various reasons for doing so, but most do it for emotional support and for prevention of spreading the disease. Those who decide to keep it private primarily do it to not face rejection, discrimination, degradation, and loss of respect. (Petronio Page 72) The problem with creating a public database is that many organizations are against the …

Placebos: Ethical Research Or Unethical Deceit, Tawnya Schirmeister, Sabrina Crilley

Festival of Communities: UG Symposium (Posters)

There is an ongoing debate between whether or not it is ethical for researchers to use placebos while studying terminal illnesses. Within this debate there are two parties, the party that believes that it is ethical and the party that believes that it is not. Both parties have many valid points and have very detailed arguments against one another. When determining whether or not the use of placebos is ethical or not, you must first understand what a placebo is, and what the different types are. This paper goes over what a placebo is, what the different types are, and …

Using Placebos In Research Involving Terminal Illnesses, Mark Day, Ryan Hicks

Festival of Communities: UG Symposium (Posters)

Placebos are medical interventions that falsely lead patients to believe that they are receiving treatment and that their condition is being changed, when truly no specific treatment is being administered. Using placebos in research involving terminal illnesses has become debatable. While a placebo could potentially give way to new treatments, through testing alongside a specific drug in a clinical trial, the placebo itself may fail and the patient is not cured leading to possible fatality. It has been found that using placebos in research, like performing surgeries, can aid in medical or clinical research and could help our society financially …

Aids Denialism, Erika Jenel Delos Santos, Roy Llana, Jocelyn Tan

Festival of Communities: UG Symposium (Posters)

AIDS denialism is a growing issue in many parts the world. Through scholarly journal articles, book resources and other research tactics, further understanding how HIV/AIDS denialism is unethical can be distinguished. Discovering that AIDS is most prominent in South Africa explains why denialism is as critical as it is. However, the unethical aspect of AIDS denialism is in effect particularly amongst families. When a South African inhabitant realizes they have AIDS, they feel outcasted by their families due to shame. They fear as though they will be disowned because they have flaws that are unacceptable. These family values are significant …

Vaccines Controversy, Jackelin Ruiz, Keith Wellman

Festival of Communities: UG Symposium (Posters)

Our research was conducted on a Vaccine controversy which raised the question on ethics, morality, safety and effectiveness of vaccination on children. The case study we focused on was about a study done by Dr. Andrew Wakefield and twelve other Colleagues, which was published in a well know journal The Lancet. The study has recently been retracted because an investigation found that he failed to mention that his research of the MMR vaccine was funded through solicitors seeking evidence to use against vaccine manufactures (Deer, Brian). To conclude our research we compared the current vaccination rates with the rates …

Embryonic Stem Cell Research, Michael Phan, Jeniene Hassan

Festival of Communities: UG Symposium (Posters)

Embryonic stem cell research has the potential to regenerate malfunctioning tissues and replace harmful cancer cells. Although it holds the potential to alleviate malicious disabilities and diseases, it raises ethical concerns due to the destruction of a fertilized human embryo. In certain religions (Catholics and Christians), embryonic stem cell research is detested due to the destruction of a human at its early stages of life (embryo). On the other hand, scientists believe that embryonic stem cells can “someday…used to treat human diseases.” (Hansen 879) This analysis on embryonic stem cell research will consider both the supporting and opposing side of …

Health Reform: Back To The Future, Christopher Jennings

Health Policy and Management Faculty Posters and Presentations

No abstract provided.

Health Care Outlook For 2011 And Beyond: The Legal, Policy And Political Landscape, Mark L. Hayes

Health Policy and Management Faculty Posters and Presentations

No abstract provided.

Making Sense Of Health Care Planning In Ireland; The Street Level Public Organization (Slpo)., Vivienne Byers

Conference Papers

One of the central mechanisms of the Strategic Management Initiative (SMI) (Government of Ireland 1996) is the devolution of accountability and responsibility from the centre to executive agencies. Service planning was introduced in the Irish health care sector as part of this strategic planning ethos. This paper reports on a study that examined both the intent and the consequences of implementing legislatively mandated planning in the Irish health services, in the context of significant organizational change. In an effort to draw broader lessons, a comparison is drawn with the Canadian experience of service planning.

The choice was made to study …

Local Health Departments’ Governance: A Visual Display Using Lhd Shape Files, Gulzar H. Shah Dr., Carolyn J. Leep, Reba Novich

Health Policy & Management: Faculty Presentations (2008-2022)

Analyses conducted for public health systems and services research (PHSSR) frequently include a variable that represents the relationship between state and local health departments (i.e., a governance category) in their analyses, either as an explanatory variable or a control variable. A number of organizations and researchers has categorized states according to governance, but the categorizations have been inconsistent across studies. This lack of agreement regarding governance category has been problematic for PHSSR.

The Association of State and Territorial Health Officials (ASTHO) in conjunction with NORC at the University of Chicago and with input from the National Association of County and …

Medicaid And Access To The Courts, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

The Medicaid program is grounded in a statute that is one of the most complex of all federal laws. An insurer of more than 60 million people — and poised to begin serving 16 million more by 2019 — Medicaid will be reexamined this year, in all its legal complexities, by the U.S. Supreme Court, which has agreed to hear California's appeal in the case Maxwell-Jolly v. Independent Living Center of Southern California. The Court's ruling could fundamentally alter states' accountability to beneficiaries and providers when their official conduct allegedly violates Medicaid's essential federal requirements.