Health Services Research Commons^™

Assisted Living: Facilities, Financing, And Oversight, Carol O'Shaughnessy

National Health Policy Forum

This publication briefly describes assisted living facilities that provide long-term services and supports to people with functional or cognitive impairments who do not need the level of skilled nursing care offered in nursing homes but cannot live independently. It also describes selected resident characteristics, reviews cost and financing arrangements, and reviews state responsibilities for regulation and oversight of assisted living facilities.

Pemanfaatan Pelayanan Kesehatan Ibu Di Jawa Barat, Yeni Mahwati

Kesmas

Pemanfaatan pelayanan kesehatan ibu dapat menyelamatkan perempuan dari komplikasi berat dan kematian selama kehamilan, persalinan, dan pasca persalinan. Faktor sosial, manfaat/kebutuhan yang dirasakan, serta aksesibilitas ekonomi dan fisik berkontribusi langsung terhadap pemanfaatan pelayanan kesehatan ibu. Tujuan penelitian ini adalah mengetahui faktor sosial, kebutuhan, serta aksesibilitas ekonomi dan fisik yang memengaruhi pemanfaatan pelayanan kesehatan ibu di Jawa Barat. Data yang digunakan untuk penelitian adalah data sekunder hasil Riset Kesehatan Dasar 2010 pada perempuan usia 15 – 59 tahun yang pernah menikah. Penelitian ini menggunakan analisis bivariat dan multivariat. Kedua hasil analisis menegaskan bahwa faktor sosial, kebutuhan yang dirasakan, serta aksesibilitas ekonomi …

Insentif Uang Tunai Dan Peningkatan Kinerja Kader Posyandu, Ratih Wirapuspita Wisnuwardani

Kesmas

Sejak tahun 2000 pos pelayanan terpadu (posyandu) telah berkembang baik, tetapi kekurangan dana dan pelatihan mengalami penurunan kinerja akibat krisis ekonomi. Hal tersebut terlihat pada penurunan kunjungan dan drop out kader yang menghadapi banyak tugas, besar cakupan, dan kurang mampu merespon tuntutan masyarakat. Pedoman World Health Organization (WHO) terakhir menyatakan bahwa untuk menjamin keberlanjutan program jangka panjang, kader perlu dibayar. Kabupaten Penajam Paser Utara memberikan insentif kader terbesar di Indonesia. Studi inimengkaji peningkatan kinerja kader posyandu di Kabupaten Penajam Paser Utara pada tahun 2010 akibat pemberian insentif uang tunai. Penelitian kualitatif yang menggunakan rancangan fenomenologi ini menghimpun data 18 orang …

Weight Stigma In Maternity Care: Women’S Experiences And Care Providers’ Attitudes, Kate Mulherin, Yvette D. Miller, Fiona Kate Barlow, Phillippa C. Diedrichs, Rachel Thompson

Dartmouth Scholarship

Weight stigma is pervasive in Western society and in healthcare settings, and has a negative impact on victims' psychological and physical health. In the context of an increasing focus on the management of overweight and obese women during and after pregnancy in research and clinical practice, the current studies aimed to examine the presence of weight stigma in maternity care. Addressing previous limitations in the weight stigma literature, this paper quantitatively explores the presence of weight stigma from both patient and care provider perspectives. Study One investigated associations between pre-pregnancy body mass index (BMI) and experiences of maternity care from …

Social Media Adoption In Health Departments Nationwide: The State Of The States, Jenine K. Harris, Doneisha Snider, Nancy Mueller

Frontiers in Public Health Services and Systems Research

Web-based social media sites are increasingly being used by the public to find and share health information. Public health organizations, including state health departments (SHDs), have begun adopting social media to disseminate health information to consumers. The purpose of this study was to examine adoption patterns and characteristics associated with social media adoption in SHDs across the U.S. In early 2012, we used web searches to identify which SHDs had adopted Facebook or Twitter and the adoption date. Adoption of social media has grown steadily since 2008, with 28 SHDs using Facebook and 41 using Twitter as of February 2012. …

Commentary: Hospital Tax-Exempt Policy: A Comparison Of Schedule H And State Community Benefit Reporting Systems, Laura L. Hitchcock

Frontiers in Public Health Services and Systems Research

In Hospital Tax-Exempt Policy: A Comparison of Schedule H and State Community Benefit Reporting Systems, Rosenbaum et aldescribe the numerous variations between current state law in 24 states and federal requirements regarding nonprofit hospitals’ community benefit activities. The potential for nonprofit hospitals to help shape community health is great, and how states choose to address requirements regarding community benefit, and potentially reinforce the new federal requirements to incentivize hospital participation in addressing root causes of poor health, should be of significant interest to the public, policy makers and public and population health experts, given the large percentage of …

Carrots, Sticks And False Carrots: How High Should Weight Control Wellness Incentives Be? Findings From A Population-Level Experiment, Harald Schmidt

Frontiers in Public Health Services and Systems Research

Employers are increasingly using wellness incentives, including penalties for unhealthy behavior. Survey data suggests that people are willing to accept the principle of penalizing those perceived to take health risks, but the equally relevant question of the magnitude of acceptable penalties is unclear.

While the principle of penalizing overweight and obese people has some support, findings from a population-level experiment (n=1,000) suggest that the acceptable size of penalties is comparatively small, around $50: more than 10-fold below levels favored by advocates. Reward-based incentives are favored over penalty-based ones by a factor of 4. Of two different ways of framing penalty …

Learning By Doing For Public Health Improvement, Glen P. Mays

Frontiers in Public Health Services and Systems Research

All too often, the knowledge gained through learning-by-doing in public health fails to be fully harvested and disseminated because of missed opportunities to carefully study the experiences and innovations occurring in practice. The field of public health services and systems research (PHSSR) has emerged to capitalize on these opportunities before they are missed.

Family Caregivers: The Primary Providers Of Assistance To People With Functional Limitations And Chronic Impairments, Carol O'Shaughnessy

National Health Policy Forum

An extensive body of research conducted over the past several decades has documented that family or other unpaid caregivers provide the majority of care to people who need assistance because of functional limitations or multiple and complex chronic conditions. Families play a central role not only in assisting impaired family members with personal care needs, but also in helping them coordinate health care and supportive services, and, increasingly, providing and/or supervising home-based medical care. This paper presents background information on family caregiving, briefly describes federal programs that provide direct assistance to caregivers, and discusses possible future policy and practice directions.

Ihoc Summary For Providers - Improving Health Outcomes For Children In Maine And Vermont, Joanie Klayman Lcsw, Amy Dix, Kevin S. Flanigan Md

Population Health & Health Policy

In February 2010, Maine and Vermont were awarded a five-year child health quality improvement grant. The project focuses on using quality measures and information technology to improve health outcomes for children. The goal is to improve timely access to quality care for children who are insured by Medicaid.

Public Health Expenditures, Public Health Delivery Systems, And Population Health, Glen P. Mays

Health Management and Policy Presentations

This seminar examines a series of approaches for estimating the health and economic effects attributable to public health expenditures in the U.S., along with a novel method for estimating economies of scale and scope in the delivery of public health services. The use of instrumental-variables techniques and network analytic methods are described in these research approaches.

Ihoc Summary For Members - Helping Your Child’S Doctor Helps Your Child, Joanie Klayman Lcsw, Amy Dix, Kevin S. Flanigan Md

Population Health & Health Policy

IHOC’s goal is to improve the health of children. For example, many children in Maine do not get their vaccines on time. So IHOC will work with doctor’s offices to help more children get their vaccines on time. This will help protect all children in the state, by reducing certain contagious illnesses.

Exploring Four Barriers Experienced By African Americans In Healthcare: Perceived Discrimination, Medical Mistrust, Race Discordance, And Poor Communication, Adolfo Gabriel Cuevas

Dissertations and Theses

For many health conditions, African Americans bear a disproportionate burden of disease, injury, death, and disability compared to European Americans. African Americans also use health services less frequently than do European Americans and this underuse of services contributes to health disparities in the United States. Studies have shown that some disparities are present not as a result of poor access to care, but, to a certain extent, as a result of the experiences patients have at their doctors' offices. It is, therefore, essential to understand African American patients' perspectives and experiences with healthcare providers. Past studies have shown that four …

The Community Living Assistance Services And Supports (Class) Act: Major Legislative Provisions, Carol O'Shaughnessy

National Health Policy Forum

Update (January 3, 2013) — In 2010, Congress enacted the Community Living Assistance Services and Supports (CLASS) Act as part of the Patient Protection and Affordable Care Act (P.L. 111-148). The CLASS Act was repealed as part of the American Taxpayer Relief Act of 2012 signed by the President on January 2, 2013.

During 2011 the Department of Health and Human Services (HHS) conducted an analysis of possible CLASS implementation options consistent with the statutory requirements that the program be actuarially solvent over a 75-year period and self-funded. After a 19-month period of analysis, HHS officials stated in testimony before …

Developing Community Based Rehabilitation For Cancer Survivors: Organizing For Coordination And Coherence In Practice, Karen La Cour, Malcolm P. Cutchin

Wayne State University Associated BioMed Central Scholarship

Abstract

Background

Increasing incidences of cancer combined with prolonged survival have raised the need for developing community based rehabilitation. The objectives of the analysis were to describe and interpret the key issues related to coordination and coherence of community-based cancer rehabilitation in Denmark and to provide insights relevant for other contexts.

Methods

Twenty-seven rehabilitation managers across 15 municipalities in Denmark comprised the sample. The study was designed with a combination of data collection methods including questionnaires, individual interviews, and focus groups. A Grounded Theory approach was used to analyze the data.

Results

A lack of shared cultures among health care …

The State Of The Science Of Health And Wellness For Adults With Intellectual And Developmental Disabilities, Lynda Lahti Anderson, Kathy Humphries, Suzanne Mcdermott, Beth Marks, Jasmina Sisirak, Sheryl Larson

Rural Institute Journal Articles

Historically, people with intellectual and developmental disabilities (IDD) have experienced health disparities related to several factors including: a lack of access to high quality medical care, inadequate preparation of health care providers to meet their needs, the social determinants of health (e.g., poverty, race and gender), and the failure to include people with IDD in public health efforts and other prevention activities. Over the past decade, a greater effort has been made to both identify and begin to address myriad health disparities experienced by people with IDD through a variety of activities including programs that address health lifestyles and greater …

Rural Acute Myocardial Infarction Survey (Ramis), Nikiah Nudell Ba, Nrp, Tom Bouthillet Nremt-P, Don Rice Md, John A. Gale Ms, Gary Wingrove Emt-P

Rural Hospitals (Flex Program)

The purpose of this study is to evaluate why current treatment goals for patients with Acute Myocardial Infarction (AMI) are not being achieved despite a large body of evidence supporting regionalized ST Elevation Myocardial Infarction (STEMI) systems. An online survey tool,developed by the research project team, was used to poll the Critical Access Hospitals in Nebraska in order to understand delay factors and other barriers to executing a STEMI system in a rural area. The authors found that the rural STEMI care system lacks a coordinated systems considered to be essential for urban areas. Several areas of potential failure in …

Bridging The Gap Between Health And Justice, Lior Gideon

Publications and Research

No abstract provided.

Implementation And Evaluation Of A Low Health Literacy And Culturally Sensitive Diabetes Education Program (Poster), Deborah Swavely Dnp, Rn, Allison Vorderstrasse Dnsc, Aprn, Edgardo Maldonado Md, Sherrine Eid Mph, Jeffrey Etchason Md

Department of Community Health and Health Studies

No abstract provided.

College Within The College: Population Health, James D. Plumb, Md, Mph, Rickie Brawer, Mph, Phd, Mches, Abbie Santana, Msph, Rob Simmons, Drph, Mph, Mches, Cph, Nancy L. Chernett, Ma, Mph

College of Population Health Lectures, Presentations, Workshops

College within the College (CwiC) – Population Health Skills for Physicians

• Incorporate culturally relevant information into a treatment plan for a patient

• Counsel individuals about healthy lifestyles

• Identify community support and resources to serve patients

• Coordinate health care services as a member of multidisciplinary teams

• Promote primary and secondary prevention

• Advocate for the needs of patients and the community

• Conduct population health research/evaluation

• Promote healthy lifestyles in communities

• Work in partnership with community based agencies and organizations