Health Policy Commons^™

Developing Standardized Language For Use In Lgbt Health Research, Vaibhav Jain, Marisa Workman, Sara Mostafa, Abigail Wolfe, Stefania Davia, Natalie Terens, Keith Li, Blaine Parrish

GW Research Days 2013

BACKGROUND: In the past two decades, the LGBT community in the United States has been more visible, active, and positively accepted by society. As acceptance progresses, research interests on the LGBT population have increased, driving the need for standard language for researchers to share for comparative and community-based participatory research. "What term is right?" is often the question researchers ask a very diverse LGBT community. In August 2012, the District of Columbia's Office of LGBT Affairs identified incongruent language in a number of published reports commissioned by the Mayor's Office. The Office realized the importance of standardized language for health …

Public Health Roi: Evidence, Experience And Remaining Questions, Glen P. Mays

Health Management and Policy Presentations

Expanding the delivery of efficacious public health and prevention strategies holds considerable potential for improving health outcomes and constraining costs across the U.S. health system. Unfortunately, lingering certainties about the costs required to expand public health delivery systems and about the health and economic effects of such expansions has muted private and public support for increased public health expenditures. This lecture examines recent evidence from public health services and systems research studies that examine the health and economic value of public health delivery, and identifies remaining research needs for the field.

Government Provided Health Insurance, Kristina Lambert, Ryan O’Connor

Academic Symposium of Undergraduate Scholarship

No abstract provided.

Healthcare Systems In Brazil And The United States: A Comparative Analysis, Ingrid Jeber Do Nascimento

Dissertations, Theses and Capstone Projects (Full IR Collection)

The proper building and administration of a strong healthcare system have been reasoned as a current challenge for professionals in charge of handling the variety of constraints existing worldwide. An array of issues related to ideology, cultural expectations, social values, and economic facets, to name a few, play a determinant role in the design and provision of healthcare services. Considering the current practices and obstacles for healthcare policy, this study delves into the characteristics of the healthcare systems in Brazil and the United States.

In Brazil, healthcare has been a constitutional right since 1988. As a result, financial barriers to …

Tackling The Global Ncd Crisis: Innovations In Law And Governance, Bryan P. Thomas, Lawrence O. Gostin

Georgetown Law Faculty Publications and Other Works

35 million people die annually of non-communicable diseases (NCDs), 80% of them in low- and middle-income countries—representing a marked epidemiological transition from infectious to chronic diseases and from richer to poorer countries. The total number of NCDs is projected to rise by 17% over the coming decade, absent significant interventions. The NCD epidemic poses unique governance challenges: the causes are multifactorial, the affected populations diffuse, and effective responses require sustained multi-sectorial cooperation. The authors propose a range of regulatory options available at the domestic level, including stricter food labeling laws, regulation of food advertisements, tax incentives for healthy lifestyle choices, …

Adding Injustice To Injury - Health Perceptions, Plurality, And Power In The Ongoing Bhopal Disaster, Ruth Markwardt

Independent Study Project (ISP) Collection

Standards of health, human rights, and development are typically defined and dictated by policymakers instead of the populations directly affected by so-called development efforts. This paper seeks to contextualize global development efforts by highlighting specific local realities among the community of Bhopal Disaster survivors in Madhya Pradesh, India. As the site of the world’s largest industrial disaster, a disaster which is not over but ongoing, Bhopal represents an important population to highlight as the disaster continues. The Political Ecology of Health model was used to highlight political and environmental influences on community health. Within Political Ecology, this study takes a …

Improving Health Outcomes For Children (Ihoc) First Steps Phase I Initiative: Improving Immunizations For Children And Adolescents, Kimberley S. Fox Mpa, Carolyn E. Gray Mph

Population Health & Health Policy

This report, co-authored by Kimberley Fox and Carolyn Gray, provides a final evaluation of the initial phase of First STEPS (Strengthening Together Early Preventive Services), a learning collaborative led by Maine Quality Counts to support 24 pediatric and family practices in improving their childhood immunization rates. The evaluation found that all participating practices had higher immunization rates after participating in First STEPS. On average, overall child immunization rates increased by 5.1% at 12 months and 7.1% at 15 months, and average immunization rates across practices increased significantly from 74.2% to 81.3%. Practices also reported significant improvement in the use of …

Cost Estimation Methods: Strategies And Examples For Public Health Services & Systems Research, Glen P. Mays

Health Management and Policy Presentations

This webinar reviews methods for conducting cost studies in public health settings, including strategies for estimating the financial and ecnomic costs of delivering public health services, and analytic approaches to identifying factors that influence delivery costs. These types of studies are of increasing importance to policy and practice stakeholders given the need for evidence about the return-on-investment (ROI) generated through public health delivery.

Monitoring Qi Maturity Of Public Health Organizations And Systems In Minnesota: Promising Early Findings And Suggested Next Steps, Kimberly J. Miner Gearin, M. Elizabeth Gyllstrom, Brenda M. Joly, Renee S. Frauendienst, Julie Myhre, William Riley

Frontiers in Public Health Services and Systems Research

Public health departments and systems are increasing investments in quality improvement. This paper presents methods used to identify a select number of items from a previously validated QI Maturity Tool as the basis for calculating organizational and system-level QI maturity scores that could be followed over time. Findings suggest that the abbreviated tool measures variation in QI maturity across LHDs, and differences in scores among divisions within a state health department. Minnesota has incorporated the abbreviated tool into an annual reporting system for the MN Local Public Health Act, thereby enabling stakeholders to monitor a system median score and distribution …

Using The Qi Maturity Tool To Classify Agencies Along A Continuum, Brenda M. Joly, Maureen Booth, Prashant Mittal, Yan Zhang

Frontiers in Public Health Services and Systems Research

Major investments have been made to encourage health departments to implement quality improvement (QI) efforts. Yet, there are few empirically tested tools for public health agencies that assess these efforts and classify health departments along a QI continuum. This paper presents a new classification scheme for measuring QI Maturity in public health agencies based on a validated tool. The findings can be used to establish benchmarks, make comparisons and conduct future research linking QI and population health outcomes.

Rediscovering The Core Of Public Health, Steven Teutsch, Jonathan E. Fielding

Frontiers in Public Health Services and Systems Research

The success of public health has been its ability to understand contemporary health problems, to communicate the needs successfully, to identify solutions, and to implement them through programs and policies. In the past 50 years, those successes can be attributed largely to control of infectious disease, improved maternal and child health, delivery of other personal health care services, and changes in behaviors, particularly smoking. Yet health is primarily a product of our social, cultural, and physical environments. To continue to improve the nation’s health and reduce disparities, public health needs to return to its historical roots and engage with other …

Accelerating And Expanding Knowledge Transfer In Public Health Settings: Frontiers In Phssr, Glen P. Mays

Health Management and Policy Presentations

Creating a "rapid-learning" system in public health requires mechanisms for the continuous exchange of knowledge and evidence among researchers, practice settings, and policy decision-makers. The open-access platform Frontiers in Public Health Services and Systems Research provides a new mechanism for this exchange.

Kajian Praktik Kefarmasian Apoteker Pada Tatanan Rumah Sakit, Max Joseph Herman, Rini Sasanti Handayani, Selma Arsit Siahaan

Kesmas

Undang-undang Republik Indonesia No. 36 tahun 2009 tentang kesehatan dan peraturan pemerintah No. 51 tahun 2009 menyatakan bahwa tenaga kesehatan harus mempunyai kualifikasi minimum yang ditetapkan oleh pemerintah. Studi kualitatif secara potong lintang pada tahun 2010 untuk mengidentifikasi kualifikasi apoteker rumah sakit dalam memenuhi persyaratan tersebut di Bandung, Yogyakarta dan Surabaya. Data dikumpulkan dengan wawancara mendalam terhadap 10 orang apoteker dari enam rumah sakit dan empat orang direktur/wakil direktur rumah sakit, masing-masing satu orang apoteker dari enam perguruan tinggi farmasi, tiga pengurus Ikatan Apoteker Indonesia, tiga dinas kesehatan provinsi dan kabupaten/kota. Observasi praktek kefarmasian dengan menggunakan daftar tilik dilakukan pada …

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 …

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 …

“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 …

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 …