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Milbank Quarterly

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https://www.readbyqxmd.com/read/29318689/now-welfare-reform-of-course
#1
Sara Rosenbaum
No abstract text is available yet for this article.
January 10, 2018: Milbank Quarterly
https://www.readbyqxmd.com/read/29226450/barriers-to-care-among-transgender-and-gender-nonconforming-adults
#2
COMPARATIVE STUDY
Gilbert Gonzales, Carrie Henning-Smith
Policy Points: Transgender and gender nonconforming (GNC) adults may experience barriers to care for a variety of reasons, including discrimination and lack of awareness by providers in health care settings. In our analysis of a large, population-based sample, we found transgender and GNC adults were more likely to be uninsured and have unmet health care needs, and were less likely to have routine care, compared to cisgender (nontransgender) women. Our findings varied by gender identity. More research is needed on transgender and GNC populations, including on how public policy and provider awareness affects health care access and health outcomes differentially by gender identity...
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29226449/cms-demonstration-projects-and-the-future-of-value-based-payments
#3
Gail R Wilensky
No abstract text is available yet for this article.
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29226448/better-measurement-for-performance-improvement-in-low-and-middle-income-countries-the-primary-health-care-performance-initiative-phcpi-experience-of-conceptual-framework-development-and-indicator-selection
#4
Jeremy Veillard, Krycia Cowling, Asaf Bitton, Hannah Ratcliffe, Meredith Kimball, Shannon Barkley, Laure Mercereau, Ethan Wong, Chelsea Taylor, Lisa R Hirschhorn, Hong Wang
Policy Points: Strengthening accountability through better measurement and reporting is vital to ensure progress in improving quality primary health care (PHC) systems and achieving universal health coverage (UHC). The Primary Health Care Performance Initiative (PHCPI) provides national decision makers and global stakeholders with opportunities to benchmark and accelerate performance improvement through better performance measurement. Results from the initial PHC performance assessments in low- and middle-income countries (LMICs) are helping guide PHC reforms and investments and improve the PHCPI's instruments and indicators...
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29226447/the-politics-of-medicaid-most-americans-are-connected-to-the-program-support-its-expansion-and-do-not-view-it-as-stigmatizing
#5
Colleen M Grogan, Sunggeun Ethan Park
Policy Points: More than half of Americans are connected to the Medicaid program-either through their own coverage or that of a family member or close friend-and are significantly more likely to view Medicaid as important and to support increases in spending, even among conservatives. This finding helps explain why Affordable Care Act repeal efforts faced (and will continue to face) strong public backlash. Policymakers should be aware that although renaming programs within Medicaid may have increased enrollment take-up, this destigmatization effort might have also increased program confusion and reduced support for Medicaid even among enrollees who say the program is important to them...
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29226446/stewing-over-chemical-soups
#6
David Rosner
No abstract text is available yet for this article.
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29226445/topsy-turvy
#7
Howard Markel
No abstract text is available yet for this article.
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29226443/lessons-from-analyzing-the-medical-costs-of-civilian-terror-victims-planning-resources-allocation-for-a-new-era-of-confrontations
#8
Eytan Ellenberg, Mark I Taragin, Jay R Hoffman, Osnat Cohen, Daniella Luft-Afik, Zvia Bar-On, Ishay Ostfeld
Policy Points: Across the globe, the threat from terrorist attacks is rising, which requires a careful assessment of long-term medical support. We found 3 major sources of costs: hospital expenditures, mental health services dedicated to acute stress reactions, and ambulatory follow-up. During the first year, most of the costs were related to hospitalization and support for stress relief. During the second year, ambulatory and rehabilitation costs continued to grow. Public health specialists should consider these major components of costs and their evolution over time to properly advise the medical and social authorities on allocating resources for the medical and nonmedical support of civilian casualties resulting from war or terror...
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29226442/common-ground-on-responsibility-for-health
#9
Joshua M Sharfstein
No abstract text is available yet for this article.
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29226441/reforming-american-medical-education
#10
Ezekiel J Emanuel
No abstract text is available yet for this article.
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29226439/on-the-production-of-useful-knowledge
#11
Sandro Galea
No abstract text is available yet for this article.
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29226438/the-great-generation-and-a-not-so-great-health-system
#12
Lawrence O Gostin
No abstract text is available yet for this article.
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29226437/on-effective-graphic-communication-of-health-inequality-considerations-for-health-policy-researchers
#13
Yukiko Asada, Hannah Abel, Chris Skedgel, Grace Warner
Policy Points: Effective graphs can be a powerful tool in communicating health inequality. The choice of graphs is often based on preferences and familiarity rather than science. According to the literature on graph perception, effective graphs allow human brains to decode visual cues easily. Dot charts are easier to decode than bar charts, and thus they are more effective. Dot charts are a flexible and versatile way to display information about health inequality. Consistent with the health risk communication literature, the captions accompanying health inequality graphs should provide a numerical, explicitly calculated description of health inequality, expressed in absolute and relative terms, from carefully thought-out perspectives...
December 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/29024018/the-community-health-center-fund-what-s-at-risk
#14
Sara Rosenbaum
No abstract text is available yet for this article.
October 11, 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/28971525/questions-for-new-single-payer-advocates
#15
John E McDONOUGH
No abstract text is available yet for this article.
October 2, 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/28895231/software-related-recalls-of-health-information-technology-and-other-medical-devices-implications-for-fda-regulation-of-digital-health
#16
Jay G Ronquillo, Diana M Zuckerman
Policy Points: Medical software has become an increasingly critical component of health care, yet the regulation of these devices is inconsistent and controversial. No studies of medical devices and software assess the impact on patient safety of the FDA's current regulatory safeguards and new legislative changes to those standards. Our analysis quantifies the impact of software problems in regulated medical devices and indicates that current regulations are necessary but not sufficient for ensuring patient safety by identifying and eliminating dangerous defects in software currently on the market...
September 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/28895230/sophie-s-choice-on-the-nation-s-health
#17
David Rosner
No abstract text is available yet for this article.
September 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/28895229/crisis-and-change-the-making-of-a-french-fda
#18
Constance A Nathanson, Henri Bergeron
Policy Points: Introducing a recent special issue of The Lancet on the health system in France, Horton and Ceschia observe that "the dominance of English as the language of science and, increasingly, global health too often closes the door on the history and experiences of others."(1) In that spirit, this manuscript presents a detailed case study of public health policy transformation in France in the early 1990s. It casts light on processes of policy change in a political and cultural environment very different from that of the United States, showing how the public health policy process is shaped by multiple contingencies of history, ideology, and politics...
September 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/28895228/epic-failure
#19
Howard Markel
No abstract text is available yet for this article.
September 2017: Milbank Quarterly
https://www.readbyqxmd.com/read/28895227/comparing-generic-drug-markets-in-europe-and-the-united-states-prices-volumes-and-spending
#20
COMPARATIVE STUDY
Olivier J Wouters, Panos G Kanavos, Martin McKEE
Policy Points: Our study indicates that there are opportunities for cost savings in generic drug markets in Europe and the United States. Regulators should make it easier for generic drugs to reach the market. Regulators and payers should apply measures to stimulate price competition among generic drugmakers and to increase generic drug use. To meaningfully evaluate policy options, it is important to analyze historical context and understand why similar initiatives failed previously. CONTEXT: Rising drug prices are putting pressure on health care budgets...
September 2017: Milbank Quarterly
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