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Health policy

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10 papers 25 to 100 followers
By Tyler Winkelman RWJF Clinical Scholar
Linden Farrer, Claudia Marinetti, Yoline Kuipers Cavaco, Caroline Costongs
UNLABELLED: POLICY POINTS: Many barriers hamper advocacy for health equity, including the contemporary economic zeitgeist, the biomedical health perspective, and difficulties cooperating across policy sectors on the issue. Effective advocacy should include persistent efforts to raise awareness and understanding of the social determinants of health. Education on the social determinants as part of medical training should be encouraged, including professional training within disadvantaged communities...
June 2015: Milbank Quarterly
Ronald Bayer, Sandro Galea
That clinical medicine has contributed enormously to our ability to treat and cure sick people is beyond contention. But whether and to what extent medical care has transformed morbidity and mortality patterns at a population level and what contribution, if any, it has made to the well-being and..
August 6, 2015: New England Journal of Medicine
Govert E Bijwaard, Hans van Kippersluis, Justus Veenman
We aim to disentangle the relative impact of (i) cognitive ability and (ii) education on health and mortality using a structural equation model suggested by Conti et al. (2010). We extend their model by allowing for a duration dependent variable (mortality), and an ordinal educational variable. Data come from a Dutch cohort born between 1937 and 1941, including detailed measures of cognitive ability and family background in the final grade of primary school. The data are linked to the mortality register 1995-2011, such that we observe mortality between ages 55 and 75...
July 2015: Journal of Health Economics
Robert H Brook, Mary E Vaiana
This Perspective discusses 12 key facts derived from 50 years of health services research and argues that this knowledge base can stimulate innovative thinking about how to make health care systems safer, more efficient, more cost effective, and more patient centered, even as they respond to the needs of diverse communities.
October 2015: Journal of General Internal Medicine
Tyler N A Winkelman, Lisa Soleymani Lehmann, Navjyot K Vidwan, Meredith Niess, Cynthia S Davey, Derek Donovan, Joseph Cofrancesco, Mia Mallory, Sandi Moutsios, Ryan M Antiel, John Y Song
BACKGROUND: It is not known whether medical students support the Affordable Care Act (ACA) or possess the knowledge or will to engage in its implementation as part of their professional obligations. OBJECTIVE: To characterize medical students' views and knowledge of the ACA and to assess correlates of these views. DESIGN: Cross-sectional email survey. PARTICIPANTS: All 5,340 medical students enrolled at eight geographically diverse U...
July 2015: Journal of General Internal Medicine
Abe Dunn, Adam Hale Shapiro
This study examines the impact of major health insurance reform on payments made in the health care sector. We study the prices of services paid to physicians in the privately insured market during the Massachusetts health care reform. The reform increased the number of insured individuals as well as introduced an online marketplace where insurers compete. We estimate that, over the reform period, physician payments increased at least 11 percentage points relative to control areas. Payment increases began around the time legislation passed the House and Senate-the period in which their was a high probability of the bill eventually becoming law...
January 2015: Journal of Health Economics
Sara Rosenbaum
With more than 66 million beneficiaries, Medicaid is the United States' largest insurer, and its impact on health insurance coverage, access to care, and the health of the poor has been substantial. But historically, Medicaid has faced a major challenge — a relatively low rate of physician..
December 18, 2014: New England Journal of Medicine
Gurpreet Dhaliwal
No abstract text is available yet for this article.
July 2014: JAMA Internal Medicine
Katherine Baicker, Helen Levy
Many current proposals to increase the value of care delivered in the U.S. health care system focus on improved coordination — and with good reason. Badly coordinated care, duplicated efforts, bungled handoffs, and failures to follow up result in too much care for some patients, too little care..
August 29, 2013: New England Journal of Medicine
Mark Supiano, Cathy Alessi
No abstract text is available yet for this article.
May 2014: Health Affairs
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