Cities

What Matters to Low-Income Patients in Ambulatory Care Facilities?

What Matters to Low-Income Patients in Ambulatory Care Facilities?
Medical Care Research and Review. Sep 2004; 61: 352 - 375.

Delia, D., Hall, A. & Billings, J.
01/01/2004

Poor, uninsured, and minority patients depend disproportionately on hospital outpatient departments (OPDs) and freestanding health centers for ambulatory care. These providers confront significant challenges, including limited resources, greater demand for services, and the need to improve quality and patient satisfaction. The authors use a survey of patients in OPDs and health centers in New York City to determine which aspects of the ambulatory care visit have the greatest influence on patients’ overall site evaluation. The personal interaction between patients and physicians, provider continuity, and the general cleanliness/appearance of the facility stand out as high priorities. Access to services and interactions with other facility staff are of significant, although lesser, importance. These findings suggest ways to restructure the delivery of care so that it is more responsive to the concerns of low-income patients.

The Role of Social and Behavioral Science in Public Health Practice: A Study of the New York City Department of Health

The Role of Social and Behavioral Science in Public Health Practice: A Study of the New York City Department of Health
Journal of Urban Health 2003;80(4)625-634.

Van Devanter, N., Shinn, B., Tannert-Naing, K, Bleakley, A., Perl, S. & Cohen, N.
12/01/2003

Studies over the last decade have demonstrated the effectiveness of public health interventions based on social and behavioral science theory for many health problems. Little is known about the extent to which health departments are currently utilizing these theories. This study assesses the application of social and behavioral science to programs in the New York City Department of Health (NYCDOH). Structured open-ended interviews were conducted with executive and program management staff of the health department. Respondents were asked about the application of social and behavioral sciences within their programs, and about the benefits and barriers to increasing the use of such approaches. Themes related to the aims of the study were identified, a detailed coding manual developed, narrative data were coded independently by two investigators (kappa.85), and data analyzed. Interviews were conducted with 61 eligible individuals (response rate 88%). The most common applications of social and behavioral science were individual-level behavior change to prevent HIV transmission and community-level interventions utilizing community organizing models and/or media interventions for health promotion and disease prevention. There are generally positive attitudes about the benefits of utilizing these sciences; however, there are also reservations about expanded use because of resource constraints. While NYCDOH has successfully applied social and behavioral sciences in some areas of practice, many areas use them minimally or not at all. Increasing use will require additional resources. Partnerships with academic institutions can bring additional social and behavioral science resources to health departments and benefit researchers understanding of the health department environment.

Gender, Race,Class and Welfare Reform

Gender, Race,Class and Welfare Reform
State of Black America. National Urban League, Aug

Stafford, W.W. with Salas, D. & Mendez, M.
08/01/2003

This study on welfare reform contends that race and gender coalesce through historic and contemporary government, policy and market failures to deny benefits and jobs to women of color while blaming them for their condition. It is divided into three sections: the first addresses national policy trends with an emphasis on race and gender, the second looks at New York City, and the third offers recommendations. The report was published in the National Urban League's State of Black America, 2003.

Housing Production Subsidies and Neighborhood Revitalization: New York City’s Ten Year Capital Plan for Housing

Housing Production Subsidies and Neighborhood Revitalization: New York City’s Ten Year Capital Plan for Housing
Economic Policy Review, June 2003, pages 71-85.

Ellen, I.G., Schill, M.H., Schwartz, A.E. & Voicu, I.
06/01/2003

A perennial question in housing policy concerns the form that housing assistance should take. Although some argue that housing assistance should be thought of as a form of income support and advocate direct cash grants to needy households, others favor earmarked assistance—but they differ over whether subsidies should be given to the recipients as vouchers or to developers as production subsidies. The appropriate composition of housing assistance has recently taken on particular import. In 2000, Congress created the Millennial Housing Commission and gave it the task of evaluating the “effectiveness and efficiency” of methods to promote housing through the private sector. As part of its mandate, the commission is examining changes to existing programs as well as the creation of new production programs to increase affordable housing. This paper reexamines the debate over the appropriate form of housing assistance.

Women Of Color In New York City:Still Invisible In Policy

Women Of Color In New York City:Still Invisible In Policy
Second Annual Status of Women of Color Report.

Stafford, W.W. & Salas, D.
03/01/2003

Demography is not destiny. While groups of color - Asians, Blacks, Latinos, and Native Americans - have emerged as New York City's new majority, large segments of the groups remain burdened by many of the historical problems associated with disadvantaged minorities. This report highlights the problems faced by lower-income women of color, especially single mothers. Often bypassed during the economic boom of the 1990s, these women have found that employment opportunities have all but evaporated in the current economic malaise. The elimination of federal welfare entitlements have only served to exacerbate these problems. To read more click on the link below.

Intradistrict Equity of Public Education Resources and Performance

Intradistrict Equity of Public Education Resources and Performance
Economics of Education Review, Volume 22, Number 1, pages 60-78.

Stiefel, L. & Iatarola, P.
02/01/2003

This paper presents empirical evidence on input and output equity of expenditures, teacher resources, and performance across 840 elementary and middle schools in New York City. Historically, researchers have studied interdistrict distributions, but given the large numbers of pupils and schools within many urban districts, it is important to learn about intradistrict distributions as well. The empirical work is built on a framework of horizontal, vertical, and equal opportunity equity. The results show that the horizontal equity distributions are more disparate than what would be expected relative to results of other studies, vertical equity is lacking, especially in elementary schools, and equality of opportunity is at best neutral but more often absent. Middle schools exhibit more equity than elementary schools. The paper is one of the first to measure output equity, using levels and changes in test scores to do so.

Agenda Setting for Health Care Management Research: Report of a Conference

Agenda Setting for Health Care Management Research: Report of a Conference
Health Care Management Review, Vol. 28, No. 4, pp. 319-322.

Kovner, A.R.
01/01/2003

Highlights the "Agenda Setting for Health Care Management Research," conference held in New York City on January 23-24, 2003. Generating research funding; Barriers to using management research; Overcoming barriers to funding.

Changing Children's Trajectories of Development: Two-Year Evidence for the Effectiveness of a School-Based Approach to Violence Prevention

Changing Children's Trajectories of Development: Two-Year Evidence for the Effectiveness of a School-Based Approach to Violence Prevention
National Center for Children in Poverty, New York, NY.

Aber, J.L., Brown, J.L., Gershoff, E.T., Jones, S.M. & Pedersen, S.F.A.
01/01/2003

Awareness of youth violence has increased in recent years, resulting in more interest in programs that can prevent violent and aggressive behavior. Although overall rates of violence among young people have declined since the mid-1990s, rates of some forms of youth aggression, violence, and crime remain high. National data reveal that, each year, about 15 percent of high school students are involved in a physical fight at school and 8 percent are threatened or injured with a weapon. 1 Urban youth are at particular risk for exposure to violence and victimization.

This report describes one of the largest and longest running school-based violence prevention programs in the country-the Resolving Conflict Creatively Program (RCCP)-and discusses the results of a rigorous evaluation conducted by the National Center for Children in Poverty (NCCP) at Columbia University's Mailman School of Public Health. The evaluation provides concrete evidence that early, school-based prevention initiatives such as the RCCP can work and should be included in communities' efforts to prevent violence among children and youth.

 

Developmental Trajectories Toward Violence in Middle Childhood: Course, Demographic Differences, and Response to School-Based Intervention

Developmental Trajectories Toward Violence in Middle Childhood: Course, Demographic Differences, and Response to School-Based Intervention
Developmental Psychology , 39(2), 324-348.

Aber, J.L., Brown, L.J. & Jones, S.M..
01/01/2003

The present study addressed 3 questions concerning (a) the course of developmental trajectories toward violence over middle childhood, (b) whether and how the course of these trajectories differed by demographic subgroups of children, and (c) how responsive these trajectories were to a universal, school-based preventive intervention. Four waves of data on features of children's social-emotional development known to forecast aggression/violence were collected in the fall and spring over 2 years for a highly representative sample of 1st to 6th grade children from New York City public elementary schools (N = 11,160). Using hierarchical linear modeling techniques, synthetic growth curves were estimated for the entire sample and were conditioned on child demographic characteristics (gender, family economic resources, race/ethnicity) and amount of exposure to components of the preventive intervention. Three patterns of growth--positive linear, late acceleration, and gradual deceleration--characterized the children's trajectories, and these trajectories varied meaningfully by child demographic characteristics. Most important, children whose teachers taught a high number of lessons in the conflict resolution curriculum demonstrated positive changes in their social-emotional developmental trajectories and deflections from a path toward future aggression and violence.

Global Climate Change and Transportation Infrastructure: Lessons from the New York Area

Global Climate Change and Transportation Infrastructure: Lessons from the New York Area
in The Potential Impacts of Climate Change on Transportation: Workshop Summary and Proceedings, U.S. DOT (Center for Climate Change and Environmental Forecasting) in cooperation with the U.S. EPA, U.S. DOE, U.S.GCRP.

Zimmerman, R.
01/01/2003

Global climate change (GCC) is now well known, and its impacts are a stark reality. According to the Intergovernmental Panel on Climate Change (IPCC), changes in global climate in the 20th century, whether from human or natural causes, are already reflected in numerous indicators for atmospheric chemistry, weather, biological, physical and economic conditions, and members of the Intergovernmental Panel on Climate Change (IPCC) working groups have rated the probability of those changes as either actually occurring or at least likely to occur. The estimated impacts of these changes under varying scenarios are in many cases pronounced, and the ability to cope with these impacts varies considerably depending upon the capacity of individuals, groups and institutions to adapt.

Pages

Subscribe to Cities