Health Policy

Spending at Mobile Fruit and Vegetable Carts and Using SNAP Benefits to Pay, Bronx, New York, 2013 and 2014.

Spending at Mobile Fruit and Vegetable Carts and Using SNAP Benefits to Pay, Bronx, New York, 2013 and 2014.
12. Breck A, Kiszko K, Abrams C, Elbel B. Spending at Mobile Fruit and Vegetable Carts and Using SNAP Benefits to Pay, Bronx, New York, 2013 and 2014. Preventing Chronic Disease. 2015; 12: E87.

Breck A, Kiszko K, Abrams C, Elbel B.
09/10/2015

This study examines purchases at fruit and vegetable carts and evaluates the potential benefits of expanding the availability of electronic benefit transfer machines at Green Carts. Customers at 4 Green Carts in the Bronx, New York, were surveyed in 3 waves from June 2013 through July 2014. Customers who used Supplemental Nutrition Assistance Program benefits spent on average $3.86 more than customers who paid with cash. This finding suggests that there may be benefits to increasing the availability of electronic benefit transfer machines at Green Carts.

Participation in the Wake of Adversity: Blame Attribution and Policy-Oriented Evaluations

Participation in the Wake of Adversity: Blame Attribution and Policy-Oriented Evaluations
Levin, I., Sinclair, J. A., & Alvarez, R. M. (2015). Participation in the Wake of Adversity: Blame Attribution and Policy-Oriented Evaluations. Political Behavior, 1-26.

Levin, Ines and J. Andrew Sinclair and R. Michael Alvarez
09/05/2015

In this paper we investigate to what extent perceptions of economic conditions, policy-oriented evaluations, and blame attribution affected Californians’ involvement in political activities in 2010. We use a statistical methodology that allows us to study not only the behavior of the average citizen, but also the behavior of “types” of citizens with latent predispositions that incline them toward participation or abstention. The 2010 election is an excellent case study, because it was a period when citizens were still suffering the consequences of the 2008 financial crisis and many were concerned about the state’s budgetary crisis. We find that individuals who blamed one of the parties for the problems with the budget process, and who held a position on the 2010 Affordable Care Act, were often considerably more likely to participate. We also find, however, that the impact of economic evaluations, positions on the health care reform, and blame attributions was contingent on citizens’ latent participation propensities and depended on the class of political activity.

Obamacare, five years after the law (French)

Obamacare, five years after the law (French)
Les Tribunes de la santé; (47): 81-89.

Rodwin, VG.
07/24/2015

Obamacare is the most important reform in the American healthcare system since 1965. Its introduction provoked unprecedented controversy between republicans and democrats. Whilst much remains to be done, it has already helped extend health insurance coverage, change the way the healthcare system is funded, establish federal regulations for private insurance, and above all, promote innovation and experiments to modernize the healthcare delivery. Seen from France, it is interesting to follow the array of ongoing experiments in the United States intended to modernize the healthcare system: adaptations to the payment systems for hospitals and doctors and organizational innovations to improve healthcare delivery.

Report on avoidable hospitalizations in the Greater Paris Region (French)

Report on avoidable hospitalizations in the Greater Paris Region (French)
Les hospitalisations potentiellement évitables (HPE), nécessaires au moment de l’admission à l’hôpital, pourraient être évitées par une prise en charge appropriée des soins de premier recours. Quel est l’apport de l’indicateur des HPE dans un diagnostic territorial et dans l’évaluation des parcours de soins?

Laborde, C. and Rodwin, VG.
07/01/2015

Les hospitalisations potentiellement évitables (HPE), nécessaires au moment de l’admission à l’hôpital, pourraient être évitées par une prise en charge appropriée des soins de premier recours. Quel est l’apport de l’indicateur des HPE dans un diagnostic territorial et dans l’évaluation des parcours de soins?

Link to 2 page abstract

Maternal Obesity, Caesarean Delivery and Caesarean Delivery on Maternal Request: A Cohort Analysis from China

Maternal Obesity, Caesarean Delivery and Caesarean Delivery on Maternal Request: A Cohort Analysis from China
Paediatric and Perinatal Epidemiology. 2015, 29, 232–240.

Zhou Y, Blustein J, Hi H, Ye R, Liu J-m
06/03/2015

Abstract Background To quantify the association between maternal obesity and caesarean delivery, particularly caesarean delivery on maternal request (CDMR), a fast-growing component of caesarean delivery in many nations. Methods We followed 1 019 576 nulliparous women registered in the Perinatal Healthcare Surveillance System during 1993–2010. Maternal body mass index (BMI, kg/m2), before pregnancy or during early pregnancy, was classified as underweight (<18.5), normal (18.5 to <23; reference), overweight (23 to <27.5), or obese (≥27.5), consistent with World Health Organization guidelines for Asian people. The association between maternal obesity and overall caesarean and its subtypes was modelled using log-binomial regression. Results During the 18-year period, 404 971 (39.7%) caesareans and 93 927 (9.2%) CDMRs were identified. Maternal obesity was positively associated with overall caesarean and CDMR. Adjusted risk ratios for overall caesarean in the four ascending BMI categories were 0.96 [95% confidence interval (CI) 0.94, 0.97], 1.00 (Reference), 1.16 [95% CI 1.14, 1.18], 1.39 [95% CI 1.43, 1.54], and for CDMR were 0.95 [95% CI 0.94, 0.96], 1.00 (Reference), 1.20 [95% CI 1.18, 1.22], 1.48 [95% CI 1.433, 1.54]. Positive associations were consistently found in women residing in southern and northern provinces and in subgroups stratified by year of delivery, urban or rural residence, maternal age, education, level of delivering hospital, and birthweight. Conclusions In a large Chinese cohort study, maternal obesity was associated with an increased risk of caesarean delivery and its subtypes, including CDMR. Given the rising global prevalence of obesity, and in view of the growth of CDMR, it seems likely that caesarean births will increase, unless there are changes in obstetrical practice.

Health and Health Care in BRIC Cities: Ideas for Collaborative Research.

Health and Health Care in BRIC Cities: Ideas for Collaborative Research.
Working Paper

Rodwin, VG.
05/09/2015

Available on SSRN database here.

The largest cities in the wealthy nations all face an unprecedented challenge: how to meet the needs of a population that lives longer, has a declining birth rate, is generally healthier, but also increasingly beset by the rise of chronic illness. The World Cities Project (WCP) has produced two books and numerous articles based on comparisons among, and within five of the world's most dynamic cities: New York, Paris, London, Tokyo and Hong Kong. These cities are centres of economic growth and finance, culture and media, sophisticated transportation systems and innovations of all kinds. They are renowned for their centres of excellence in medical care, top-ranking medical schools, institutes of bio-medical research, and public health infrastructure. Likewise, they attract some of the wealthiest, as well as the poorest populations of their nations, which forces their health care systems to confront the challenge of confronting glaring inequalities and redesigning their health care systems.

Pages

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