Health Policy

Seeing Power in Action: The Roles of Deliberation, Implementation, and Action in Inferences of Power

Seeing Power in Action: The Roles of Deliberation, Implementation, and Action in Inferences of Power
Journal of Experimental Social Psychology, 45, 1-14.

Magee, J.C.
01/01/2009

Six experiments investigate the hypothesis that social targets who display a greater action orientation are perceived as having more power (i.e., more control, less dependence, and more influence) than less action-oriented targets. I find evidence that this inference pattern is based on the pervasive belief that individuals with more power experience less constraint and have a greater capacity to act according to their own volition. Observers infer that targets have more power and influence when they exhibit more implementation than deliberation in the process of making decisions in their personal lives (Study 1a), in a public policy context (Study 1b), and in small groups (Study 2). In an organizational context, observers infer that a target who votes for a policy to change from the status quo has more power than a target who votes not to change from the status quo (Study 3). People also infer greater intra-organizational power and higher hierarchical rank in targets who take physical action toward a personal goal than in those who do not (Studies 4–5).

Environmental Justice

Environmental Justice
Encyclopedia of Quantitative Risk Assessment. Edited by B. Everitt and E. Melnick. John Wiley Publishers. New York, NY,

Restrepo, C. & Zimmerman, R.
05/01/2008

Quantitative risk assessment is a growing, important component of the larger field of risk assessment. The need to understand the risks of an activity, be it economic, environmental, public health/biomedical, or even based on terrorist or other hazardous impacts, has led to a number of methods of analysis for many different application scenarios. Indeed, all major areas of the larger endeavor - hazard identification, dose-response assessment, exposure assessment, and risk characterization - rely on and benefit from quantitative operations. Within these contexts, enhanced understanding of both the variability and the uncertainty inherent in the risk identification process is critically dependent upon proper implementation of appropriate statistical methodologies.

Jump-Starting Collaboration: The ABCD Initiative and the Provision of Child Development Services through Medicaid and Collaborators

Jump-Starting Collaboration: The ABCD Initiative and the Provision of Child Development Services through Medicaid and Collaborators
Public Administration Review, May 2008, Vol. 68 Issue 3, p480-490, 11p.

Berry, C., Krutz, G.S., Langner, B. & Budetti, P.
05/01/2008

Many policy problems require governmental leaders to forge vast networks beyond their own hierarchical institutions. This essay explores the challenges of implementation in a networked institutional setting and incentives to induce coordination between agencies and promote quality implementation. It describes the national evaluation of the Assuring Better Child Health and Development program, a state-based program intended to increase and enhance the delivery of child development services for low-income children through the health care sector, using Medicaid as its primary vehicle. Using qualitative evaluation methods, the authors found that all states implemented programs that addressed their stated goals and made changes in Medicaid policies, regulations, or reimbursement mechanisms. The program catalyzed interagency cooperation and coordination. The authors conclude that even a modest level of external support and technical assistance can stimulate significant programmatic change and interorganizational linkages within public agencies to enhance provision of child development services.

Public Opinion toward Legislating for the Future: An Update

Public Opinion toward Legislating for the Future: An Update
Policy Report for New York University's Brademas Center for the Study of Congress,

Light, P.C.
04/01/2008

The past two years have been unsettled at best for Congress. Public approval toward Congress remains low, legislative debates have been contentious, polarization remains high, and Congress has a mixed record in dealing with major long-term issues such as Social Security and Medicare. The State Children's Health Insurance program has been delayed awaiting a compromise that might expand coverage, immigration reform has been waylaid by the intensity of opposition across the party lines, energy reform was diluted by ongoing disputes about how to reduce the nation's dependence on foreign oil, and the war in Iraq continues to dictate the pace of major legislative debates.

Race/Ethnicity and Patient Confidence to Self-manage Cardiovascular Disease

Race/Ethnicity and Patient Confidence to Self-manage Cardiovascular Disease
Medical Care. 2008; 46(9):924-9

Blustein, J., Valentine, M., Mead, H. & Regenstein, M.
04/01/2008

Background: Minority populations bear a disproportionate burden of chronic disease, due to higher disease prevalence and greater morbidity and mortality. Recent research has shown that several factors, including confidence to self-manage care, are associated with better health behaviors and outcomes among those with chronic disease.

Objective: To examine the association between minority status and confidence to self-manage cardiovascular disease (CVD).

Study Sample: Survey respondents admitted to 10 hospitals participating in the Expecting Success program, with a diagnosis of CVD, during January-September 2006 (n = 1107).

Results: Minority race/ethnicity was substantially associated with lower confidence to self-manage CVD, with 36.5% of Hispanic patients, 30.7% of Black patients, and 16.0% of white patients reporting low confidence (P < 0.001). However, in multivariate analysis controlling for socioeconomic status and clinical severity, minority status was not predictive of low confidence.

Conclusions: Although there is an association between race/ethnicity and confidence to self-manage care, that relationship is explained by the association of race/ethnicity with socioeconomic status and clinical severity.

Who Is Accountable for Racial Equity in Health Care?

Who Is Accountable for Racial Equity in Health Care?
Journal of the American Medical Association. Vol. 299 No.7, February 20: 814-816.

Blustein, J.
02/20/2008

Racial disparities are a ubiquitous feature of the US medical landscape, with health care delivery substantially segregated by race/ethnicity. Recent evidence from hospitals,1-3 nursing homes,4-5 and physicians' offices6 suggests that those caring for minority patients do not perform as well as those who care for nonminority patients, on average. This evidence is troubling but hardly surprising because the limited resources of those who care for the poor have helped to create and sustain racial disparities. As the United States enters an era of accountability in health care, it is time to consider these familiar circumstances from a new perspective.

Anti-Fett Politik: Ubergevicht und staatliche Interventionspolitik in den USA

Anti-Fett Politik: Ubergevicht und staatliche Interventionspolitik in den USA
in H. Schmidt-Semisch & F. Schorb, eds., Kreuzzug gegen Fette [Political Crusade Against Fat]. Translated from original. Wiesbaden, Germany: VS Verlag / Springer Publishing

Kersh, R. & Monroe, J.
02/01/2008

Der Aufruf des Surgeon Generals 2 beginnt dramatisch: „Übergewicht und Adipositas haben epidemische Ausmaße erreicht...." (Satcher zit. nach Mokdad 2001). Wissenschaftler, Regierungssprecher, Medienexperten, Journalisten und Lobbygruppen stimmen zunehmend lauter in diesen alarmistischen Chor ein. Im Gegensatz aber zu vielen anderen Public-Health-Problemen ist Adipositas zu großen Teilen individuellen Verhaltensweisen wie Essen und Trinken geschuldet. In den Vereinigten Staaten mit ihrer starken Kultur des Individualismus wird Privates oft als Tabuzone für staatliche Interventionen betrachtet: „Die Regierung sollte sich aus den persönlichen Entscheidungen, die ich treffe, heraushalten", schreibt der Washingtoner Universitätsprofessor Robert Rüssel, „meine bzw. deine Essgewohnheiten rechtfertigen nicht, dass mir die Regierung in den Kochtopf guckt" (zit. nach St. Louis Dispatch: 21.03.2002).

Long-Term Associations of Homelessness with Children's Well-Being

Long-Term Associations of Homelessness with Children's Well-Being
American Behavioral Scientist, Feb 2008, Vol. 51 Issue 6, p789-809, 21p

Shinn, M., Schteingart, J.S., Williams, N.P., Carlin-Mathis, J., Bialo-Karagis, N.,Becker-Klein, R. & Weitzman, B.C.
02/01/2008

To analyze long-term consequences of homelessness, the authors compared 388 formerly homeless children 55 months after shelter entry with 382 housed peers, birth to 17, using mother- and child-reported health, mental health, community involvement, cognitive performance, and educational records. Both groups scored below cognitive and achievement norms. Small group differences favored housed 4- to 6-year-olds on cognition and 4- to 10-year-olds on mental health only. Child care and recent stressful events, which were high, were as or more important than prior homelessness. Only children living with mothers were included, potentially biasing results. Policy implications are discussed.

Comparative Analysis of Health Systems in Wealthy Nations

Comparative Analysis of Health Systems in Wealthy Nations
Health Care Delivery in the United States. Revised and updated for 9th Edition. Edited by Kovner, A. and J. Knickman, J. New York: Springer,

Rodwin, V.G.
01/01/2008

How do we understand and also assess the health care of America? Where is health care provided? What are the characteristics of those institutions which provide it? Over the short term, how are changes in health care provisions affecting the health of the population, the cost of care, and access to care? These core issues regarding our health policy are answered in this text.This is a textbook for course work in health care, the handbook for administrators and policy makers, and the standard for in-service training programs.

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