Housing & Community Development

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.

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.

Evaluating Environmental and Economic Benefits of Yellow-Dust Storm Related Policies in Northern China

Evaluating Environmental and Economic Benefits of Yellow-Dust Storm Related Policies in Northern China
International Journal of Sustainable Development and World Ecology, Vol. 15, pp. 457-470

Guo, Z. & Ning, A., Ploenske, K.R.
01/01/2008

Yellow-dust storms (YDSs) have attracted increasing attention worldwide in the past decade. They can extensively disrupt socioeconomic activities and pose hazards to ecosystems, as well as human health.  In recent years, China has invested multi-billions of dollars to mitigate the impact of YDSs.  However, the effectiveness of such YDS-control programs has rarely been evaluated. This research develops a causal model to quantify the environmental benefits of YDS-control programs in China, and further employs regional economic models to evaluate the ensuing economic impacts. The economic benefits generated from the YDS-control programs have remained stable across the years, primarily because of the multiplier effect of the investments, while the environmental benefits tend to decline over time.  Our results suggest that YDS-control programs should consider stimulating local economic activities in addition to environmental goals in order to be cost-effective and sustainable in the long term.

Micro-Credit

Micro-Credit
New Palgrave Dictionary of Economics Second Edition.  Palgrave Macmillan. 2008

Morduch, J. & Durlauf, S., Blume, L.
01/01/2008

Written by 1506 eminent contributors, this new edition of The New Palgrave Dictionary of Economics retains many classic essays of enduring importance and contains 1,872 articles. Published in eight print volumes and for the first time in online format, this is the definitive scholarly reference work for a new generation of economists.

Spillovers and Subsidized Housing: The Impact of Subsidized Rental Housing on Neighborhoods

Spillovers and Subsidized Housing: The Impact of Subsidized Rental Housing on Neighborhoods
In Revisiting Rental Housing.  Edited by Belsky, E. and Nicolas Retsinas. Washington, DC, Brookings Institution Press.

Ellen, Ingrid G.
01/01/2008

Leading housing researchers build upon decades of experience, research, and evaluation to inform our understanding of the nations rental housing challenges and what can be done about them. It thoughtfully addresses not only present issues affecting rental housing, but also viable solutions.

The Intergenerational Transmission of Context

The Intergenerational Transmission of Context
American Journal of Sociology, Jan 2008, Vol. 113 Issue 4, p931-969, 39p.

Sharkey, P.
01/01/2008

This article draws on the extensive literature on economic and social mobility in America to examine intergenerational contextual mobility, defined as the degree to which inequalities in neighborhood environments persist across generations. PSID data are analyzed to reveal remarkable continuity in neighborhood economic status from one generation to the next. The primary consequence of persistent neighborhood stratification is that the racial inequality in America's neighborhoods that existed a generation ago has been transmitted, for the most part unchanged, to the current generation. More than 70% of black children who grow up in the poorest quarter of American neighborhoods remain in the poorest quarter of neighborhoods as adults, compared to 40% of whites. The results suggest that racial inequality in neighborhood economic status is substantially underestimated with short-term measures of neighborhood income or poverty and, second, that the steps taken to end racial discrimination in the housing and lending markets have not enabled black Americans to advance out of America's poorest neighborhoods.

The Search for Social Entrepreneurship

The Search for Social Entrepreneurship
Brookings Institution Press

Light, P.C.
01/01/2008

Research on social entrepreneurship is finally catching up to its rapidly growing potential. In The Search for Social Entrepreneurship, Paul Light explores this surge of interest to establish the state of knowledge on this growing phenomenon and suggest directions for future research. Light begins by outlining the debate on how to define social entrepreneurship, a concept often cited and lauded but not necessarily understood. A very elemental definition would note that it involves individuals, groups, networks, or organizations seeking sustainable change via new ideas on how governments, nonprofits, and businesses can address significant social problems. That leaves plenty of gaps, however, and without adequate agreement on what the term means, we cannot measure it effectively. The unsatisfying results are apple-to-orange comparisons that make replication and further research difficult. The subsequent section examines the four main components of social entrepreneurship: ideas, opportunities, organizations, and the entrepreneurs themselves. The copious information available about each has yet to be mined for lessons on making social entrepreneurship a success. The third section draws on Light’s original survey research on 131 high-performing nonprofits, exploring how they differ across the four key components. The fourth and final section offers recommendations for future action and research in this burgeoning field.

Notes from the Field: Jumpstarting the IRB Approval Process in Multicenter Studies

Notes from the Field: Jumpstarting the IRB Approval Process in Multicenter Studies
Health Services Research, Volume 42, Number 4, August 2007 , pp. 1773-1782(10) Blackwell Publishing.

Blustein, J., Regenstein, M., Seigel, B. & Billings, J.
08/01/2007

Objective. To identify strategies that facilitate readiness for local Institutional Review Board (IRB) review, in multicenter studies.

Study Setting. Eleven acute care hospitals, as they applied to participate in a foundation-sponsored quality improvement collaborative.

Study Design. Case series.

Data Collection/Extraction. Participant observation, supplemented with review of written and oral communications.

Principal Findings. Applicant hospitals responded positively to efforts to engage them in early planning for the IRB review process. Strategies that were particularly effective were the provisions of application templates, a modular approach to study description, and reliance on conference calls to collectively engage prospective investigators, local IRB members, and the evaluation/national program office teams. Together, these strategies allowed early identification of problems, clarification of intent, and relatively timely completion of the local IRB review process, once hospitals were selected to participate in the learning collaborative.

Conclusions. Engaging potential collaborators in planning for IRB review may help expedite and facilitate review, without compromising the fairness of the grant-making process or the integrity of human subjects protection.

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