Finance

Health Policies for the 21st Century: Challenges and Recommendations for the USDHHS

Health Policies for the 21st Century: Challenges and Recommendations for the USDHHS
Milbank Memorial Fund, Fall

Boufford, J.I. & Lee, P.R.
01/01/2001

This report recommends a comprehensive reassessment of federal health policies, programs, and processes, including federal-state roles and relationships, and some immediate actions to promote and protect the nation's health and to provide leadership in world health. The report concentrates on the challenges facing the secretary of the U.S. Department of Health and Human Services (DHHS) as the head of the lead health agency in the federal government. The federal government is responsible for five main functions related to health policy: financing; public health protection; collecting and disseminating information about U.S. health and health care delivery systems; capacity building for population health; and direct management of services.

Unlike the current categorical, or highly specialized, approach leading to policies and programs addressing the needs of a specific population, illness, or organizational constituency, a new, comprehensive approach to policy for the 21st century should promote coordinated efforts across programs in order to achieve three goals:

* create conditions that lead to longer, healthier lives for all Americans;
* eliminate health disparities;
* protect communities from avoidable health hazards and help them to address their own health problems.

 

Health Services Management: Readings and Commentary

Health Services Management: Readings and Commentary
Chicago, Health Administration Press, 7th edition,

Kovner, A.R. & Neuhauser, D. (eds.)
01/01/2001

Managers of a healthcare organization have numerous demands on their time, their skills, their knowledge, and their budgets. They are responsible for adapting to change, managing their office, making effective decisions, among countless other tasks. This text-newly revised to include readings, commentary, and cases-offers a bridge from management theory to the actual world of healthcare management that will help your students learn the role of manager in a healthcare organization.

Local Property Taxation in Theory and Practice: Some Reflections

Local Property Taxation in Theory and Practice: Some Reflections
in Wallace E. Oates, editor, Property Taxation and Local Government Finance, Cambridge, MA: Lincoln Institute of Land Policy,

Netzer, D.
01/01/2001

The property tax is considered a most unpopular tax, among both scholars and taxpayers. Yet, recent research and analysis has proposed at least a partial rehabilitation of this tax and its role in the arena of local public finance. Based on a conference sponsored by the Lincoln Institute in January 2000, this book presents a systematic and comprehensive review of the economics of local property taxation and examines its policy implications. The ten papers and paired commentaries are written in a nontechnical form to make the findings available to a broad audience of policy makers and other noneconomists.

Measuring the Costs of Quality

Measuring the Costs of Quality
in Health Services Management: Readings and Commentary, Seventh Edition, A. Kovner and D. Neuhauser, editors, AUPHA Press/Health Administration Press, Chicago, IL, pp. 114-121.

Finkler, S.A.
01/01/2001

Managers of a healthcare organization have numerous demands on their time, their skills, their knowledge, and their budgets. They are responsible for adapting to change, managing their office, making effective decisions, among countless other tasks.

This book, newly revised to include readings, commentary, and cases, offers a bridge from management theory to the actual world of healthcare management. Throughout its past editions, Health Services Management has featured the best literature on health services management to help readers understand the role of the manager, organizational design and control, the blending of organization and health professionals, change (adaptation), and responsiveness (accountability). This edition continues that effort, and features new readings.

 

Microenterprise Development for Better Health Outcomes

Microenterprise Development for Better Health Outcomes
Westport, CT: Greenwood Publishing.

Rodriguez-Garcia, R., Macinko, J. & Waters, W.
01/01/2001

Showing that economic development and public health, often thought of as distinct, are both interdependent and dependent on social and political conditions, this book provides a new appreciation of the close relationship between microenterprise development and health in developing countries. Many of the world's poor earn a living from microenterprises, often outside the formal economy, and international practitioners have recently turned their attention to this underground economy, providing support through group poverty lending and village banking models, but overlooking the potential benefits of linking income generation with public health. This book argues for a conceptual and practical relationship between microenterprise development and household health, nutrition, and sanitation. To support their framework, the authors look at specific actions for harnessing the power of microeconomic development to improve health and human development. They support their argument further with case studies of innovative programs carried out in Latin America, Asia, and Africa. The book challenges the reader to cross disciplinary and professional boundaries to not only understand the interrelationships between health and income generation but to use available tools to enhance those interrelationships.

Principles to Guide Housing Policy in the New Millenium

Principles to Guide Housing Policy in the New Millenium
in Cityscapes: A Journal of Policy Development and Research. 5(2): 5-19.

Schill, M. & Wachter, S.
01/01/2001

The 1990s were a tumultuous time for Federal housing policy. The decade began with deep divisions in the housing community over how to deliver housing assistance. Federal budget cuts in the mid-1990s, for the first time in recent history, essentially froze the number of households that received housing assistance. At roughly the same time, the continuing existence of HUD was itself in doubt, as the New York Times Magazine in 1995 published its lead article proclaiming "The Year That Housing Died."

As the new millennium begins, things have changed dramatically. Not only is Congress no longer seriously questioning whether to disband HUD, but in response to a record-setting economic expansion and internal reforms within the agency, Congress has substantially increased HUD 's budget. In marked contrast to the beginning of the last decade, remarkable consensus exists among housing policymakers and analysts over the future direction of housing policy. In this article, we explore this emerging consensus and set forth our views regarding the principles that should guide housing policy over the next decade.

Variation in Teenage Mothers’ Experiences of Child Care and Other Components of Welfare Reform: Selection Processes and Developmental Consequences

Variation in Teenage Mothers’ Experiences of Child Care and Other Components of Welfare Reform: Selection Processes and Developmental Consequences
Child Development, Volume 72, pp. 299-317,

Yoshikawa, H., Rosman, E.A. & Hsueh, J..
01/01/2001

Developmental evaluations of the current wave of welfare reform programs present challenges with regard to (1) assessing child outcomes; (2) accounting for heterogeneity among low-income families in both baseline characteristics and involvement in self-sufficiency activities and supports, and (3) development of alternatives to experimental approaches to causal inference. This study (N = 1,079) addresses these challenges by examining effects on 4- to 6-year-old children of different patterns of child care, self-sufficiency activities, and other service utilization indicators among experimental-group mothers in a 16-site welfare reform program. Outcomes in areas of cognitive ability and behavior problems were investigated. The study identified seven subgroups of participants engaging in different patterns of service utilization and activity involvement. A two-stage simultaneous equation methodology was used to account for selection, and effects on child cognitive ability of participation in specific patterns of services and activities were found. For example, children of mothers characterized by high levels of involvement in center-based child care, education, and job training showed higher levels of cognitive ability than children of mothers in groups characterized by high involvement in center-based care and education, or center-based care and job training. In addition, children of mothers in groups with high levels of involvement in any of these activities showed higher levels of cognitive ability than those with low levels of involvement. The bulk of selection effects occurred through site-level differences, rather than family-level socio-economic status or maternal depression indicators. Implications for welfare reform program and policy concerns are discussed.

Factors influencing participation in weekly support groups among women completing an HIV/STD Intervention program

Factors influencing participation in weekly support groups among women completing an HIV/STD Intervention program
Women and Health 2000; 30(1): 15-35

Van Devanter, N., Parikh, N., Cohall, R., Faber, N., Litwak, E., Messeri, P., Gonzales, V., Kruger, S. & Greenberg, J.
01/01/2000

Over the past three decades, the influence and importance of social support has been well documented and the findings have suggested a beneficial effect on stress-related situations, mental and physical health, and social functioning. More recently, small group/skills training behavioral interventions have demonstrated success in changing behaviors which affect the transmission of sexually transmitted diseases, including HIV among populations at risk for these diseases. Studies of support groups to date have been conducted exclusively in research settings where women are offered financial incentives for participation. Little is known about the willingness of women to participate in ongoing support groups after successfully completing a skills training intervention. The present study examines the factors that may influence participation among women in a weekly support group after completing a structured, six session HIV/STD intervention. Both quantitative and qualitative data are collected from 265 women in the intervention arm of a multi-site randomized controlled behavioral intervention trial. Results reveal that less than a quarter (22%) of women participated in at least one support group. Participation varied significantly by site, ranging from 34% to 15% (p = .008). Participation was also strongly linked to recent use of domestic violence services. Qualitative data indicated that although monetary incentives play some role in the woman's decision to participate, other factors are also important. These include program outreach, support group size, salience of the group content, consistency of group leadership from the intervention to the support group, and use of peer leaders along with professional facilitators. Implications for design of post-intervention support groups programs are discussed.

Financial Management for Nurse Managers and Executives

Financial Management for Nurse Managers and Executives
2nd Edition, W.B. Saunders, Philadelphia,

Finkler, S.A. & Kovner, C.T.
01/01/2000

Covering the financial topics all nurse managers need to know and use, this book explains how financial management fits into the healthcare organization. You'll study accounting principles, cost analysis, planning and control management of the organization's financial resources, and the use of management tools.

High School Size: The Effects on Budgets and Performance in New York City

High School Size: The Effects on Budgets and Performance in New York City
Educational Evaluation and Policy Analysis, Spring

Stiefel, L., Berne, R., Iatarola, P. & Fruchter, N.
01/01/2000

Combines budget and performance information to study the effects of high school size. Suggests that since small high schools are more effective for minority and poor students, and the budget per student is found to be similar for small and large schools, policymakers might support the creation of more small high schools. (SLD)

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