Health affairs (Project Hope)最新文献_第3页

Personal Care Aides: Assessing Self-Care Needs And Worker Shortages In Rural Areas. 个人护理助理:评估农村地区的自我护理需求和工作人员短缺。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00483

Susan A Chapman, Lillie Greiman, Timothy Bates, Laura M Wagner, Ari Lissau, Kirsi Toivanen-Atilla, Rayna Sage

{"title":"Personal Care Aides: Assessing Self-Care Needs And Worker Shortages In Rural Areas.","authors":"Susan A Chapman, Lillie Greiman, Timothy Bates, Laura M Wagner, Ari Lissau, Kirsi Toivanen-Atilla, Rayna Sage","doi":"10.1377/hlthaff.2022.00483","DOIUrl":"https://doi.org/10.1377/hlthaff.2022.00483","url":null,"abstract":"Previous research has documented shortages of personal care aides who provide Medicaid home and community-based services, but there are few detailed geographic data to determine the areas of greatest need and assess the availability of personal care aides nationwide. Using 2013-17 data from the American Community Survey and the Office of Management and Budget, we analyzed potential need for personal care aide services among adults and the supply of aides across the US. Areas with the highest percentages of adults with self-care disability were mainly in the South, and the gap between the potential need for personal care aide services and the aide supply was greatest in southern states. Within states, there were fewer personal care aides per 1,000 adults with self-care disability in the more rural and most rural areas than in the least rural areas. Wage and benefit increases, improved training and career opportunities, increased flexibility in state Medicaid policies on paid family caregiving, incentives and compensation for travel, and increased data collection and government tracking of workforce data could help boost the supply of personal care aides in rural America.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1403-1412"},"PeriodicalIF":9.7,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40393929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Global Disability Justice In Climate Disasters: Mobilizing People With Disabilities As Change Agents. 气候灾害中的全球残疾人正义:动员残疾人作为变革推动者。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00474

Alina Engelman, Leyla Craig, Alastair Iles

{"title":"Global Disability Justice In Climate Disasters: Mobilizing People With Disabilities As Change Agents.","authors":"Alina Engelman, Leyla Craig, Alastair Iles","doi":"10.1377/hlthaff.2022.00474","DOIUrl":"https://doi.org/10.1377/hlthaff.2022.00474","url":null,"abstract":"Disabled people are highly susceptible to climate change impacts and disasters, yet they often remain sidelined or largely invisible. Policy makers, humanitarian agencies, and governments need to address the climate-related vulnerabilities that disabled people encounter during acute events and in the course of more creeping forms of climate change. As deaf researchers, we call for integrating disability justice into climate and disaster preparedness policies and practices worldwide. A disability justice approach can embrace the strengths that disabled people bring to disaster planning and climate mitigation and advocacy efforts. In this article we present case studies from different global regions to illustrate how disability is overlooked in responding to climate-related health impacts and disaster planning. We also draw particular attention to mutual aid networks led by disabled people in adapting to climate-related health impacts. We then suggest questions to help policy makers and practitioners integrate disability justice into their work. Above all, disabled people, organizations, and service providers should take ownership over the process of developing policies and actions to better prevent, prepare for, and respond to climate disasters.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1496-1504"},"PeriodicalIF":9.7,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40394782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Communication Access In Mental Health And Substance Use Treatment Facilities For Deaf American Sign Language Users. 美国聋人手语使用者在心理健康和物质使用治疗设施中的沟通途径。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00408

Tyler G James, Michael S Argenyi, Donna L Guardino, Michael M McKee, Jaime A B Wilson, Meagan K Sullivan, Eiryn Griest Schwartzman, Melissa L Anderson

{"title":"Communication Access In Mental Health And Substance Use Treatment Facilities For Deaf American Sign Language Users.","authors":"Tyler G James, Michael S Argenyi, Donna L Guardino, Michael M McKee, Jaime A B Wilson, Meagan K Sullivan, Eiryn Griest Schwartzman, Melissa L Anderson","doi":"10.1377/hlthaff.2022.00408","DOIUrl":"https://doi.org/10.1377/hlthaff.2022.00408","url":null,"abstract":"Deaf and hard of hearing (DHH) American Sign Language users experience significant mental health-related disparities compared with non-DHH English speakers. Yet there is little empirical evidence documenting this priority population's communication access in mental health and substance use treatment facilities. This study measured mental health and substance use treatment facilities' noncompliance to Section 1557 of the Affordable Care Act (ACA), which requires health care facilities receiving government funds to provide effective communication access, such as a sign language interpreter, to DHH patients. Using nationally representative data from the Substance Abuse and Mental Health Services Administration, we found that 41 percent of mental health facilities and 59 percent of substance use treatment facilities receiving public funds reported not providing services in sign language in 2019 and were thus noncompliant with the ACA's mandate to provide accessible communication to DHH patients. We mapped these data to display state-level noncompliance, and we make detailed recommendations at the policy, facility, and provider levels. These include monitoring noncompliance among government-funded facilities, expanding state-by-state mental health licensure reciprocity and telehealth policies to improve access to American Sign Language-fluent mental health professionals and addiction counselors, establishing systematic processes to collect information on disability-related accommodation needs, and increasing the workforce of DHH American Sign Language-fluent providers.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1413-1422"},"PeriodicalIF":9.7,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40393925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Identifying And Exploring Bias In Public Opinion On Scarce Resource Allocation During The COVID-19 Pandemic. 识别和探索COVID-19大流行期间公众对稀缺资源分配的偏见。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00504

Ari Ne'eman, Elizabeth Bell, Monica C Schneider, Dara Strolovitch

引用次数: 2

Disability And Health. 残疾和健康。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.01200

Alan R Weil

引用次数: 1

A Foundation For Health And Well-Being: Meaningful Employment. 健康和幸福的基础:有意义的就业。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.01069

Heather Tirado Gilligan

引用次数: 0

Patient And Coworker Mistreatment Of Physicians With Disabilities. 病人和同事虐待残疾医生。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00502

Lisa M Meeks, Sarah S Conrad, Zakia Nouri, Christopher J Moreland, Xiaochu Hu, Michael J Dill

引用次数: 5

Loneliness Among Older Adults. 老年人的孤独感。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00512

Ellen T Rudy, Kelsey C McNamara, Andrew Parker, Ashwin A Kotwal, Carla M Perissinotto

引用次数: 7

Transgender Adults Have Higher Rates Of Disability Than Their Cisgender Counterparts. 变性成年人的残疾率高于他们的顺性同龄人。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00500

Madeline Smith-Johnson

引用次数: 3

Standing Up For My Sister. 为我的妹妹挺身而出。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00780

Courtney H Van Houtven

引用次数: 2