Health Affairs最新文献_第2页

Minnesota Public Health Corps: A New Model For Building The Governmental Public Health Workforce. 明尼苏达公共卫生队：建设政府公共卫生队伍的新模式。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00019

Chelsey Kirkland, Henry Stabler, Jaclyn Frank, Alana Stimes, Peter Nelson, Ben Suker, Sarah Sevcik Tummala, Craig Hedberg, Jonathon P Leider, A J Pearlman

{"title":"Minnesota Public Health Corps: A New Model For Building The Governmental Public Health Workforce.","authors":"Chelsey Kirkland, Henry Stabler, Jaclyn Frank, Alana Stimes, Peter Nelson, Ben Suker, Sarah Sevcik Tummala, Craig Hedberg, Jonathon P Leider, A J Pearlman","doi":"10.1377/hlthaff.2024.00019","DOIUrl":"10.1377/hlthaff.2024.00019","url":null,"abstract":"Governmental public health agencies in the US are understaffed, and ongoing shortages will have a detrimental effect on their ability to provide basic public health services and protections. Public Health AmeriCorps was established in 2022 to support efforts to create a stronger and more diverse public health workforce nationwide. The Minnesota Public Health Corps, one of the largest Public Health AmeriCorps models, is a capacity-building program that places AmeriCorps members directly into governmental public health settings across the state. We used data from the first year of the Minnesota Public Health Corps (2022-23) to describe the experiences of thirty-five sites participating in the program. We also examined preliminary findings about how it shaped AmeriCorps members' skills and prospects related to career development in public health. Corps members were younger and more diverse than the current public health workforce in Minnesota, and the majority said that they intended to pursue a public health career. Host sites reported improved capacity to deliver public health services and indicated that corps members helped them reach new populations. Our evaluation demonstrates that this statewide program may be a scalable model to address parts of the acute capacity gaps at public health agencies, as well as long-term efforts to revitalize the workforce.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":"43 6","pages":"822-830"},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Indiana's Public Health Investment Holds Insights For Other States. 印第安纳州的公共卫生投资为其他州提供了启示。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2023.01650

Nir Menachemi, Lindsay Weaver, Virginia Caine, D Shane Hatchett, Kristina Box, Paul K Halverson

{"title":"Indiana's Public Health Investment Holds Insights For Other States.","authors":"Nir Menachemi, Lindsay Weaver, Virginia Caine, D Shane Hatchett, Kristina Box, Paul K Halverson","doi":"10.1377/hlthaff.2023.01650","DOIUrl":"10.1377/hlthaff.2023.01650","url":null,"abstract":"Indiana has a business-friendly environment, but historical underinvestment in public health has yielded poor health outcomes. In 2023, when trust in governmental public health was strained nationwide, Indiana increased public health spending by 1,500 percent. In this article, we explain how Indiana achieved this unprecedented legislative victory for public health, describing the context, approach, and lessons learned. Specifically, an Indiana University report linking economic vitality and overall health sparked the creation of a governor's commission charged with exploring ways to address Indiana's shortcomings. Working with the Indiana Department of Health, the commission developed multisectoral coalitions and business and government partnerships, and it maintained consistent and coordinated communication with policy makers. Lessons learned included the value of uncoupling public health from partisan narratives, appointing diverse commission membership with strategically selected cochairs, involving local leaders, and ensuring local decision-making control. We believe that Indiana's approach holds insights for other states interested in strengthening public health funding in the current era.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":"43 6","pages":"856-863"},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Not Only How Much But How: The Importance Of Diversifying Funding Streams In A Reimagined Public Health System. 不仅要多少，还要如何：在重新构想的公共卫生系统中实现资金流多样化的重要性。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00037

J Mac McCullough, Umesh Ghimire, Jason M Orr, Sezan O Onal, Ashley Edmiston, Krishna Patel, Timothy C McCall, Jonathon P Leider

{"title":"Not Only How Much But How: The Importance Of Diversifying Funding Streams In A Reimagined Public Health System.","authors":"J Mac McCullough, Umesh Ghimire, Jason M Orr, Sezan O Onal, Ashley Edmiston, Krishna Patel, Timothy C McCall, Jonathon P Leider","doi":"10.1377/hlthaff.2024.00037","DOIUrl":"10.1377/hlthaff.2024.00037","url":null,"abstract":"Revenue diversification may be a synergistic strategy for transforming public health, yet few national or trend data are available. This study quantified and identified patterns in revenue diversification in public health before and during the COVID-19 pandemic. We used National Association of County and City Health Officials' National Profile of Local Health Departments study data for 2013, 2016, 2019, and 2022 to calculate a yearly diversification index for local health departments. Respondents' revenue portfolios changed fairly little between 2016 and 2022. Compared with less-diversified local health departments, well-diversified departments reported a balanced portfolio with local, state, federal, and clinical sources of revenue and higher per capita revenues. Less-diversified local health departments relied heavily on local sources and saw lower revenues. The COVID-19 period exacerbated these differences, with less-diversified departments seeing little revenue growth from 2019 to 2022. Revenue portfolios are an underexamined aspect of the public health system, and this study suggests that some organizations may be under financial strain by not having diverse revenue portfolios. Practitioners have ways of enhancing diversification, and policy attention is needed to incentivize and support revenue diversification to enhance the financial resilience and sustainability of local health departments.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":"43 6","pages":"846-855"},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The United States Needs A Better Testing Playbook For Future Public Health Emergencies. 美国需要一本更好的测试手册来应对未来的公共卫生突发事件。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00038

Jennifer B Nuzzo, Aquielle Person, Elizabeth Cameron, Jill Taylor, Ewa King, Mara Aspinall, Scott Becker

引用次数: 0

Oregon's Approach To Demonstrating The Value Of A Modern Public Health System Through Accountability Metrics. 俄勒冈州通过问责指标展示现代公共卫生系统价值的方法。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00012

Kusuma Madamala, Sara Beaudrault, Timothy Menza, Cara Biddlecom

{"title":"Oregon's Approach To Demonstrating The Value Of A Modern Public Health System Through Accountability Metrics.","authors":"Kusuma Madamala, Sara Beaudrault, Timothy Menza, Cara Biddlecom","doi":"10.1377/hlthaff.2024.00012","DOIUrl":"10.1377/hlthaff.2024.00012","url":null,"abstract":"Oregon's public health system uses accountability metrics to improve health, eliminate inequities, and practice stewardship. First enacted into law during the 2015 legislative session, with additions and clarifications made in the 2017 session, these metrics promote collective action across sectors, bring attention to the root causes of health inequities, and hold public health authorities accountable for performance improvement as they carry out core public health functions. This article describes the development of Oregon's accountability metrics and implications for future practice. In 2023, Oregon's public health leaders adopted a new set of health outcome indicators and process measures for communicable disease control and environmental health, with performance tied to financial incentives. Oregon's process is a model for other states developing an accountability framework in their pursuit of public health transformation. Oregon's work contributes to legislative and other policy decisions for measuring the success of approaches to eliminating health inequities and for applying performance-based incentives within the public health system.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":"43 6","pages":"864-872"},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reimagining Public Health: Mapping A Path Forward. 重新构想公共卫生：绘制前进之路。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00007

Jonathan Samet, Ross C Brownson

引用次数: 0

Colocating Syringe Services, COVID-19 Vaccination, And Infectious Disease Testing: Baltimore's Experience. 集中注射器服务、COVID-19 疫苗接种和传染病检测：巴尔的摩的经验。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00032

Omeid Heidari, Diane Meyer, Kelly Lowensen, Amita Patil, Katie J O'Conor, Jessica LaRicci, Derrick Hunt, Adam P Bocek, Victoria Cargill, Jason E Farley

{"title":"Colocating Syringe Services, COVID-19 Vaccination, And Infectious Disease Testing: Baltimore's Experience.","authors":"Omeid Heidari, Diane Meyer, Kelly Lowensen, Amita Patil, Katie J O'Conor, Jessica LaRicci, Derrick Hunt, Adam P Bocek, Victoria Cargill, Jason E Farley","doi":"10.1377/hlthaff.2024.00032","DOIUrl":"10.1377/hlthaff.2024.00032","url":null,"abstract":"People who inject drugs face many challenges that contribute to poor health outcomes, including drug overdose, HIV, and hepatitis C infections. These conditions require high-quality prevention and treatment services. Syringe services programs are evidence-based harm reduction programs, and they have established track records with people who inject drugs, earning them deep trust within this population. In Baltimore, Maryland, although many syringe support services were limited during the COVID-19 pandemic, the health department's syringe services programs remained operational, allowing for the continuation of harm reduction services, including naloxone distribution. This evaluation describes a collaborative effort to colocate infectious disease testing and COVID-19 vaccination with a syringe services program. Our evaluation demonstrated that colocation of important services with trusted community partners can facilitate engagement and is essential for service uptake. Maintaining adequate and consistent funding for these services is central to program success. Colocation of other services within syringe services programs, such as medications for opioid use disorder, wound care, and infectious disease treatment, would further expand health care access for people who inject drugs.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":"43 6","pages":"883-891"},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11567152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Erratum. 勘误。

IF 9.7 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00623

引用次数: 0

Prescription Digital Therapeutics: Assertions. 处方数字疗法：断言。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00152

Andrew Molnar

引用次数: 0

Reimagining Rural Health Equity: Understanding Disparities And Orienting Policy, Practice, And Research In Rural America. 重新认识农村卫生公平：了解差距并指导美国农村地区的政策、实践和研究。

IF 8.6 1区医学

Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00036

Anne N Sosin, Elizabeth A Carpenter-Song

{"title":"Reimagining Rural Health Equity: Understanding Disparities And Orienting Policy, Practice, And Research In Rural America.","authors":"Anne N Sosin, Elizabeth A Carpenter-Song","doi":"10.1377/hlthaff.2024.00036","DOIUrl":"10.1377/hlthaff.2024.00036","url":null,"abstract":"A narrative has taken hold that public health has failed the US. We argue instead that the US has chronically failed public health, and nowhere have these failures been more apparent than in rural regions. Decades of underinvestment in rural communities, health care, and public health institutions left rural America uniquely vulnerable to the COVID-19 pandemic. Rural communities outpaced urban ones in deaths, and many rural institutions and communities sustained significant impacts. At the same time, the pandemic prompted creative actions to meet urgent health and social needs, and it illuminated opportunities to address long-standing rural challenges. This article draws on our cross-disciplinary expertise in public health and medical anthropology, as well as our research on COVID-19 and rural health equity in northern New England. In this Commentary, we articulate five principles to inform research, practice, and policy efforts in rural America. We contend that advancing rural health equity beyond the pandemic requires understanding the forces that generate rural disparities and designing policies and practices that account for rural disadvantage.","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":"43 6","pages":"791-797"},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0