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Coming Up Short: How Cancer Drug Shortages Affect Care. 即将短缺：癌症药物短缺如何影响医疗服务》（Coming Up Short: How Cancer Drug Shortages Affect Care.
IF 8.6 1区 医学
Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2023.01470
Neha Verma
{"title":"Coming Up Short: How Cancer Drug Shortages Affect Care.","authors":"Neha Verma","doi":"10.1377/hlthaff.2023.01470","DOIUrl":"10.1377/hlthaff.2023.01470","url":null,"abstract":"<p><p>An oncology fellow shares her experience navigating a cancer drug shortage alongside her patient.</p>","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238557","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":"<p><p>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.</p>","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"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":"<p><p>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.</p>","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"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
{"title":"The United States Needs A Better Testing Playbook For Future Public Health Emergencies.","authors":"Jennifer B Nuzzo, Aquielle Person, Elizabeth Cameron, Jill Taylor, Ewa King, Mara Aspinall, Scott Becker","doi":"10.1377/hlthaff.2024.00038","DOIUrl":"10.1377/hlthaff.2024.00038","url":null,"abstract":"<p><p>The absence of a comprehensive national playbook for developing and deploying testing has hindered the United States' ability to rapidly suppress recent biological emergencies (for example, the COVID-19 pandemic and outbreaks of mpox). We describe here the Testing Playbook for Biological Emergencies, a national testing playbook we developed. It includes a set of decisions and actions for US officials to take at specific times during infectious disease emergencies to implement testing rapidly and to ensure that available testing meets clinical and public health needs. Although the United States had multiple plans at the federal level for responding to pandemic threats, US leaders were unable to quickly and efficiently operationalize those plans to deploy different types of tests during the COVID-19 pandemic in 2020-21, and again during the US mpox outbreak in 2022. The playbook fills a critical gap by providing the necessary specific and adaptable guidance for decision makers to meet this need.</p>","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238692","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
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":"<p><p>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.</p>","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"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
{"title":"Reimagining Public Health: Mapping A Path Forward.","authors":"Jonathan Samet, Ross C Brownson","doi":"10.1377/hlthaff.2024.00007","DOIUrl":"10.1377/hlthaff.2024.00007","url":null,"abstract":"<p><p>The COVID-19 pandemic and other ongoing public health challenges have highlighted deficiencies in the US public health system. The United States is in a unique moment that calls for a transformation that builds on Public Health 3.0 and its focus on social determinants of health and partnerships with diverse sectors while also acknowledging how the pandemic altered the landscape for public health. Based on relevant literature, our experience, and interviews with public health leaders, we describe seven areas of focus within three broad categories to support transformational change. Contextual areas of focus include increasing accountability and addressing politicization and polarization. Topical areas of focus highlight prioritizing climate change and sharpening the focus on equity. Technical areas of focus include advancing data sciences, building the workforce, and enhancing communication capacity. A transformed public health system will depend highly on leadership, funding incentives, and both bottom-up and top-down approaches. A broad effort is needed by public health agencies, governments, and academia to accelerate the transition to a next phase for public health.</p>","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238672","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
Erratum. 勘误。
IF 9.7 1区 医学
Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00623
{"title":"Erratum.","authors":"","doi":"10.1377/hlthaff.2024.00623","DOIUrl":"https://doi.org/10.1377/hlthaff.2024.00623","url":null,"abstract":"","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":9.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238621","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
Statement Of Ownership & Circulation. 所有权和流通声明。
IF 9.7 1区 医学
Health Affairs Pub Date : 2024-06-01 DOI: 10.1377/hlthaff.2024.00611
Kimberly Steinle
{"title":"Statement Of Ownership & Circulation.","authors":"Kimberly Steinle","doi":"10.1377/hlthaff.2024.00611","DOIUrl":"https://doi.org/10.1377/hlthaff.2024.00611","url":null,"abstract":"","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":9.7,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238682","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
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
{"title":"Prescription Digital Therapeutics: Assertions.","authors":"Andrew Molnar","doi":"10.1377/hlthaff.2024.00152","DOIUrl":"10.1377/hlthaff.2024.00152","url":null,"abstract":"","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"PeriodicalIF":8.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238655","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 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":"<p><p>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.</p>","PeriodicalId":50411,"journal":{"name":"Health Affairs","volume":null,"pages":null},"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
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