Journal of Health Politics Policy and Law最新文献

Runaway Polarization Is Making Us Sick. Social Science Could Offer an Antidote. 失控的两极分化正在让我们生病。社会科学可以提供解药。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995120

Timothy Callaghan, Matt Motta

{"title":"Runaway Polarization Is Making Us Sick. Social Science Could Offer an Antidote.","authors":"Timothy Callaghan, Matt Motta","doi":"10.1215/03616878-11995120","DOIUrl":"https://doi.org/10.1215/03616878-11995120","url":null,"abstract":"Public health in the United States has become deeply polarized. Runaway political polarization is increasingly influencing both American's health attitudes (e.g. supporting health policies and candidates that are hostile to public health) and behaviors (e.g., whether people take action to protect themselves and others from infectious diseases). In this manuscript, we detail the growing partisan polarization of public health over time, examining partisan polarization and its policy consequences. We then propose a three-pronged path for better understanding and overcoming polarization in health and medicine. First, we call for additional social-scientific research on public health polarization. We highlight the need for health data that includes measures of partisanship as well as the need for appropriate sources of funding to study public health polarization. Second, we point to the need for better health communication interventions to confront polarization that are both scalable in real-world settings and likely to be supported by community partners concerned about appearing 'political' in their efforts at health messaging. Finally, we discuss the vital role of clinicians in addressing polarization's impact on health, suggesting strategies for patient engagement and the need for research on the bioethical implications of discussing partisan issues during clinical encounters.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Changing Politics of Guns in America. 美国枪支政治的变化。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995176

Caitlin L McMurtry

{"title":"The Changing Politics of Guns in America.","authors":"Caitlin L McMurtry","doi":"10.1215/03616878-11995176","DOIUrl":"https://doi.org/10.1215/03616878-11995176","url":null,"abstract":"During the pandemic, rates of suicide among adolescents of color rose sharply and firearm injuries became the leading cause of death among children and youth. At the same time, firearm sales soared, changing the profile of American gun owners, and the political landscape of firearms altered amid groundbreaking Supreme Court decisions, the National Rifle Association's collapse, and the proliferation of firearm deregulation policies. This new period of gun politics has coincided with larger societal phenomena, including growing distrust of government, of institutions, and of each other. Together, they demonstrate an urgent need to rethink our messaging strategy around gun violence. Specifically, while trust in health institutions and experts remains low, invoking the language of public health may be not only insufficient, but counterproductive. Until public health, as a discipline, engages proactively with the social and political aspects of firearm ownership and understands guns as means of replacing fear and uncertainty with strength and self-sufficiency, the field may find little success in reducing firearm deaths. This essay discusses changes to the U.S. gun landscape before, during, and after the pandemic, the Trump administration's approach to the Second Amendment, and what it all means for the future of gun politics in America.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Using New Techniques to Examine the Past: A Computational Assessment of the First 50 Years of the Journal of Health Politics, Policy and Law. 使用新技术来检查过去：对卫生政治，政策和法律杂志前50年的计算评估。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995192

Sarah E Gollust, Yujin Kim, Paul Espinoza Kissell, Erika Franklin Fowler

{"title":"Using New Techniques to Examine the Past: A Computational Assessment of the First 50 Years of the Journal of Health Politics, Policy and Law.","authors":"Sarah E Gollust, Yujin Kim, Paul Espinoza Kissell, Erika Franklin Fowler","doi":"10.1215/03616878-11995192","DOIUrl":"https://doi.org/10.1215/03616878-11995192","url":null,"abstract":"A rigorous investigation of the past 50 years of scholarship in the Journal of Health Policy, Policy and Law requires the application of large-scale computational text tools. We utilized four strategies to analyze research articles (N = 1,532): keyword searching, named entity recognition, unsupervised topic modeling, and use of large language modeling. We examined geographies, main topics and sub-topics of articles over time; attention to equity/diversity, racism, women's health, and LGBTQ+ people; and authors' methodological approaches. Articles have examined a diversity of health policy topics, although most have concerned health care access and health insurance, and the majority are U.S.-based. Authors have consistently (more than 50% of articles) mentioned issues of health equity and health disparities, across the 50 years. They have applied a range of methodological approaches, with empirical legal and policy analyses the most prominent; qualitative approaches have been consistent, while quantitative articles have seen an increase in the past decade. Findings demonstrate the utility of computational methods in future applications for health policy and politics scholarship.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Same as It Ever Was? Persistence and Transformation in US Health Care Policy. 和以前一样吗？美国医疗保健政策的坚持与转变

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995208

Jonathan Oberlander

引用次数: 0

Value-Based Payment in Medicare: Progress, Challenges, and Future Directions. 医疗保险中基于价值的支付：进展、挑战和未来方向。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995200

Jose F Figueroa, Ciara E Duggan, Karen E Joynt Maddox

{"title":"Value-Based Payment in Medicare: Progress, Challenges, and Future Directions.","authors":"Jose F Figueroa, Ciara E Duggan, Karen E Joynt Maddox","doi":"10.1215/03616878-11995200","DOIUrl":"https://doi.org/10.1215/03616878-11995200","url":null,"abstract":"Despite having the highest healthcare spending globally, the United States lags in key health outcomes compared to peer nations. Over recent decades, this concerning disconnect between spending and outcomes has spurred substantial national reforms focused on promoting \"value\" over \"volume\" of care, prompting the development of numerous value-based payment models. In this analysis, we provide an overview of the experience with value-based payment efforts in the United States, particularly within the Medicare program. We outline and evaluate four main value-based care paradigms: public reporting programs, pay-for-performance models, episode-based payment models, and population-based payment models. Across these models, we argue that there has been mixed success in achieving cost reduction and quality improvements. While some episode-based and population-based models have shown modest savings, the overall efficacy of value-based care reforms remains suboptimal, and many models have yielded unintended consequences that have exacerbated existing health disparities. Considering this evidence alongside the current and emerging threats to value-based payment efforts, we identify several key areas for improvement across these models and discuss a path forward for strengthening value-based payment and delivery system reforms, highlighting key strategies to ensure that future value-based payment models achieve the goals of fostering high-quality, cost-effective, and equitable care.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

LGBTQ+ Health, Policy & Politics: Advances, Challenges and Potential Opportunities. LGBTQ+健康、政策与政治：进步、挑战和潜在机遇。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995168

Kevin H Nguyen, Leesh Menard, Heidi Allen, Gilbert Gonzales

{"title":"LGBTQ+ Health, Policy & Politics: Advances, Challenges and Potential Opportunities.","authors":"Kevin H Nguyen, Leesh Menard, Heidi Allen, Gilbert Gonzales","doi":"10.1215/03616878-11995168","DOIUrl":"https://doi.org/10.1215/03616878-11995168","url":null,"abstract":"The landscape of politics and policies that impact the health and wellbeing of lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) people in the United States has evolved substantially in the last fifty years. Tracing its roots back to the 1960s, the LGBTQ+ rights movement has often relied on health as an organizing principle to advance progress through advocacy, research, and public policy. In this article, the authors present the evolution of LGBTQ+ data collection and health policy research - with particular attention to nationwide marriage equality, the Affordable Care Act, and access to transgender-inclusive health insurance coverage - and then discuss the possible future trajectories of LGBTQ+ inclusion and equity. The authors also reflect on the pendulous trajectory of LGBTQ+ rights and progress, which has oscillated between incremental advancements and reactionary periods of regression. Ultimately, through decades of grassroots organizing, advocacy, legal battles, and shifts in public opinion, the LGBTQ+ community's visibility and acceptance has grown. Concurrently, the body of LGBTQ+ specific health research has proliferated and informed policies that have meaningfully improved the health and wellbeing of LGBTQ+ people. While the country is currently in an era of substantial policy retraction, the authors remain hopeful about the next fifty years.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Evolution of Long-Term Care and Health Policy in the United States. 美国长期护理和健康政策的演变。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995144

Rachel M Werner, Allison K Hoffman, R Tamara Konetzka

{"title":"The Evolution of Long-Term Care and Health Policy in the United States.","authors":"Rachel M Werner, Allison K Hoffman, R Tamara Konetzka","doi":"10.1215/03616878-11995144","DOIUrl":"https://doi.org/10.1215/03616878-11995144","url":null,"abstract":"Long-term care policy has been neglected for decades in the U.S. due to high costs, leaving middle-class families struggling to afford care. Many rely on unpaid caregivers, who face significant financial and emotional burdens. Historically, long-term care was a family or community responsibility, but in 1965, with the creation of Medicare and Medicaid, Medicaid became the default payer of long-term care, but only supports low-income individuals and does so incompletely. Medicare pays for long-term care only incidentally and temporarily by providing post-acute care in nursing homes and at home. Private insurance is rare due to affordability and policy constraints. Unpaid caregivers fill in the gaps. While the system has evolved over time, most notably shifting from institutional settings to home-based settings, significant gaps remain. The result is a fragmented system that does not work well for most people. It is possible to reform long-term care through options including expanding Medicaid coverage, incorporating long-term care into Medicare, or creating a new social insurance program. Each option requires significant government funding and political commitment. Without action, the current system will continue to fail aging individuals and their families.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Upended Politics of Abortion in the United States: New Directions for Health Policy Research. 美国被颠覆的堕胎政治：健康政策研究的新方向。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995128

Marian Jarlenski

{"title":"The Upended Politics of Abortion in the United States: New Directions for Health Policy Research.","authors":"Marian Jarlenski","doi":"10.1215/03616878-11995128","DOIUrl":"https://doi.org/10.1215/03616878-11995128","url":null,"abstract":"The 2022 Supreme Court decision in Dobbs rescinded the federal right to abortion in the United States, paving the way for an unprecedented wave of new state policies to restrict or criminalize, or, conversely, protect or create new state rights to abortion care. This transformed legal understanding has upended the politics of abortion in the US, raising the question for policy and politics researchers of how to move forward in an increasingly authoritarian era. In this reflective essay, I begin with an overview of the Reproductive Justice framework, suggesting it as a new norm for reproductive health policy research. I briefly review and summarize pre-Dobbs research on state policies related to Reproductive Justice constructs - the right to be pregnant, to not be pregnant, and to parent in a supportive environment. Building on the foundation of this prior research, I discuss the role of federalism in abortion policy going forward and propose a framework for future research. I conclude that reproductive health policy research should include the study of the interaction of policies and systems to wholistically consider the role of abortion policy in shaping health and social outcomes.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Shifting Federal and State Policy Landscapes for Health Insurance Coverage of Noncitizen Immigrants: Where Are We Thirty Years After PRWORA? 非公民移民健康保险覆盖的联邦和州政策格局的变化：PRWORA三十年后我们在哪里？

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-11995160

Arturo Vargas Bustamante, Alexandra C Rivera González, Aresha Martinez-Cardoso, Clara B Barajas, Maria-Elena Young, Alexander N Ortega

{"title":"The Shifting Federal and State Policy Landscapes for Health Insurance Coverage of Noncitizen Immigrants: Where Are We Thirty Years After PRWORA?","authors":"Arturo Vargas Bustamante, Alexandra C Rivera González, Aresha Martinez-Cardoso, Clara B Barajas, Maria-Elena Young, Alexander N Ortega","doi":"10.1215/03616878-11995160","DOIUrl":"https://doi.org/10.1215/03616878-11995160","url":null,"abstract":"Since the 1996 passage of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA), states have taken different approaches to noncitizen health coverage. California and Illinois expanded access using state funds, driven by policy innovation and advocacy coalitions, while Texas and Georgia maintained restrictive policies that reflected conservative politics and fiscal concerns. This study used the Policy Diffusion and Policy Contexts frameworks to analyze PRWORA influence on state decisions on immigrant health coverage. By examining the policy trajectories of California, Illinois, Texas, and Georgia, we highlighted the growing fragmentation in immigrant health coverage. The study reviewed trends in health insurance and Medicaid enrollment among noncitizens from 2008 to 2023 using data from the American Community Survey (ACS) and a RAND cost estimation tool. California and Illinois showed greater improvements in insurance coverage and Medicaid enrollment, while Texas and Georgia had lower gains. We found that restrictive policies led to higher uninsured rates and different tradeoffs in terms of cost and potential enrollment of noncitizens into Medicaid. Future policy developments will likely be influenced by federal policy changes, demographic shifts, and advocacy efforts. Understanding these dynamics is important for addressing disparities in immigrant health care access and informing policy debates.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Introduction: JHPPL at 50. 简介：JHPPL 50岁。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2025-06-20 DOI: 10.1215/03616878-12010700

Jonathan Oberlander, Sarah E Gollust

引用次数: 0