Journal of Health Politics Policy and Law最新文献_第10页

Going the Extra Mile? How Provider Network Design Increases Consumer Travel Distance, Particularly for Rural Consumers. 多走一英里?供应商网络设计如何增加消费者出行距离，特别是农村消费者。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2020-12-01 DOI: 10.1215/03616878-8641591

Simon F Haeder, David L Weimer, Dana B Mukamel

{"title":"Going the Extra Mile? How Provider Network Design Increases Consumer Travel Distance, Particularly for Rural Consumers.","authors":"Simon F Haeder, David L Weimer, Dana B Mukamel","doi":"10.1215/03616878-8641591","DOIUrl":"https://doi.org/10.1215/03616878-8641591","url":null,"abstract":"Context: The practical accessibility to medical care facilitated by health insurance plans depends not just on the number of providers within their networks but also on distances consumers must travel to reach the providers. Long travel distances inconvenience almost all consumers and may substantially reduce choice and access to providers for some.Methods: The authors assess mean and median travel distances to cardiac surgeons and pediatricians for participants in (1) plans offered through Covered California, (2) comparable commercial plans, and (3) unrestricted open-network plans. The authors repeat the analysis for higher-quality providers.Findings: The authors find that in all areas, but especially in rural areas, Covered California plan subscribers must travel longer than subscribers in the comparable commercial plan; subscribers to either plan must travel substantially longer than consumers in open networks. Analysis of access to higher-quality providers show somewhat larger travel distances. Differences between ACA and commercial plans are generally substantively small.Conclusions: While network design adds travel distance for all consumers, this may be particularly challenging for transportation-disadvantaged populations. As distance is relevant to both health outcomes and the cost of obtaining care, this analysis provides the basis for more appropriate measures of network adequacy than those currently in use.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37985200","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: 7

Federalism Complicates the Response to the COVID-19 Health and Economic Crisis: What Can Be Done? 联邦制使应对COVID-19健康和经济危机复杂化:我们能做些什么?

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2020-12-01 DOI: 10.1215/03616878-8641493

Nicole Huberfeld, Sarah H Gordon, David K Jones

{"title":"Federalism Complicates the Response to the COVID-19 Health and Economic Crisis: What Can Be Done?","authors":"Nicole Huberfeld, Sarah H Gordon, David K Jones","doi":"10.1215/03616878-8641493","DOIUrl":"https://doi.org/10.1215/03616878-8641493","url":null,"abstract":"Federalism has complicated the US response to the novel coronavirus. States' actions to address the pandemic have varied widely, and federal and state officials have provided conflicting messages. This fragmented approach has surely cost time and lives. Federalism will shape the long-term health and economic impacts of COVID-19, including plans for the future, for at least two reasons: First, federalism exacerbates inequities, as some states have a history of underinvesting in social programs, especially in certain communities. Second, many of the states with the deepest needs are poorly equipped to respond to emergencies due to low taxes and distrust of government, leading to inadequate infrastructure. These dynamics are not new, but they have been laid bare by this crisis. What can policy makers do to address the inequities in health and economic outcomes that federalism intensifies? The first section of this article offers a case study of the Mississippi Delta to illustrate the role of federalism in perpetuating the connection between place, health, and economics. The second section examines challenges that safety net programs will face when moving beyond the acute phase of COVID-19. The final section explores near-, middle-, and long-term policy options to mitigate federalism's harmful side effects.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37983026","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: 29

Understanding the Anemic Global Response to COVID-19. 了解COVID-19全球应对不力。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2020-12-01 DOI: 10.1215/03616878-8641542

Joshua W Busby

{"title":"Understanding the Anemic Global Response to COVID-19.","authors":"Joshua W Busby","doi":"10.1215/03616878-8641542","DOIUrl":"https://doi.org/10.1215/03616878-8641542","url":null,"abstract":"The COVID-19 outbreak is the most serious test of the international system since the 2008 global financial crisis. Rather than cooperate to contain and respond to a common threat, the world's leading powers-the United States and China-have increasingly blamed each other through wildly speculative theories about the origins of the virus. The World Health Organization sought to coordinate a global response, but it has been hamstrung and has come under attack. Given past cooperation between major powers to mobilize and eradicate smallpox and previous US leadership to fight HIV/AIDS and the 2014 West African Ebola crisis, the limited cooperation and lack of leadership are puzzling. What explains the anemic global response to date? This article draws from structural international relations theory to suggest a partial but somewhat dissatisfying answer. International organizations are inherently weak and now face opposition by major powers. The international system simultaneously incentivizes states to cooperate and address common threats, but it also encourages countries to take care of themselves, potentially at the expense of others. Which of these motives dominates cannot be explained by structural theory, thus requiring us to look to other factors such as the attributes of states and leaders themselves.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37983027","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: 13

The Emergence of COVID-19 in the US: A Public Health and Political Communication Crisis. COVID-19在美国的出现:一场公共卫生和政治沟通危机。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2020-12-01 DOI: 10.1215/03616878-8641506

Sarah E Gollust, Rebekah H Nagler, Erika Franklin Fowler

{"title":"The Emergence of COVID-19 in the US: A Public Health and Political Communication Crisis.","authors":"Sarah E Gollust, Rebekah H Nagler, Erika Franklin Fowler","doi":"10.1215/03616878-8641506","DOIUrl":"https://doi.org/10.1215/03616878-8641506","url":null,"abstract":"The coronavirus public health crisis is also a political-communication and health-communication crisis. In this article, the authors describe the key communication-related phenomena and evidence of concerning effects manifested in the United States during the initial response to the pandemic. The authors outline the conditions of communication about coronavirus that contribute to deleterious outcomes, including partisan cueing, conflicting science, downplayed threats, emotional arousal, fragmented media, and Trump's messaging. The authors suggest these have contributed to divergent responses by media sources, partisan leaders, and the public alike, leading to different attitudes and beliefs as well as varying protective actions taken by members of the public to reduce their risk. In turn, these divergent communication phenomena will likely amplify geographic variation in and inequities with COVID-19 disease outcomes. The authors conclude with some suggestions for future research, particularly surrounding communication about health inequity and strategies for reducing partisan divergence in views of public health issues in the future.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37985119","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: 167

Racism and the Political Economy of COVID-19: Will We Continue to Resurrect the Past? 种族主义和COVID-19的政治经济学:我们会继续复活过去吗?

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2020-12-01 DOI: 10.1215/03616878-8641481

Zinzi D Bailey, J Robin Moon

引用次数: 97

Levels of Employment and Community Engagement among Low-Income Adults: Implications for Medicaid Work Requirements. 低收入成年人的就业和社区参与水平:对医疗补助工作要求的影响。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2020-12-01 DOI: 10.1215/03616878-8641567

Aparna Soni, Cong Gian, Kosali Simon, Benjamin D Sommers

{"title":"Levels of Employment and Community Engagement among Low-Income Adults: Implications for Medicaid Work Requirements.","authors":"Aparna Soni, Cong Gian, Kosali Simon, Benjamin D Sommers","doi":"10.1215/03616878-8641567","DOIUrl":"https://doi.org/10.1215/03616878-8641567","url":null,"abstract":"Context: Twenty states are pursuing community engagement requirements (\"work requirements\") in Medicaid, though legal challenges are ongoing. While most nondisabled low-income individuals work, it is less clear how many engage in the required number of hours of qualifying community engagement activities and what heterogeneity may exist by race/ethnicity, age, and gender. The authors' objective was to estimate current levels of employment and other community engagement activities among potential Medicaid beneficiaries.Methods: The authors analyzed the US Census Bureau's national time-use survey data for the years 2015 through 2018. Their main sample consisted of nondisabled adults between 19 and 64 years with family incomes less than 138% of the federal poverty level (N = 2,551).Findings: Nationally, low-income adults who might become subject to Medicaid work requirements already spent an average of 30 hours per week on community engagement activities. However, 22% of the low-income population-particularly women, older adults, and those with less education-would not currently satisfy a 20-hour-per-week requirement.Conclusions: Although the majority of potential Medicaid beneficiaries already meet community engagement requirements or are exempt, 22% would not currently satisfy a 20-hour-per-week requirement and therefore could be at risk for losing coverage.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37983022","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: 2

Democracy, Capacity, and Coercion in Pandemic Response: COVID-19 in Comparative Political Perspective. 大流行应对中的民主、能力和强制:比较政治视角下的COVID-19。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2020-12-01 DOI: 10.1215/03616878-8641530

Matthew M Kavanagh, Renu Singh

{"title":"Democracy, Capacity, and Coercion in Pandemic Response: COVID-19 in Comparative Political Perspective.","authors":"Matthew M Kavanagh, Renu Singh","doi":"10.1215/03616878-8641530","DOIUrl":"https://doi.org/10.1215/03616878-8641530","url":null,"abstract":"The COVID-19 pandemic has challenged governments around the world. It also has challenged conventional wisdom and empirical understandings in the comparative politics and policy of health. Three major questions present themselves: First, some of the countries considered to be most prepared-having the greatest capacity for outbreak response-have failed to respond effectively to the pandemic. How should our understanding of capacity shift in light of COVID-19, and how can we incorporate political capacity into thinking about pandemic preparedness? Second, several of the mechanisms through which democracy has been shown to be beneficial for health have not traveled well to explain the performance of governments in this pandemic. Is there an authoritarian advantage in disease response? Third, after decades in which coercive public health measures have increasingly been considered counterproductive, COVID-19 has inspired widespread embrace of rigid lockdowns, isolation, and quarantine enforced by police. Will these measures prove effective in the long run and reshape public health thinking? This article explores some of these questions with emerging examples, even amid the pandemic, when it is too soon to draw conclusions.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37983023","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: 116

Health Equity, Social Policy, and Promoting Recovery from COVID-19. 卫生公平、社会政策和促进COVID-19复苏。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2020-12-01 DOI: 10.1215/03616878-8641518

Julia Lynch

引用次数: 33

Ideological Sorting of Physicians in Both Geography and the Workplace. 医师在地理和工作场所的思想分类。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2020-12-01 DOI: 10.1215/03616878-8641555

Adam Bonica, Howard Rosenthal, Kristy Blackwood, David J Rothman

{"title":"Ideological Sorting of Physicians in Both Geography and the Workplace.","authors":"Adam Bonica, Howard Rosenthal, Kristy Blackwood, David J Rothman","doi":"10.1215/03616878-8641555","DOIUrl":"https://doi.org/10.1215/03616878-8641555","url":null,"abstract":"Context: The distribution of physicians across geography and employers has important implications for the delivery of medical services. This study examines how the political beliefs of physicians influence their decisions about where to live and work.Methods: Physician relocation and employment patterns are analyzed with a panel constructed from the National Provider Identifier directory. Data on political donations are used to measure the political preferences of physicians.Findings: The \"ideological fit\" between a physician and his or her community is a key predictor of both relocation and employment decisions. A Democratic physician in a predominantly Republican area is twice as likely to relocate as a Republican counterpart living there; the reverse is also true for Republicans living in Democratic areas. Physicians who do not share the political orientation of their colleagues are more likely to change workplaces within the same geographic area.Conclusions: Physicians are actively sorting along political lines. Younger physicians have trended sharply to the left and are increasingly drawn to urban areas with physician surpluses and away from rural areas suffering from physician shortages. The findings also help explain why physician shortages are more prevalent among left-leaning specialties such as psychiatry.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":null,"pages":null},"PeriodicalIF":4.2,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37989193","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: 8

EU Health Law and Policy: The Expansion of EU Power in Public Health and Health Care. 欧盟卫生法律和政策:欧盟在公共卫生和卫生保健领域权力的扩张。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2020-10-14 DOI: 10.1215/03616878-8706798

S. Greer

引用次数: 7