Journal of Health Politics Policy and Law最新文献_第4页

Laboratories against Democracy: How National Parties Transformed State Politics 反民主实验室:国家政党如何改变国家政治

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-07-07 DOI: 10.1215/03616878-10862202

Thad Kousser

引用次数: 4

Slouching toward MAGA 无精打采地走向MAGA

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-07-07 DOI: 10.1215/03616878-10862173

Lawrence D. Brown

引用次数: 0

Awareness of COVID-19 at the Local Level: Perceptions and Political Consequences. 地方一级对COVID-19的认识:看法和政治后果。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-06-01 DOI: 10.1215/03616878-10351896

Jake Haselswerdt, Sarah Gollust

{"title":"Awareness of COVID-19 at the Local Level: Perceptions and Political Consequences.","authors":"Jake Haselswerdt, Sarah Gollust","doi":"10.1215/03616878-10351896","DOIUrl":"https://doi.org/10.1215/03616878-10351896","url":null,"abstract":"Context: Although the COVID-19 pandemic has affected all Americans, its effects have been unequally distributed across geographic areas. These variations in the pandemic's severity-and public perceptions thereof-likely have political consequences. This study examines the factors that shape perceptions of COVID-19 at the local level and assesses the consequences of these perceptions for public opinion and political behaviors.Methods: The authors use questions from the 2020 Cooperative Election Study linked with county-level COVID-19 rates to examine predictors of respondents' perceptions of the pandemic's severity in their county, including demographic, political, and informational characteristics. The study also examines whether these perceptions are associated with public opinion and voter behavior.Findings: Respondents' perceptions are correlated with case rates. Liberals and Democrats estimate the pandemic to be more severe than Republicans and conservatives do, as do CNN viewers compared to Fox News viewers. The study found only limited evidence of a relationship between perceptions of the pandemic in a respondent's county and political outcomes.Conclusions: The results add to the accumulating evidence that both news media and political predispositions shape perceptions of COVID-19, and they raise important questions about whether and how the pandemic has shaped-and will continue to shape-political outcomes.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 3","pages":"351-378"},"PeriodicalIF":4.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10037542","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 Paradoxical Politics of Community Health Centers from the Great Society to the COVID-19 Pandemic. 从大社会到COVID-19大流行，社区卫生中心的矛盾政治。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-06-01 DOI: 10.1215/03616878-10358724

Daniel Skinner, Brad Wright

{"title":"The Paradoxical Politics of Community Health Centers from the Great Society to the COVID-19 Pandemic.","authors":"Daniel Skinner, Brad Wright","doi":"10.1215/03616878-10358724","DOIUrl":"https://doi.org/10.1215/03616878-10358724","url":null,"abstract":"Context: Although community health centers (CHCs) arose in the 1960s as part of a Democratic policy push committed to social justice, subsequent support has been shaped by paradoxical politics wherein Republican and Democratic support for CHCs continually morphed in response to changes in the health policy landscape.Methods: Drawing on the CHC literature and empirical examples from firsthand accounts and reporting, this article explains CHCs' curious historical development from 1965 to the present.Findings: Both Republicans and Democrats have calibrated their support for CHCs in response to a broader set of political considerations, from antiwelfare policy commitments to aspirations of establishing a national health care plan.Conclusions: CHCs have proven to be a politically malleable policy tool within the broader context of American health care policy. The COVID-19 pandemic raised new questions about CHCs' sustainability and future, but CHCs will continue to play a critical role in providing health care access to underserved populations. They also will continue to be an attractive bipartisan policy option within the larger framework of US health policy.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 3","pages":"379-404"},"PeriodicalIF":4.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10037540","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

Physician Trust in the News Media and Attitudes toward COVID-19. 医生对新闻媒体的信任与对COVID-19的态度

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-06-01 DOI: 10.1215/03616878-10358696

Kirby Goidel, Timothy Callaghan, David J Washburn, Tasmiah Nuzhath, Julia Scobee, Abigail Spiegelman, Matt Motta

{"title":"Physician Trust in the News Media and Attitudes toward COVID-19.","authors":"Kirby Goidel, Timothy Callaghan, David J Washburn, Tasmiah Nuzhath, Julia Scobee, Abigail Spiegelman, Matt Motta","doi":"10.1215/03616878-10358696","DOIUrl":"https://doi.org/10.1215/03616878-10358696","url":null,"abstract":"Context: Previous research has established the importance of primary care physicians in communicating public health directives. The implicit assumption is that, because of their expertise, doctors provide accurate and up-to-date information to their patients independent of partisan affiliation or media trust.Methods: The authors conducted an online survey of 625 primary care physicians and used the results to test (1) whether physician trust in media outlets is consistent with their political partisanship, and (2) whether trust in media outlets influences (a) personal concern that someone in their family will get sick, (b) perceptions about the seriousness of the pandemic as portrayed in the media, and (c) trust in federal government agencies and scientists.Findings: Physicians are better positioned to critically evaluate health-related news, but they are subject to the same biases that influence public opinion. Physicians' partisan commitments influence media trust, and media trust influences concern that a family member will get sick, perceptions regarding the seriousness of the pandemic, and trust in federal government agencies and scientists.Conclusions: Physician trust in specific media outlets shapes their understanding of the pandemic, and-to the extent that they trust conservative media outlets-it may limit their effectiveness as health policy messengers.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 3","pages":"317-350"},"PeriodicalIF":4.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9735149","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: 4

Variation in Public Support for Government Action on Unexpected Medical Bills. 公众对政府处理意外医疗费用的不同支持度。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-06-01 DOI: 10.1215/03616878-10358738

Katherine T McCabe

{"title":"Variation in Public Support for Government Action on Unexpected Medical Bills.","authors":"Katherine T McCabe","doi":"10.1215/03616878-10358738","DOIUrl":"https://doi.org/10.1215/03616878-10358738","url":null,"abstract":"Context: Nearly half of the adults in the United States have received an unexpected medical bill in recent years. While government, provider, and insurance policies related to unexpected medical expenses receive attention in the media, this study focuses on variation in public support.Methods: The study employs two multifactor survey vignette experiments to detect how different features of common health care scenarios that result in costly medical expenses influence the public's sympathy for the patient, perceived fairness of the medical costs, and demand for government action.Findings: The results point to out-of-pocket cost, severity of the treatment, and the patient's insurance situation as important for public opinion. The public is significantly more supportive of government action when the costs are high and out of the patient's control; in contrast, respondents are generally less sympathetic toward patients described as uninsured or who seek out more costly providers.Conclusions: The findings underscore the sensitivity of health care attitudes to framing effects, which may occur when media choose how to cover health care costs. The results also point to a potential mismatch in legislation that narrowly addresses \"surprise billing,\" with public support for government addressing disproportionate costs across a broader range of scenarios.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 3","pages":"405-434"},"PeriodicalIF":4.2,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10037538","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

Entrenching Inequity, Eroding Democracy: State Preemption of Local Housing Policy. 巩固不平等，侵蚀民主:国家优先考虑地方住房政策。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-04-01 DOI: 10.1215/03616878-10234156

Jamila Michener

{"title":"Entrenching Inequity, Eroding Democracy: State Preemption of Local Housing Policy.","authors":"Jamila Michener","doi":"10.1215/03616878-10234156","DOIUrl":"https://doi.org/10.1215/03616878-10234156","url":null,"abstract":"Housing is a fundamental right and a vital determinant of health. Health equity is not possible without widespread access to safe, affordable, high-quality housing. Local housing policy is a central conduit for advancing such ends. However, preemption of local law is a powerful institutional mechanism that state legislatures sometimes deploy to inhibit or nullify municipal efforts to address housing-based inequities. Local housing policies often have high stakes, are ideologically laden, and are politically salient. This makes them a clear target for preemptive action. Political science research to date has focused on broadly explaining the causes of preemption, with scant emphasis on its consequences and minimal attention to the implications for racial and economic equity. This article highlights the political repercussions of state preemption. Drawing on in-depth qualitative interviews, the article examines how local tenant organizations that work to build power within racially and economically marginalized communities perceive and respond to state preemption. The findings demonstrate how both the reality and the threat of state preemption prompt tenant organizations to adjust (and often minimize) their policy goals and to adapt their political strategies in ways that strain their capacity. By burdening local organizations that are crucial power resources in marginalized communities, state preemption of local housing policy risks entrenching inequity and eroding democracy.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 2","pages":"157-185"},"PeriodicalIF":4.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9681538","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: 3

Introduction: Entrenchment and Health Equity. 导言:防御工事和卫生公平。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-04-01 DOI: 10.1215/03616878-10234128

Eric M Patashnik

引用次数: 0

Anniversary Narratives of the Health Care State: Institutional Entrenchment in Retrospect. 医疗保健国家的周年纪念叙述:回顾制度堑壕。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-04-01 DOI: 10.1215/03616878-10234212

Carolyn Hughes Tuohy

{"title":"Anniversary Narratives of the Health Care State: Institutional Entrenchment in Retrospect.","authors":"Carolyn Hughes Tuohy","doi":"10.1215/03616878-10234212","DOIUrl":"https://doi.org/10.1215/03616878-10234212","url":null,"abstract":"Institutional narratives, appealing both to the intellect and the imagination, are powerful mechanisms of entrenchment. Drawing on close examination of legislative debates, interview transcripts, and official documents, this article analyzes institutional narratives of the British National Health Service (NHS) and American Medicare and Medicaid. These narratives take the form of epics, featuring founding heroes, adversaries, stewards, saviors, and other characters, and are retold on multiple occasions, and especially on anniversaries of the founding date. In the process, certain elements of history are remembered, and others forgotten. The myth of the NHS as a single national institution obscured much of the complexity and compromise that went into its founding and subsequent development, but preserved fidelity to its founding principles. In the United States, the dominant narrative belonged to Medicare, while Medicaid featured as an afterthought. In the case of the NHS, narrative entrenchment served to preserve universal access to comprehensive health care. In the case of American Medicare, entrenchment preserved the original mission of the institution but kept it from expanding to a broader swath of the population, even as its less-entrenched companion Medicaid provided a vehicle for coverage of an increasingly wide range of population groups. A distinct Medicaid narrative developed only after incremental expansion was well underway.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 2","pages":"269-298"},"PeriodicalIF":4.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9681539","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

Criminal Records and Licensure in Five Allied Health Professions: Is There Evidence of a Disparate Impact on Historically Marginalized Groups? 五种联合医疗专业的犯罪记录和执照:是否有证据表明对历史上边缘化群体的不同影响?

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-04-01 DOI: 10.1215/03616878-10234198

Jing Liu, David A Hyman

{"title":"Criminal Records and Licensure in Five Allied Health Professions: Is There Evidence of a Disparate Impact on Historically Marginalized Groups?","authors":"Jing Liu, David A Hyman","doi":"10.1215/03616878-10234198","DOIUrl":"https://doi.org/10.1215/03616878-10234198","url":null,"abstract":"Context: In health care, licensing is pervasive. Restrictions on applicants with criminal records may have a disparate impact on historically marginalized groups. There is bipartisan interest in evaluating whether occupational licensing requirements are too strict.Methods: The authors analyze how 12 representative states (California, Colorado, Connecticut, Delaware, Florida, Illinois, Missouri, New York, Ohio, Pennsylvania, South Dakota, and Texas) respond when people with criminal records apply for a license for five entry-level allied health professions (dental hygienist, occupational therapy assistant, physical therapy assistant, radiologic technologist, and respiratory therapist).Findings: With one exception for one allied health profession, all states require their licensing boards to consider past serious criminal convictions. A majority of states require the conviction to be substantially related to the scope of professional duties for it to provide a basis for disqualification. Most states make it difficult for applicants with criminal records to determine whether they may obtain a license.Conclusions: State licensing boards have considerable discretion in handling applicants with a criminal record. The trend is toward fewer restrictions, but more could be done to increase the transparency of state licensing board guidelines, practices, and procedures-particularly in the states that still rely on a \"good moral character\" test.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 2","pages":"241-267"},"PeriodicalIF":4.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9681534","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