Journal of Health Politics Policy and Law最新文献_第6页

State Efforts to Regulate Provider Networks and Directories: Lessons for the Future. 国家努力规范供应商网络和目录:对未来的教训。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-12-01 DOI: 10.1215/03616878-10852610

Simon F Haeder, Wendy Y Xu, Thomas Elton, Ariana Pitcher

{"title":"State Efforts to Regulate Provider Networks and Directories: Lessons for the Future.","authors":"Simon F Haeder, Wendy Y Xu, Thomas Elton, Ariana Pitcher","doi":"10.1215/03616878-10852610","DOIUrl":"10.1215/03616878-10852610","url":null,"abstract":"Managed care arrangements are the dominant form of insurance coverage in the United States today. These arrangements rely on a network of contracted providers to deliver services to their enrollees. After the managed care backlash, governments moved to ensure consumer access by issuing a number of requirements for carriers related to the composition and size of their networks and how this information is shared with consumers. The authors provide a comprehensive review of these state-based efforts to regulate provider network adequacy and provider directory accuracy for commercial insurance markets. In addition to common measures of adequacy, they also include requirements specifically targeted to underserved populations. Their assessment comes on the heels of recent empirical work that has raised significant questions about whether these efforts are effective, particularly considering the limited nature of enforcement. They also provide a brief overview and assessment of recent federal government efforts that replicate these state regulations with a focus on lessons learned from state regulations that may help improve their federal counterparts. Furthermore, they outline a future research agenda focused on a more comprehensive evaluation of efforts to ensure consumer access.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":"951-968"},"PeriodicalIF":3.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9867544","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

State Capacity and COVID-19: Targeted versus Population-Wide Restrictions. 国家能力与COVID-19:针对性限制与全民限制。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-12-01 DOI: 10.1215/03616878-10852619

Seung Hoon Chae

{"title":"State Capacity and COVID-19: Targeted versus Population-Wide Restrictions.","authors":"Seung Hoon Chae","doi":"10.1215/03616878-10852619","DOIUrl":"10.1215/03616878-10852619","url":null,"abstract":"Context: During the COVID-19 pandemic, governments varied in their implementation of social distancing rules. Some governments were able to target their social distancing requirements toward specific segments of the population, whereas others had to resort to more indiscriminate applications. This article will argue that state capacity crucially affected the manner in which social distancing rules were applied.Methods: Using data from the Oxford COVID-19 Government Response Tracker, the author performed a series of ordered logistic regressions to examine whether state capacity increased the likelihood of more targeted applications of each social distancing rule.Findings: Given the same level of infectivity, more capable states were indeed more likely to resort to targeted applications of each social distancing restriction. Interestingly, the size of state capacity's effect varied by the type of restriction. State capacity had a stronger influence on face-covering requirements and private-gathering restrictions than it had on school closures, workplace closures, and stay-at-home orders.Conclusions: The way in which social distancing rules are applied is endogenous to state capacity. Effective governance is a precursor to more targeted and nuanced applications of social distancing rules.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":"889-918"},"PeriodicalIF":3.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9867542","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 CDC Won't Let Me Be": The Opinion Dynamics of Support for CDC Regulatory Authority. “疾控中心不会放过我”:支持疾控中心监管机构的意见动态。

IF 3.3 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-12-01 DOI: 10.1215/03616878-10852592

Matthew Motta, Timothy Callaghan, Kristin Lunz Trujillo

{"title":"\"The CDC Won't Let Me Be\": The Opinion Dynamics of Support for CDC Regulatory Authority.","authors":"Matthew Motta, Timothy Callaghan, Kristin Lunz Trujillo","doi":"10.1215/03616878-10852592","DOIUrl":"10.1215/03616878-10852592","url":null,"abstract":"Context: The CDC's ability to respond to communicable disease threats has recently met significant political and legal opposition. The authors unpack the influence of political ideology on support for CDC authority, and they experimentally assess whether highlighting ideology's role in responding to health threats might bolster CDC support.Methods: The authors fielded a demographically representative online survey experiment to 5,483 US adults. They assessed the sociopolitical correlates of CDC attitudes via multivariate regression analyses limited to a study-wide treatment group. Additionally, they tested the effectiveness of their experimental treatments via multivariate models that interact indicators of stimulus exposure with political ideology.Findings: Although most Americans support the CDC's role in responding to health crises, self-identified conservatives are significantly less likely to do so. This effect holds when accounting for respondents' limited government and anti-expert attitudes, which the authors replicated in nationally representative data. Encouragingly, though, emphasizing the CDC's role in combating the spread of COVID-19 is associated with significantly stronger levels of support on the ideological right.Conclusions: Efforts to communicate the CDC's importance in responding to health threats can help bridge existing ideological divides and might create an incentive for policy makers to codify the agency's regulatory powers.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":" ","pages":"829-857"},"PeriodicalIF":3.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9873776","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

Ageing and Health. The Politics of Better Policies 老龄化与健康。更好政策的政治

3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-10-06 DOI: 10.1215/03616878-10992420

John W. Rowe

引用次数: 0

US Immigration Enforcement Separates and Increases Health Inequities for Mixed-Status Families 美国移民执法部门分离并加剧了混血家庭的健康不平等

3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-10-06 DOI: 10.1215/03616878-10992407

Arturo Vargas Bustamante

引用次数: 0

Abortion as a Public Health Risk in COVID-19 Antiabortion Legislation. 在反堕胎立法中，堕胎是一种公共卫生风险。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-08-01 DOI: 10.1215/03616878-10449950

Saphronia Carson, Shannon K Carter

{"title":"Abortion as a Public Health Risk in COVID-19 Antiabortion Legislation.","authors":"Saphronia Carson, Shannon K Carter","doi":"10.1215/03616878-10449950","DOIUrl":"https://doi.org/10.1215/03616878-10449950","url":null,"abstract":"During the early months of the COVID-19 pandemic, 12 states banned or restricted abortion access under elective-procedure restrictions. The rationale was preserving hospital capacity and personal protective equipment (PPE); however, abortions commonly take place in clinics and use less PPE than childbirth. This paper investigates the discursive construction of abortions, the people who get them, and the fetuses in this legislation. The authors analyzed 13 antiabortion documents using an iterative process of thematic coding and memo writing. Twenty-three percent of the legislation listed abortion as banned, whereas the remaining laws implied abortion within the terms \"elective\" or \"nonessential.\" Legislation used common antiabortion tactics, such as the trivialization of abortion, risk discourses, and constructions of motherhood and fetal personhood. Discourses delegitimized abortion providers and used quasi-medical justifications for banning abortion. Finally, legislation constructed abortion clinics as sites of contagion and waste and consequently as risks to public health. The results highlight the vulnerability of abortion and the connection between abortion policy and other conservative policies, and they gesture toward a strategic attempt to ban abortion federally. These findings have several implications for a post-Roe United States and for stakeholders wishing to increase abortion access.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 4","pages":"545-568"},"PeriodicalIF":4.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10230844","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

Self-Sourced Medication Abortion, Physician Authority, and the Contradictions of Abortion Care. 自主药物流产、医师权威与堕胎护理的矛盾。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-08-01 DOI: 10.1215/03616878-10449932

Jennifer Karlin, Carole Joffe

引用次数: 2

State Courts, State Legislatures, and Setting Abortion Policy. 州法院，州立法机构和制定堕胎政策。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-08-01 DOI: 10.1215/03616878-10449887

Jeong Hyun Kim, Anna Gunderson, Elizabeth Lane, Nichole M Bauer

{"title":"State Courts, State Legislatures, and Setting Abortion Policy.","authors":"Jeong Hyun Kim, Anna Gunderson, Elizabeth Lane, Nichole M Bauer","doi":"10.1215/03616878-10449887","DOIUrl":"https://doi.org/10.1215/03616878-10449887","url":null,"abstract":"On June 24, 2022, the US Supreme Court decided in Dobbs vs. Jackson Women's Health Organization (597 U.S. (2022)) to overturn the constitutional right to abortion, a seismic shift in abortion policy that makes the states key battlegrounds in fights over abortion and broader reproductive rights. This article focuses on the role of state supreme courts in setting state abortion policies. Using an original data set of state court decisions surrounding abortion from the past 20 years, the authors investigate how two overarching factors affect state supreme court decision-making on abortion. First, they track how states' political environments affect the decisions courts make about access to abortion. Second, the authors consider the scope of the abortion policy considered by the courts. The authors find that the partisan makeup of state legislatures does not influence the direction of state supreme courts' rulings on abortion issues, but it does affect the scope of abortion regulation being considered by the courts. Additionally, they find that elected judges tend to be more responsive to constituent preferences when ruling on abortion policies. Overall, these findings illustrate the multifaceted dynamics involved in state supreme courts' rulings on abortion.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 4","pages":"569-592"},"PeriodicalIF":4.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10211974","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: 1

A Mixed-Methods Approach to Understanding the Disconnection between Perceptions of Abortion Acceptability and Support for Roe v. Wade among US Adults. 理解美国成年人对堕胎可接受性的看法与对罗诉韦德案的支持之间脱节的混合方法。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-08-01 DOI: 10.1215/03616878-10449896

Beyza E Buyuker, Kathryn J LaRoche, Xiana Bueno, Kristen N Jozkowski, Brandon L Crawford, Ronna C Turner, Wen-Juo Lo

{"title":"A Mixed-Methods Approach to Understanding the Disconnection between Perceptions of Abortion Acceptability and Support for Roe v. Wade among US Adults.","authors":"Beyza E Buyuker, Kathryn J LaRoche, Xiana Bueno, Kristen N Jozkowski, Brandon L Crawford, Ronna C Turner, Wen-Juo Lo","doi":"10.1215/03616878-10449896","DOIUrl":"10.1215/03616878-10449896","url":null,"abstract":"The relationship between people's attitudes about abortion acceptability and the Supreme Court decision in Roe v. Wade-two distinct but related issues-has not been rigorously explored. The authors used a mixed-methods approach for analyzing in-depth interviews to better understand how participants' feelings toward abortion acceptability are related to perceptions of whether abortion should be legal. The authors then assessed (1) correlations between abortion acceptability and different measures of support for Roe v. Wade, and (2) how the phrasing of survey items related to Roe v. Wade may evoke different responses via an online survey fielded in 2018. The study's qualitative results highlight that there is a disjuncture between people's moral feelings toward abortion and their attitudes toward abortion legality. The study's quantitative results further demonstrate that correlations between abortion acceptability and support for Roe v. Wade are moderate, and the differences in responses to the phrasing of survey items related to Roe v. Wade are moderated by knowledge. The authors recommend that when researchers develop survey items, they avoid ambiguities of abortion as a general construct, especially when public opinion measures on abortion are employed for research and the design of social and health policy and practice.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 4","pages":"649-678"},"PeriodicalIF":4.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9843677","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

Undue Burdens: State Abortion Laws in the United States, 1994-2022. 过度负担：美国各州堕胎法，1994-2022年。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-08-01 DOI: 10.1215/03616878-10449905

Louise Marie Roth, Jennifer Hyunkyung Lee

{"title":"Undue Burdens: State Abortion Laws in the United States, 1994-2022.","authors":"Louise Marie Roth, Jennifer Hyunkyung Lee","doi":"10.1215/03616878-10449905","DOIUrl":"10.1215/03616878-10449905","url":null,"abstract":"State laws have influenced access to abortion in the 50 years since Roe v. Wade. The 2022 Dobbs decision returned questions about the legality of abortion to the states, which increased the importance of state laws for abortion access. The objective of this study is to illustrate trends in abortion-restrictive and abortion-supportive state laws using a unique longitudinal database of reproductive health laws across the United States from 1994 to 2022. This study offers a descriptive analysis of historical trends in state-level pre-viability abortion bans, abortion method bans, efforts to dissuade abortion, TRAP (targeted regulation of abortion providers) laws, other laws that restrict reproductive choice, and laws that expand abortion access and support reproductive health. Data sources include state statutes (from Nexis Uni) and secondary sources. The data reveal that pre-viability bans, including gestation-based bans and total bans, became significantly more prevalent over time. Other abortion-restrictive laws increased from 1994 to 2022, but states also passed a growing number of laws that support reproductive health. Increasing polarization into abortion-restrictive and abortion-supportive states characterized the 1994-2022 period. These trends have implications for maternal and infant health and for racial/ethnic and income disparities.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 4","pages":"511-543"},"PeriodicalIF":4.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9843675","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