Journal of Health Politics Policy and Law最新文献_第7页

Unlimited Discretion: How Unchecked Bureaucratic Discretion Can Threaten Abortion Availability. 无限制的自由裁量权:不受限制的官僚自由裁量权如何威胁堕胎的可用性。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-08-01 DOI: 10.1215/03616878-10449914

Orlaith Heymann, Danielle Bessett, Alison Norris, Jessie Hill, Danielle Czarnecki, Hillary J Gyuras, Meredith Pensak, Michelle L McGowan

{"title":"Unlimited Discretion: How Unchecked Bureaucratic Discretion Can Threaten Abortion Availability.","authors":"Orlaith Heymann, Danielle Bessett, Alison Norris, Jessie Hill, Danielle Czarnecki, Hillary J Gyuras, Meredith Pensak, Michelle L McGowan","doi":"10.1215/03616878-10449914","DOIUrl":"https://doi.org/10.1215/03616878-10449914","url":null,"abstract":"Previous research has assessed the impact of state regulations on abortion clinics and patients, but how bureaucrats implement them is less understood and is increasingly important as states arbitrate abortion regulation. The authors conducted a case study of how bureaucrats use discretion to implement state regulations on abortion, focusing on two abortion facilities in southwest Ohio from 2010 to 2022. Ohio abortion facilities are required to obtain a written transfer agreement, despite it offering no demonstrable health or safety benefits. The authors find that state requirements for obtaining variances-a process that allows abortion facilities to operate without a written transfer agreement-have become exceedingly difficult to comply with. The authors show how state statutes and administrative law have enabled bureaucrats to wield unlimited discretion and enforce arbitrary requirements. This unlimited bureaucratic discretion and accompanying administrative burden exacerbated clinic instability and threatened abortion availability in southwest Ohio for almost a decade. As implementation and interpretation of abortion policy is increasingly left to state bureaucrats and civil servants following the Supreme Court's Dobbs decision, how bureaucrats use discretion will influence clinic stability and abortion availability. The authors posit that unlimited bureaucratic discretion may exert greater influence on abortion availability across the nation as states scramble to clarify and implement policies after Dobbs.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 4","pages":"629-647"},"PeriodicalIF":4.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9915510","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

History and Politics of Medication Abortion in the United States and the Rise of Telemedicine and Self-Managed Abortion. 美国药物流产的历史和政治以及远程医疗和自我管理流产的兴起。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-08-01 DOI: 10.1215/03616878-10449941

Carrie N Baker

{"title":"History and Politics of Medication Abortion in the United States and the Rise of Telemedicine and Self-Managed Abortion.","authors":"Carrie N Baker","doi":"10.1215/03616878-10449941","DOIUrl":"10.1215/03616878-10449941","url":null,"abstract":"This article examines the decades-long campaign to increase access to abortion pills in the United States, including advocates' work to win US Food and Drug Administration approval of mifepristone and misoprostol for abortion, the continuing restrictions on mifepristone, and the multiple strategies advocates have pursued to challenge these restrictions, including lobbying the FDA to remove the restrictions, obtaining a limited research exemption from FDA restrictions, and suing the FDA during the COVID-19 pandemic. The article pays particular attention to the influence of research conducted on the safety and efficacy of medication abortion as well as research on the impact of increased availability of abortion pills through telemedicine during the pandemic. The article also addresses self-managed abortion, wherein people obtain and use mifepristone and/or misoprostol outside the formal health care system, and it documents the growing network of organizations providing logistical, medical, and legal support to people self-managing abortion. The article concludes with reflections on the role abortion pills might play in the post-Roe era amid increasingly divergent abortion access trends across different regions of the United States.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 4","pages":"485-510"},"PeriodicalIF":4.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9843671","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

Activism for Abortion Rights and Access Is Global: What the United States Can Learn from the Rest of the World. 堕胎权利和堕胎机会的积极性是全球性的：美国可以从世界其他地方学到什么。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-08-01 DOI: 10.1215/03616878-10449923

Anu Kumar

引用次数: 1

Introduction: The Politics of Abortion 50 Years after Roe. 引言:罗伊案50年后的堕胎政治。

IF 4.2 3区医学

Journal of Health Politics Policy and Law Pub Date : 2023-08-01 DOI: 10.1215/03616878-10451382

Katrina Kimport, Rebecca Kreitzer

{"title":"Introduction: The Politics of Abortion 50 Years after Roe.","authors":"Katrina Kimport, Rebecca Kreitzer","doi":"10.1215/03616878-10451382","DOIUrl":"https://doi.org/10.1215/03616878-10451382","url":null,"abstract":"Abortion is central to the American political landscape and a common pregnancy outcome, yet research on abortion has been siloed and marginalized in the social sciences. In an empirical analysis, the authors found only 22 articles published in this century in the top economics, political science, and sociology journals. This special issue aims to bring abortion research into a more generalist space, challenging what the authors term \"the abortion research paradox,\" wherein abortion research is largely absent from prominent disciplinary social science journals but flourishes in interdisciplinary and specialized journals. After discussing the misconceptions that likely contribute to abortion research siloization and the implications of this siloization for abortion research as well as social science knowledge more generally, the authors introduce the articles in this special issue. Then, in a call for continued and expanded research on abortion, the introduction to this special issue closes by offering three guiding practices for abortion scholars-both those new to the topic and those deeply familiar with it-in the hopes of building an ever-richer body of literature on abortion politics, policy, and law. The need for such a robust literature is especially acute following the US Supreme Court's June 2022 overturning of the constitutional right to abortion.","PeriodicalId":54812,"journal":{"name":"Journal of Health Politics Policy and Law","volume":"48 4","pages":"463-484"},"PeriodicalIF":4.2,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10211975","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

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