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Disaster Planning for Pandemic Flu: An Assessment of the Potential Effects of an Influenza Pandemic on Local Community Health Care Resources 流感大流行的灾难规划:流感大流行对当地社区卫生保健资源潜在影响的评估
Journal of health care law & policy Pub Date : 2006-11-01 DOI: 10.2139/SSRN.946460
Darren P. Mareiniss
{"title":"Disaster Planning for Pandemic Flu: An Assessment of the Potential Effects of an Influenza Pandemic on Local Community Health Care Resources","authors":"Darren P. Mareiniss","doi":"10.2139/SSRN.946460","DOIUrl":"https://doi.org/10.2139/SSRN.946460","url":null,"abstract":"The eventuality of another influenza pandemic and the recent concern over H5N1, avian flu, require an assessment of local community healthcare capabilities. As the federal government has recently stated that such local communities will be primarily responsible for public health planning and implementation during a severe pandemic, an assessment of the current capabilities in these communities and planning for deficiencies must commence immediately. In this article, we have assessed the impact and capabilities of a model local county community in suburban Maryland. Our two statistical models demonstrate the likely impact of a mild, 1968 Hong Kong Flu pandemic in comparison to a severe, 1918 Spanish Flu type pandemic respectively. Both of these statistical models reveal significant resource deficiencies that many local communities may face. Additionally, we discuss some negative consequences that pandemic policy implementation itself may have on local communities and healthcare systems. Some recommendations for pandemic planning are suggested.","PeriodicalId":73765,"journal":{"name":"Journal of health care law & policy","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2006-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89404570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Determinants of Group Health Insurance Demand 团体健康保险需求的决定因素
Journal of health care law & policy Pub Date : 2006-11-01 DOI: 10.2139/ssrn.947345
J. Munoz Perez, Tapen Sinha
{"title":"Determinants of Group Health Insurance Demand","authors":"J. Munoz Perez, Tapen Sinha","doi":"10.2139/ssrn.947345","DOIUrl":"https://doi.org/10.2139/ssrn.947345","url":null,"abstract":"We examine the determinants of claims for a group health care plan. Since all persons in the group are covered, the premium does not enter the consideration of demand in this case. Hence, we are able to isolate other variables that affect the demand for health insurance. We show that income of the employees affect the claims in an unexpected way.","PeriodicalId":73765,"journal":{"name":"Journal of health care law & policy","volume":"9 9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2006-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76058156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Formal Home Health Care, Informal Care, and Family Decision-Making 正式家庭保健、非正式保健和家庭决策
Journal of health care law & policy Pub Date : 2006-05-10 DOI: 10.2139/ssrn.907349
D. Byrne, M. S. Goeree, B. Hiedemann, Steven Stern
{"title":"Formal Home Health Care, Informal Care, and Family Decision-Making","authors":"D. Byrne, M. S. Goeree, B. Hiedemann, Steven Stern","doi":"10.2139/ssrn.907349","DOIUrl":"https://doi.org/10.2139/ssrn.907349","url":null,"abstract":"We use the 1993 wave of the AHEAD data set to estimate a game-theoretic model of families' decisions concerning the provision of informal and formal care for elderly individuals. The outcome is a Nash equilibrium where each family member jointly determines his or her consumption, transfers for formal care, and allocation of time to informal care, market work, and leisure. We use the estimates to decompose the effects of child characteristics into wage effects, quality of care effects, and burden effects. We also simulate the effects of a broad range of policies of current interest.","PeriodicalId":73765,"journal":{"name":"Journal of health care law & policy","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2006-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84235546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
High and Dry? The Public Readiness and Emergency Preparedness Act and Liability Protection for Pharmaceutical Manufacturers 又高又干?公众准备和应急准备法和药品制造商责任保护
Journal of health care law & policy Pub Date : 2006-04-11 DOI: 10.2139/SSRN.896299
Brian Kurt Copper
{"title":"High and Dry? The Public Readiness and Emergency Preparedness Act and Liability Protection for Pharmaceutical Manufacturers","authors":"Brian Kurt Copper","doi":"10.2139/SSRN.896299","DOIUrl":"https://doi.org/10.2139/SSRN.896299","url":null,"abstract":"In an era filled with fears of bioterrorism, Congress approved the Public Readiness and Emergency Preparedness Act (PREPA) to encourage development of vaccines and other countermeasures. By providing pharmaceutical manufacturers with protection from liability for potential side effects, Congress has attempted to motivate manufacturers to produce a national stockpile of countermeasures. As part of PREPA, the government established a compensatory system intended to provide compensation to persons injured by countermeasures used during a public health emergency. Although the Act provides for a compensation fund, it fails to allocate monies for that fund. Thus, in the absence of further congressional action, PREPA will not provide compensation to those injured by countermeasures. Failing to assure the American public of a compensation program constitutes bad public policy and risks inspiring potential vaccinees to refuse necessary drugs. Additionally, arguments as to the constitutionality of the Act exist should Congress fail to adequately fund the program, and the existence of those arguments undermines the purpose of the Act--namely to assure pharmaceutical manufacturers that they will not be sued into oblivion should they attempt to aid national pandemic protection. In addition to detailing both the Act and the statutory precedent for congressional attempts to spur biodefense, this Article addresses important issues of healthcare, tort, and constitutional law that will continue to manifest themselves in this new era of bioterrorism.","PeriodicalId":73765,"journal":{"name":"Journal of health care law & policy","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2006-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83663203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
The Optimality of Hospital Financing System: The Role of Physician-Manager Interactions 医院融资体系的最优性:医理互动的作用
Journal of health care law & policy Pub Date : 2006-02-01 DOI: 10.2139/ssrn.912673
D. Crainich, Hervé Leleu, A. Mauleon
{"title":"The Optimality of Hospital Financing System: The Role of Physician-Manager Interactions","authors":"D. Crainich, Hervé Leleu, A. Mauleon","doi":"10.2139/ssrn.912673","DOIUrl":"https://doi.org/10.2139/ssrn.912673","url":null,"abstract":"In a paper published by Ma (1994) it was argued that the prospective payment system in the hospital industry was superior to the cost based reimbursement system to achieve both cost reduction and quality improvement objectives. In the analysis, it was assumed that quality and costs decisions were made by a single agent. Our paper compares these two financing systems assuming that the main decisions taken within the hospital are shared between physicians (quality of treatment) and hospital managers (cost reduction). If Ma's conclusions hold in the US context (where the hospital managers bear the whole cost of treatment), we show that the ability of a prospective payment system to achieve both objectives is very depending of the type of interaction between the agents when physicians bear a part of the treatment cost as it is the case in many European countries.","PeriodicalId":73765,"journal":{"name":"Journal of health care law & policy","volume":"115 10 Pt 2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2006-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90230677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Closing the health care disparities gap: turning evidence into action. 缩小卫生保健差距:将证据转化为行动。
Journal of health care law & policy Pub Date : 2006-01-01
Carolyn M Clancy
{"title":"Closing the health care disparities gap: turning evidence into action.","authors":"Carolyn M Clancy","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73765,"journal":{"name":"Journal of health care law & policy","volume":"9 1","pages":"121-35"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26439362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Enhancing access to health care and eliminating racial and ethnic disparities in health status: a compelling case for health professions schools to implement race-conscious admissions policies. 增进获得医疗保健的机会，消除健康状况方面的种族和族裔差异:卫生专业学校执行顾及种族的招生政策的一个令人信服的理由。
Journal of health care law & policy Pub Date : 2006-01-01
Thomas E Perez
{"title":"Enhancing access to health care and eliminating racial and ethnic disparities in health status: a compelling case for health professions schools to implement race-conscious admissions policies.","authors":"Thomas E Perez","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73765,"journal":{"name":"Journal of health care law & policy","volume":"9 1","pages":"77-104"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26439358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Common ground: exploring policy approaches to addressing racial disparities from the left and the right. 共同点:从左翼和右翼两方面探讨解决种族差异的政策方法。
Journal of health care law & policy Pub Date : 2006-01-01
M C Gibbons
{"title":"Common ground: exploring policy approaches to addressing racial disparities from the left and the right.","authors":"M C Gibbons","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although the existence of racial and ethnic disparities is increasingly recognized, a complete understanding of the causes and solutions to these problems remains elusive. Part One of this paper provides a historical overview of the origins of these disparities. Part Two outlines fundamental challenges to achieving a clear understanding of the problem and briefly discusses current policy strategies espoused by conservative and liberal proponents. Finally, Part Three provides an in-depth discussion of one promising approach with significant bipartisan support.</p>","PeriodicalId":73765,"journal":{"name":"Journal of health care law & policy","volume":"9 1","pages":"48-76"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26439356","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Separate and unequal care in New York City. 纽约市的隔离和不平等护理。
Journal of health care law & policy Pub Date : 2006-01-01
Neil S Calman, Maxine Golub, Charmaine Ruddock, Lan Le, Diane Hauser
{"title":"Separate and unequal care in New York City.","authors":"Neil S Calman,&nbsp;Maxine Golub,&nbsp;Charmaine Ruddock,&nbsp;Lan Le,&nbsp;Diane Hauser","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73765,"journal":{"name":"Journal of health care law & policy","volume":"9 1","pages":"105-20"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26439360","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Human experimentation in developing countries: improving international practices by identifying vulnerable populations and allocating fair benefits. 发展中国家的人体实验:通过识别弱势群体和公平分配利益来改进国际实践。
Journal of health care law & policy Pub Date : 2006-01-01
Kristen Farrell
{"title":"Human experimentation in developing countries: improving international practices by identifying vulnerable populations and allocating fair benefits.","authors":"Kristen Farrell","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":73765,"journal":{"name":"Journal of health care law & policy","volume":"9 1","pages":"136-61"},"PeriodicalIF":0.0,"publicationDate":"2006-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26439364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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