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The balance between state and federal health care financing for low-income people has been a matter of considerable debate for the last 40 years. Some argue for a greater federal role, others for more devolution of responsibility to the states. Medicaid, the backbone of the system, has been plagued by an array of problems that have made it unpopular and difficult to use to extend health care coverage. In recent years, waivers have given the states the flexibility to change many features of their Medicaid programs; moreover, the states have considerable flexibility to in establishing State Children's Health Insurance Programs. This book examines the record on the changing health safety net. How well have states done in providing acute and long-term care services to low-income populations? How have they responded to financial incentives and federal regulatory requirements? How innovative have they been? Contributing authors include Donald J. Boyd, Randall R. Bovbjerg, Teresa A. Coughlin, Ian Hill, Michael Housman, Robert E. Hurley, Marilyn Moon, Mary Beth Pohl, Jane Tilly, and Stephen Zuckerman.
American Federalism in Practice is an original and important contribution to our understanding of contemporary health policy. It also illustrates how contentious public policy is debated, formulated, and implemented in today’s overheated political environment. Health care reform is perhaps the most divisive public policy issue facing the United States today. Michael Doonan provides a unique perspective on health policy in explaining how intergovernmental relations shape public policy. He tracks federal-state relations through the creation, formulation, and implementation of three of the most important health policy initiatives since the Great Society: the State Children’s Health Insurance Program (CHIP) and the Health Insurance Portability and Accountability Act (HIPAA), both passed by the U.S. Congress, and the Massachusetts health care reform program as it was developed and implemented under federal government waiver authority. He applies lessons learned from these cases to implementation of the Affordable Care Act. “Health policymaking is entangled in a complex web of shared, overlapping, and/or competing power relationships among different levels of government,” the author notes. Understanding federal-state interactions, the ways in which they vary, and the reasons for such variation is essential to grasping the ultimate impact of federalism on programs and policy. Doonan reveals how federalism can shift as the sausage of public policy is made while providing a new framework for comprehending one of the most polarizing debates of our time.
Prevention, Policy, and Public Health provides a basic foundation for students, professionals, and researchers to be more effective in the policy arena. It offers information on the dynamics of the policymaking process, theoretical frameworks, analysis, and policy applications. It also offers coverage of advocacy and communication, the two most integral aspects of shaping policies for public health.
Health Policy and Politics: A Nurse’s Guide, Fifth Edition encompasses the entire health policy process from agenda setting through policy and program evaluation. This is an essential text for both graduate and undergraduate students. The Fifth Edition includes expanded information on the breadth of policy making and includes the impact of social media, economics, finance and other timely topics. The authors draw from their experience and provide concrete examples of real-life situations that help students understand the link between policy theory and political action. New to the Fifth Edition: Updated case studies involve the reader in making the connection between theory and active participation in policy making New chapter on inter-professional practice, education, and research Reference to the Affordable Care Act and other laws that affect the health care of consumers and the organization of health care system Expanded content on economics and finance New co
"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.
“Evidence-Informed Health Policy serves as a foundation for policymaking using an evidence-informed model with emphasis on the fact that the best policy is based on evidence. The second edition helps transform students into healthcare advocates who can work collaboratively throughout the policymaking process, preparing them to engage at any policy level in shaping the future of nursing.” –Keeley Harding, DNP, APRN, CNS, CPNP-AC/PC; and Beverly Hittle, PhD, RN Assistant Professors and Course Faculty Leaders for Combined DNP-PhD Health Policy University of Cincinnati “This book is an essential resource for nurses and healthcare professionals who are engaged or interested in influencing health policy and navigating complex health policy environments.” –Jacalyn Buck, PhD, RN, NEA-BC, FAONL Clinical Professor Director, DNP Executive Track The Ohio State University College of Nursing “This new edition is a valuable resource for those nurses wanting to learn more about evidence-informed health policy, development of such policies, as well as the importance of nurse participation in their development.” –Jane F. Mahowald, MA, BSN, RN, ANEF Immediate past Executive Director of the Ohio League for Nursing What happens in health policy at local, state, and federal levels directly affects patients, nurses, and nursing practice. Some healthcare professionals, though, are intimidated by the complex and often nonlinear policy process or simply don’t know how to take the first step toward implementing policy change. In the second edition of Evidence-Informed Health Policy, authors Jacqueline M. Loversidge and Joyce Zurmehly demystify health policymaking and equip nurses and other healthcare professionals with the knowledge, tools, and confidence to navigate the first of many steps into health policy. This book translates the EBP language of clinical decision-making into an evidence-informed health policy (EIHP) model—a foundation for integrating evidence into health policymaking and leveraging dialogue with stakeholders. TABLE OF CONTENTS Chapter 1: Extending the Use of Evidence-Based Practice to Health Policymaking Chapter 2: The Use of Evidence: The Changing Landscape in Health Policymaking Chapter 3: Health Policy and Politics Chapter 4: Government Structures and Functions That Drive Process Chapter 5: Policymaking Processes and Models Chapter 6: An Overview of an Evidence-Informed Health Policy Model for Nursing Chapter 7: The Foundation: Steps 0 Through 3 of the EIHP Process Chapter 8: Policy Production: Steps 4 and 5 of the EIHP Process Chapter 9: Follow-Through: Steps 6 and 7 of the EIHP Process Chapter 10: Health Policy on a Global Scale Chapter 11: Evidence-Informed Health Policymaking: Challenges and Strategies Appendix A: Resources Appendix B: Global Examples of Evidence-Informed Policymaking: An Annotated Bibliography
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
With the evolution of healthcare policies and their subsequent integration into healthcare systems, this book will introduce your students to health policy making, critical health policy issues, health policy research/evaluation methods, and international perspectives on health policy. Shi takes a unique perspective by integrating all these topics into this a one-of-a-kind book. Real-world cases and examples reinforce the theories and concepts throughout the book and address all healthcare settings, including public health, managed care, ambulatory care, extended care, and the hospital setting. Introduction to Health Policy provides an overview of: Dominant frameworks of health determinants and health policy formulation Major types of health policies, including special populations such as racial/ethnic minorities, those with low-income, the elderly, women & children, people with HIV/AIDS, the mentally ill, and the homeless Health policy issues related to financing and delivery in the U.S. and abroad The importance of an international perspective, in both developed and developing countries Processes and context for federal, state, and local health policymaking Health policy research methods so that students can learn to study and analyze policy issues Instructor resources will include a test bank, answers to discussion questions, and PowerPoint slides.