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257 Resources for

project hope

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The Challenge of Mandatory Evacuation: Providing for and Deciding for: Insufficient attention has been given to the ethical and legal questions surrounding mandatory evacuation in disasters and emergencies. This paper argues mandatory evacuation orders entail a governmental duty both to provide for people and to decide for people: Government must trigger the provision of critical resources as well as vigorous...; Tags: Project HOPE, public health; White papers 2006-07-01
Do Mandates Requiring Insurers to Pay for Emergency Care Influence the Use of the Emergency Department?: Many states have "Prudent layperson" mandates that require health plans to reimburse hospitals for Emergency Department (ED) care delivered to patients who believe that they have symptoms warranting emergency treatment. Increased, and possibly unnecessary, ED use has often been attributed to these policies. Data has been used from thirty-five states...; Tags: HEALTHCARE, Project HOPE, patient, health care; White papers 2006-07-01
The Prevention Challenge and Opportunity: In the United States, more money is spent on treating diseases and their complications than on preventing them in the first place. Prevention is both undervalued and poorly supported in the health system. This paper discusses how the McKinlay model can be used to illustrate the three levels at which...; Tags: Project HOPE, health care; White papers 2006-07-01
The Rise and Fall of Natrecor for Congestive Heart Failure: Implications for Drug Policy: Recent revelations of unexpected side effects of widely prescribed medications have raised questions about several aspects of U.S. drug policy, from initial Food and Drug Administration (FDA) approval to promotion by manufacturers and prescribing by physicians. One prominent example is nesiritide (Natrecor), a treatment for congestive heart failure. In this...; Tags: Federal government, Project HOPE, FDA, physician, manufacturer, marketing; White papers 2006-07-01
The Impact of Globalization on Vaccine Development and Availability: Globalization is likely to affect many aspects of public health, one of which is vaccine-preventable communicable diseases. Important forces include increased funding initiatives supporting immunization at the global level; regulatory harmonization; widespread intellectual property rights provisions through the World Trade Organization agreements; the emergence of developing-country manufacturers as major players...; Tags: HEALTHCARE, Project HOPE, vaccine, globalization, bioterrorism, intellectual property, public health, intellectual property right, agreement; White papers 2006-07-01

Putting Prevention in Its Place: The Shift From Clinic to Community: Despite widespread insurance coverage for adult vaccinations, cancer screening, and cardiovascular disease prevention measures, most U.S. adults are not up to date with these routine services. This paper reports the efforts of Sickness Prevention Achieved through Regional Collaboration (SPARC), a New England - based organization working to broaden delivery of...; Tags: Project HOPE, Sun Sparc, public health, physician, insurance, collaboration, network; White papers 2006-07-01
Can Public Health and Medicine Partner in the Public Interest?: The dominant issues for health and health care modern day times can be effectively engaged only if public health and medicine work together as better partners. Yet historical, professional, organizational, operational, and financial barriers exist to closer relationships. Fostering the necessary collaboration will require changes for both public health and...; Tags: HEALTHCARE, Financial accounting, Project HOPE, public health, financing, leadership style, health care, accountability, incentive, collaboration, leadership, financial; White papers 2006-07-01
How Much More Cost Sharing Will Health Savings Accounts Bring?: Proponents of Health Savings Accounts (HSAs) contend that they will reduce medical expenditures. In practice, however, the effect of HSAs, and the high-deductible health plans that must accompany them, will depend on the actual provisions of those plans and of the plans they replace. This paper shows that typical plans...; Tags: Benefits, HEALTHCARE, Vertical industries, Project HOPE, Health Savings Account, health care; White papers 2006-07-01
Promoting Evidence-Based Public Health Policy: Can We Have Better Evidence And More Action?: Evidence-based approaches (those explicitly linked to the best available scientific evidence and reflecting community preferences and feasibility) are increasingly used to inform health policy decision making on the burden of a disease attributable to particular causes, interventions and policies that might work to confront those causes, and issues of community...; Tags: HEALTHCARE, Project HOPE, feasibility, public health, decision-making, tool; White papers 2006-07-01
Using Local Health Information to Promote Public Health: Local health information can be a powerful vehicle for improving the health of a community. It can highlight both the existence of problems and opportunities for improvement. It can also guide local action in support of policy changes and improve programs' effectiveness. However, efforts to expand the availability and use...; Tags: Vertical industries, HEALTHCARE, Benefits, Project HOPE, barrier, health care, public health; White papers 2006-07-01
Preparing for the Unknown, Responding to the Known: Communities and Public Health Preparedness: More than four years after September 11, 2001, bioterrorism preparedness remains a high priority for federal, state, and local governments. With reasonably flexible federal funding, communities have strengthened their ability to respond to public health emergencies, according to assessments by stakeholders and market observers. Collaborative relationships developed for bioterrorism preparedness...; Tags: HEALTHCARE, Project HOPE, public health, bioterrorism; White papers 2006-07-01
Public Health at Center Stage: New Roles, Old Props: The public health system represents a wide variety of actors playing key roles in the ongoing script to improve the quality and quantity of life for the U.S. population. The specific parts that public health is being asked to play and the resources available to support its infrastructure for prevention...; Tags: HEALTHCARE, Project HOPE, public health, workforce, survey; White papers 2006-07-01
U.S. Adoption of Computerized Physician Order Entry Systems: Computerized Physician Order Entry (CPOE) has been shown to reduce preventable, potential adverse events. Despite this evidence, fewer than 5 percent of U.S. hospitals have fully implemented these systems. This paper assesses empirically alternative reasons for low CPOE implementation using data from various sources. It finds that CPOE is related...; Tags: Project HOPE; White papers 2005-12-01
Competition in Health Care: Its Evolution Over the Past Decade: Understanding the roller-coaster experience with the use of market forces in health care over the past ten years provides important context for discussions of likely future developments in the nature of competition. The period began with acceptance of managed care transforming the organization of medical care delivery and proceeded to...; Tags: Vertical industries, Project HOPE, vision, health care; White papers 2005-12-01
Legal Status and Health Insurance Among Immigrants: The foreign-born represent a disproportionate share of nonelderly U.S. adults without health insurance. Using data from Los Angeles County, this report finds that most of the insurance disparities between the foreign-born and native-born can be explained by traditional socioeconomic factors. Undocumented immigrants, however, have lower rates of coverage, both private...; Tags: Benefits, HEALTHCARE, Vertical industries, Financial Planning, Project HOPE, immigrant, health insurance, insurance, health care, U.S.; White papers 2005-12-01
The Impacts of Mental Health Parity and Managed Care in One Large Employer Group: A Reexamination: Although the impacts of carve-outs to Managed Behavioral Health Care Organizations (MBHOs) and parity mandates on costs are largely settled in the literature, their impacts on access are less clear. This article reexamines a study published by Samuel Zuvekas and colleagues in this journal, which found that the number of...; Tags: Project HOPE, parity, health care; White papers 2005-12-01
Competition and New Technology: Most real medical spending growth is accounted for by beneficial but costly new technology. This paper argues that a missing dimension of the concepts of competition among health plans is a focus on their policy toward new technology. In principle, plans could choose to move rapidly or slowly, inclusively or...; Tags: Project HOPE, physician, health care; White papers 2005-12-01
Health Care Reform: Why? What? When?: Dissatisfaction with the U.S. health care system is widespread, but no consensus has emerged as to how to reform it. The principal methods of finance, employer-based insurance, means-tested insurance, and Medicare, are deeply and irreparably flawed. Policymakers confront two fundamental questions: Should reform be incremental or comprehensive? And should priority...; Tags: Financial Planning, HEALTHCARE, Vertical industries, Financial accounting, Project HOPE, insurance, health care, Medicare, financing, finance; White papers 2005-12-01
Which Way for Competition? None of the Above: Despite growing documentation that the conditions needed to support competition in health care do not exist, consumer-directed health care has been offered as the new market-based solution to cost inflation. Yet typical consumer-based insurance products undermine the very logic of expecting consumers to make good health care decisions by making...; Tags: Vertical industries, Benefits, HEALTHCARE, Project HOPE, health care, inflation, insurance, patient; White papers 2005-12-01
Whence and Whither Health Insurance? A Revisionist History: Throughout the postwar era in federal health policy, policymakers have sought to expand both public and private insurance coverage, while wrestling with the cost consequences of the demand generated by the insurance-financing mechanisms thus created. This report advances the view that the limits to insurance expansion have been reached and...; Tags: Vertical industries, Benefits, HEALTHCARE, Financial Planning, Project HOPE, policymaker, health care, insurance, health insurance, environment, strategy; White papers 2005-12-01