A High Performance Health System for the United States: An Ambitious Agenda for the Next President

Presents the recommendations of the Fund's Commission on a High Performance Health System on the reforms needed to reach and raise benchmark performance levels, such as universal coverage, cost containment, and implementing an electronic records system

Fast Raising: Digital Fundraising as Interaction Rituals

Twice a year, GamesDoneQuick hosts events that showcase the Speed Running Community, a sub-set of the Video Game Community. Since its inception in 2014 through 2021 GDQ has raised $25.7 million that has been distributed to the Prevent Cancer Foundation and Médecins Sans Frontiers (Doctors without Borders). This collection of studies analyzes the Awesome Games Done Quick 2020 event utilizing the Interaction Ritual Theory framework of Randall Collins to understand how ritualistic social action of this community has been leveraged by event organizers to promote successful crowd funding efforts that benefits organizations outside of the community. Further it expands on research into New Social Movements and Participatory Culture to frame and explain the motivations behind this communal process. This study provides evidence to show that interaction ritual chains are present, but failed to accurately identify the specific characteristics of the sacred objects present to link them to the success of rituals. Additionally, it failed to find a link between perceived identity markers of ritual performers with the amount of donations received at the event studied. Lastly, it takes steps to categorize parts of the social action present in the form of donation incentives and describes how those specific incentive types perform in relation to one another

Exploring achievement gamification on online medical quality based on machine learning and empirical analysis

How to improve online medical quality is an important challenge for practitioners of digital health platforms. Gamification creates new opportunities to deal with the problem persistent in online health services. To better understand the role of gamification in online health services context, this study intends to use the research method of machine learning and natural experiment to explore the impact of achievement gamification on online medical quality in online health services, as well as the moderating effects of doctors’ personality and image. Theoretically, this study will expand the application of game strategy in the field of healthcare, and make up for the deficiency of the effects of gamification on online medical quality. Practically, it provides guidance for promoting doctors\u27 online participation behavior, improves the quality of online health services, and suggests ways for optimizing the rational allocation of online health resources

The GoodWork Project: An Overview

The Good Project is a large scale effort to identify individuals and institutions that exemplify good work -- work that is excellent in quality, socially responsible, and meaningful to its practitioners -- and to determine how best to increase the incidence of good work in our society. This paper is a comprehensive description of the GoodWork Project

State of Health Equity Movement, 2011 Update Part C: Compendium of Recommendations DRA Project Report No. 11-03

State of Health Equity Movement, 2011 Update Part C: Compendium of Recommendations DRA Project Report No. 11-0

Determinants of knowledge-sharing networks in primary care

Background. Around the world, health reforms are increasingly fostering collaboration and integration among primary care physicians with the aim of facilitating knowledge sharing and evidence-informed decision making. Although extant research on this topic is abundant, the evidence and results regarding social and organizational factors affecting the formation of knowledge-sharing networks in this setting are inconclusive. Purposes. The aim of this article is to explore multiple theoretical mechanisms explaining the formation of knowledge-sharing networks among primary care physicians across relevant clinical areas. Methodology/Approach. The data are collected from two local health authorities (LHAs) in the Italian National Health Service that are responsible for delivering primary care in two Italian regions. Exponential random graph models are used to test the hypotheses. Findings. Our findings indicate that knowledge-sharing networks are highly correlated across clinical areas. In addition, knowledge-sharing networks are highly reciprocal and clustered. We also observe that formal models adopted to foster collaboration have remarkably different effects on the formation of knowledge networks, depending upon the diverse knowledge management approaches adopted in the surveyed LHAs. Practice Implications. Primary care organizations need to develop and implement knowledge management practices in order to help physicians in identifying knowledge domain experts as well as to support connections through formal groupings and incentives

WHY THEY SELF-DISCLOSE？EXAMINING FACTORS INFLUENCING PEOPLE\u27S PERSONAL INFORMATION DISCLOSURE IN ONLINE HEALTHCARE COMMUNITIES RESEARCH-IN-PROGRESS

Online healthcare communities (OHCs) encourage people to disclose their personal information with others to seek support and to accelerate research and help create better treatments. However, disclosing personal information might cause privacy disclosure and some risks. This paper aims to explore what factors and how those factors affect people’s personal information disclosure intention in OHCs. Based on “risk-motivation” perspective, we identify perceived usefulness as extrinsic motivation and social support as intrinsic motivation, and distinguish four kinds of risks to test those motivation and risk factors’ effects on people’s personal information disclose intention in OHCs. As two constructs describing the characteristics of OHCs, expected disease severe extent and common identity are supposed having moderating effects’ on motivation and risk factors’ effects. The theoretical contribution of this paper is offering a model to explain people’s personal information disclose intention in OHCs and integrate constructs to describe the characteristic of OHCs; the practical implications is providing insight on OHC managers’ operation for communities’ viability and people’s privacy protection. Finally, limitations and future works also are presented

Maternal Healthcare Service Transformation: Exploring Opportunities for IT use in Task Shifting

The transformation of healthcare services is expected to reduce health inequalities and to accelerate gains in health outcomes. Task shifting is one of the strategies adopted in healthcare transformation to make efficient use of human resources. However, limited research exists on how tasks are shifted beyond midwives, to involve community health workers or village health team members (VHTs) and pregnant women, and how IT supports and or triggers execution of shifted tasks. We examine the shifting of tasks in maternal healthcare, by interviewing midwives and VHTs in three districts in Uganda. Findings show four categories of tasks shifted at various levels of healthcare but with limited use of IT to execute tasks. We propose a model depicting opportunities for IT use both as an enabler and a trigger in executing tasks shifted. We recommend further investigations to identify IT opportunities that would trigger service exchange for pregnant women beyond health workers to include families and friends

N.C. Medicaid Reform: A Bipartisan Path Forward

The North Carolina Medicaid program currently constitutes 32% of the state budget and provides insurance coverage to 18% of the state’s population. At the same time, 13% of North Carolinians remain uninsured, and even among the insured, significant health disparities persist across income, geography, education, and race. The Duke University Bass Connections Medicaid Reform project gathered to consider how North Carolina could use its limited Medicaid dollars more effectively to reduce the incidence of poor health, improve access to healthcare, and reduce budgetary pressures on the state’s taxpayers. This report is submitted to North Carolina’s policymakers and citizens. It assesses the current Medicaid landscape in North Carolina, and it offers recommendations to North Carolina policymakers concerning: (1) the construction of Medicaid Managed Care markets, (2) the potential and dangers of instituting consumer-driven financial incentives in Medicaid benefits, (3) special hotspotting strategies to address the needs and escalating costs of Medicaid\u27s high-utilizers and dual-eligibles, (4) the emerging benefits of pursuing telemedicine and associated reforms to reimbursement, regulation, and Graduate Medical Education programs that could fuel telemedicine solutions to improve access and delivery. The NC Medicaid Reform Advisory Team includes: Deanna Befus, Duke School of Nursing, PhD ‘17Madhulika Vulimiri, Duke Sanford School of Public Policy, MPP ‘18Patrick O’Shea, UNC School of Medicine/Fuqua School of Business, MD/MBA \u2717Shanna Rifkin, Duke Law School, JD ‘17Trey Sinyard, Duke School of Medicine/Fuqua School of Business, MD/MBA \u2717Brandon Yan, Duke Public Policy, BA \u2718Brooke Bekoff, UNC Political Science, BA \u2719Graeme Peterson, Duke Public Policy, BA ‘17Haley Hedrick, Duke Psychology, BS ‘19Jackie Lin, Duke Biology, BS \u2718Kushal Kadakia, Duke Biology and Public Policy, BS ‘19Leah Yao, Duke Psychology, BS ‘19Shivani Shah, Duke Biology and Public Policy, BS ‘18Sonia Hernandez, Duke Economics, BS \u2719Riley Herrmann, Duke Public Policy, BA \u271