747 research outputs found

    Steve Allen to Walter Lyons

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    PDF also includes Donna Zink (Secretary to Steve Allen) to Mrs. Lyons, 7/26/1967, (lyons_scrapbook_030)https://egrove.olemiss.edu/lyons/1014/thumbnail.jp

    Community Nursing Services in England

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    This open access book provides an historical account of the ways in which community nursing services in England have been shaped by policy changes, from the inception of the NHS in 1948 to the present day. Focusing on policies regarding the organisation and provision of community nursing services, it offers an important assessment of how community nursing has evolved under successive governments. The book also provides reflections on how historic policies have influenced the service of today, and how lessons learnt from the past can inform organisation and delivery of current and future community nursing services. It is an important resource for those researching community nursing and health services, as well as practitioners and policy makers

    The Medicaid Buy-In Program: Lessons Learned from Nine Early Implementer States

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    For many individual Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) recipients, the risk of losing Medicaid coverage linked to their cash benefits is a powerful work disincentive. Eliminating barriers to health care and creating incentives to work can greatly improve financial independence and well being. To support this goal, Congress included a Medicaid Buy-In option in the Balanced Budget Act of 1997 and enacted the Ticket to Work and Work Incentives Improvement Act (TWWIIA) in 1999. These laws authorized states to create Medicaid Buy-In programs to extend Medicaid coverage to persons with disabilities who go to work. This report discusses findings from case studies of nine states operating Medicaid Buy-In programs for working persons with disabilities. The nine states are Alaska, Connecticut, Iowa, Maine, Minnesota, Nebraska, Oregon, Vermont, and Wisconsin. At the time of the study, approximately 13,000 persons were enrolled in the programs in the nine states. The paper gives particular attention to the decisions made by states concerning program eligibility, their approaches to estimating program enrollment and costs, and the patterns of program enrollment to date. The report is designed to assist stakeholders (such as Medicaid directors, state legislators, and cross-disability coalitions) design and implement Medicaid Buy-In programs and related work incentive initiatives. This report is the second in a series of three reports. The first report includes indepth case studies of nine early implementer states entitled Medicaid Buy-In Programs: Case Studies of Early Implementer States. The final report, Policy Frameworks for Designing Medicaid Buy-In Programs and Related State Work Incentive Initiatives, provides policy frameworks describing the interrelationships between health entitlements (especially Medicaid) and cash assistance programs (particularly SSDI, SSI and state SSI supplementation programs)

    Adapting the Implicit Association Test to Health Professions Education May Lead to Improving American Indian Health

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    The Implicit Association Test (IAT) has been supported as a valid means for demonstrating implicit biases in racial/ethnic studies; however, adaption of the IAT for evaluation of unconscious biases against American Indians has not previously been reported. The authors conducted a study addressing validity of the IAT for measurement of implicit bias against American Indians in a health education setting, its value in providing information not revealed by explicit measures, and the association between demographic characteristics of health professions student groups and their IAT scores. The paper-format IAT instrument designed was piloted at an Oklahoma institution with health professions students. The American Indian participant group demonstrated an implicit preference for American Indian over Caucasian surnames by faster association of American Indian surnames with good versus bad attribute exemplars. Demonstration of predictable implicit response patterns that varied from explicit responses provided evidence for the value of adaptation of an IAT to evaluate American Indian bias. American Indian implicit bias research with health care professionals and students using the IAT may provide a valuable means for reaching the ultimate goal of improving health care for American Indians and thereby improving the health of American Indian tribal communities

    Depression Care Management: Can Employers Purchase Improved Outcomes?

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    Fourteen vendors are currently selling depression care management products to US employers after randomized trials demonstrate improved work outcomes. The research team interviewed 10 (71.4%) of these vendors to compare their products to four key components of interventions demonstrated to improve work outcomes. Five of 10 depression products incorporate all four key components, three of which are sold by health maintenance organizations (HMOs); however, HMOs did not deliver these components at the recommended intensity and/or duration. Only one product delivered by a disease management company delivered all four components of care at the recommended intensity and duration. This “voltage drop,” which we anticipate will increase with product implementation, suggests that every delivery system should carefully evaluate the design of its depression product before implementation for its capacity to deliver evidence-based care, repeating these evaluations as new evidence emerges

    UNLV Magazine

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    Community Nursing Services in England

    Get PDF
    This open access book provides an historical account of the ways in which community nursing services in England have been shaped by policy changes, from the inception of the NHS in 1948 to the present day. Focusing on policies regarding the organisation and provision of community nursing services, it offers an important assessment of how community nursing has evolved under successive governments. The book also provides reflections on how historic policies have influenced the service of today, and how lessons learnt from the past can inform organisation and delivery of current and future community nursing services. It is an important resource for those researching community nursing and health services, as well as practitioners and policy makers
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