942 research outputs found

    Women at Risk: Why Increasing Numbers of Women Are Failing to Get the Health Care They Need and How the Affordable Care Act Will Help

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    Presents findings from the 2010 Biennial Health Insurance Survey about rates of uninsurance and care delayed due to cost among women, as well as obstacles faced in the individual market. Examines how reform provisions will change their access to coverage

    How the Affordable Care Act Is Helping Young Adults Stay Covered

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    Based on 2010 Biennial Health Insurance Survey data, examines how provisions to extend eligibility for Medicaid and dependent coverage and create insurance exchanges will affect coverage and access to care among young adults

    Gaps in Health Insurance: Why So Many Americans Experience Breaks in Coverage and How the Affordable Care Act Will Help

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    Presents findings from the Health Insurance Tracking Survey of U.S. Adults, including the percentage of those who were uninsured during 2011, reasons for gaps in coverage, access to regular and preventive care, and the impact of federal healthcare reform

    Realizing Health Reform's Potential: When Unemployed Means Uninsured: The Toll of Job Loss on Health Coverage, and How the Affordable Care Act Will Help

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    Examines how the 2010 healthcare reform will significantly expand affordable health coverage options for the unemployed who cannot afford COBRA. Calls for re-establishing COBRA premium subsidies to bridge coverage gaps until it is implemented in 2014

    Balancing long-term health literacy skills development with immediate action to facilitate use of reliable health information on COVID-19 in England

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    High-quality healthcare information exists for patients and the public, but a high proportion of individuals do not have the skills to access, assess and use this information. Health Education England leads the strategic development of knowledge and library services in the National Health Service (NHS) in England. One of the goals of the Knowledge for Healthcare strategy is that staff, learners, patients and the public are better equipped to use evidence-based patient, health and wellbeing information for shared decision-making and self-care. This paper outlines a partnership approach to raising awareness of health literacy, and improving the health literacy awareness and skills of NHS staff and citizens, whilst meeting immediate needs to access trustworthy information on COVID-19

    Using evaluability assessment to assess local community development health programmes: a Scottish case-study

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    Background Evaluation of the potential effectiveness of a programme’s objectives (health or otherwise) is important in demonstrating how programmes work. However, evaluations are expensive and can focus on unrealistic outcomes not grounded in strong theory, especially where there is pressure to show effectiveness. The aim of this research was to demonstrate that the evaluability assessment (a cost-effective pre-evaluation tool that primarily gives quick, constructive feedback) can be used to help develop programme and outcome objectives to improve programmes while they run and to assist in producing more effective evaluations. This was done using the example of a community development programme aiming to improve health and reduce health inequalities in its target population. Methods The setting was Glasgow, Scotland, UK and focused on the Health Issues in the Community programme. Data were collected from documents and nine individual stakeholder interviews. Thematic analysis and a realist approach were used to analyse both datasets and, in conjunction with a workshop with stakeholders, produce a logic model of the programme theory and related evaluation options to explore further.  Results Five main themes emerged from the analysis: History; Framework; Structure and Delivery of the Course; Theory of Action; and Barriers to Delivery and Successful Outcomes. These themes aided in drafting the logic model which revealed they key programme activities (e.g. facilitating group learning) and 23 potential outcomes. The majority of these outcomes (16) were deemed to be short-term outcomes (more easily measured within the timeframe of an individual being involved in the programme) e.g. increased self-esteem or awareness of individual/community health. The remaining 6 outcomes were deemed longer-term and included outcomes such as increased social capital and individual mental health and wellbeing.  Conclusions We have shown that the evaluability assessment tool can be applied to the evaluation of community health programmes, providing short- and long-term outcomes that could be evaluated to demonstrate effectiveness and avoid unnecessary or poorly designed full-scale evaluations. This type of pre-evaluation method is already a useful resource for national policy evaluations, but could be a valuable evaluation tool for other regional or community health programmes

    Living at the cutting edge: Women's experiences of protection orders. Volume 1: The women's stories

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    This report examines the experiences of 43 Māori, Pakeha, Pasifika and other ethnic minority women who were victims of male partner violence, the impact of the violence on them and their children, and their experiences of the justice system when they reached out for protection. The objectives of the project were to: a.identify and describe the experiences of a sample of women in obtaining protection orders, the impact of protection orders and the response to breaches of protection orders; b.identify those aspects that are working well (that is, positive experiences of protection orders); and c.identify areas for improvement including barriers that prevent women from applying for and obtaining protection orders
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