OBJECTIVE Growing recognition exists of housing as a social determinant of health, and thus, health care reform initiatives are expanding the reach of health care beyond traditional settings. One result of this expansion is increased Medicaid funds for supportive-housing programs for people with severe mental illnesses. This qualitative study explores the ways in which case managers working in ...

profiles that are being published by different organisations (such as “health in transition”). The recent votes in France and the Netherlands against the European Constitution showed that the “democratic deficit” is not just the concern of the new member states. A democratic revolution should become an integral part of the ongoing healthcare reforms. WHO supports this process, since “participat...

The main aim of this study was to investigate trends in the organization and functioning of the HC service. The Croatian Health Service Yearbooks, from 1995 to 2012, served as the basis for the data. The results showed that the HC reforms aimed at the organization and functioning of primary care for women somehow compromised their accessibility. A general lack of around 100 gynecologists, the h...

The health care reform debate of 1993-1994 revealed widespread recog nition that our nation’s health care system has significant problems. These problems did not end with the debate’s end in the 103d Congress. We therefore have no choice but to try again. Our new effort will reflect not only values and policy judgments but also political lessons from our recent experience. In this paper we argu...

To succeed, health care reform must slow spending growth while improving quality. We propose a new approach to help achieve more integrated and efficient care by fostering local organizational accountability for quality and costs through performance measurement and "shared savings" payment reform. The approach is practical and feasible: it is voluntary for providers, builds on current referral ...

Health care reform is a continuously evolving process. The States and the Federal Government have struggled with policy issues to combat escalating Medicaid expenditures while ensuring access and quality of care to an ever-expanding population. In the absence of national health care reform, States are increasingly relying on Federal waivers to develop innovative approaches to address a myriad o...

The 2012 ACR Forum focused on the anticipated challenges and opportunities facing radiology in the next 10 years, centered on the themes of health care reform, future payment models, research and innovation, patient-centered radiology, and information management. The recommendations generated from the forum seek to inform ACR leadership on the best strategies to pursue to ensure the continued s...

Whether as an invited speaker, board member, or expert panelist, my frequent travels afford me excellent opportunities to observe how health care reform is unfolding on the ground in real time. After delivering a favorite lecture – Population Health: Is It the Secret Sauce? – this spring, I had the pleasure of hearing, and seeing first hand, how one midsize integrated health care delivery syste...

s p n s c n l a here is more to health than health care. Where we live, work, learn, and play can affect our health more than what happens in the physician’s offıce. et, ask our national leaders “What determines health?” nd you’ll hear about access to health care. As vital as ealth care and healthcare reform are, they are just part of he answer. Over the past few years, more and more ttention h...

Jacquelyn Bialo, MPH Candidate You can’t look to any news source these days without seeing at least one headline about health care reform. It’s unavoidable— the health care debate is ubiquitous. With the House having passed an initial reform bill and a 60-39 Senate vote opening a floor debate about the 2,074 page legislation, Public Health Rounds asked some of our Tufts experts to weigh in with...