impact of healthcare policy on population health
It was resisted by Republican politicians and underwent two Supreme Court Challenges before and during implementation. J Epidemiol Commun H. 2008;62(7):573–9. No language or publication date restrictions will be included. However, the ACA’s “success” was not equally felt by everyone (Joseph 2017). ). A systematic review methodology will be used to identify systematic reviews from high-income countries (including additional EU-28 members) that describe the health and health equity effects of upstream public health interventions. Google Scholar. The nature of public health interventions means their influence percolates into many aspects of how we behave, live and work. 2014;23(E2). Bambra C. Health inequalities and welfare state regimes: theoretical insights on a public health ‘puzzle’. 2005;20(2):187–93. statement and gender, ethnicity and socio-economic status). Although adding outcome terms (pilots 3 and 4) decreased the number of hits to one fifth compared to just using the type of study and population-level terms (pilot 2), it was felt that these outcome terms should not be included in the final search strategy. Centre for Health and Inequalities Research, Department of Geography, Durham University, Lower Mountjoy, South Road, Durham, DH1 3LE, UK, Department of Sociology and Political Science, Norwegian University of Science and Technology, Dragvoll, Building 9, Level 5, 7491, Trondheim, Norway, Centre for Primary Care and Public Health, Barts and The London School of Medicine and Dentistry, Yvonne Carter Building, 58 Turner Street, Whitechapel, London, E1 2AB, UK, Division of Pharmacy, School of Medicine, Pharmacy and Health, Durham University, Stockton-on-Tees, TS17 6BH, UK, You can also search for this author in What does this mean for population health? Many commentators have sought to define what is meant by public health. In doing so, population health scientists will need to convey their findings to audiences beyond fellow researchers – to the general public and lawmakers – to sound the alarm about the ongoing and worsening stratification in the American healthcare system. Many of the greatest public health successes in the United States are the result of legal or policy interventions, such as smoke-free air laws and mandatory seatbelt laws.1Yet many people may not be aware of the precise impact these interventions and approaches can have on population health. MacKenbach JP, McKee M. Social-democratic government and health policy in Europe: a quantitative analysis. The list of OECD countries includes Australia, Austria, Belgium, Canada, Chile, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Israel, Japan, Korea Republic, Luxembourg, Netherlands, New Zealand, Norway, Poland, Portugal, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, UK and the USA. European Commission. 2013. http://cccrg.cochrane.org/. However, the assessment of implementation has not featured strongly in previous umbrella reviews. through changes to social policy such as education, social security and housing) or directly through health care systems or policies aimed at promoting public health specifically [6, 7]. Following the methods of previous umbrella reviews [17, 22], publications will need to meet the two mandatory criteria of Database of Abstracts of Reviews of Effects (DARE): (i) that there is a defined review question (with definition of at least two of the participants, interventions, outcomes or study designs) and (ii) that the search strategy included at least one named database, in conjunction with either reference checking, hand searching, citation searching or contact with authors in the field. Public health policies can operate on a number of different levels, which affects population health and health inequalities. Welfare states may impact the health of citizens either indirectly through influencing the social determinants of health (e.g. While the ACA remains in place, it is imperative that population health scientists continue to study the policy’s impacts on shaping healthcare access, use of health services, and a range of physical and mental health outcomes. By using this website, you agree to our Abstract: Aging and population growth both contribute importantly to the rise in health care costs. Public health policies influence almost all aspects of society, but the focus here centres on policies directly influencing health (e.g. As the model shows, policies and programs play an important role in health improvement through their influence on health factors as well as health outcomes. J Epidemiol Commun H. 2013;67(2):190–3. Understanding the impact of specific public health policy interventions will help to establish causality in terms of the effects of welfare states on population health and health inequalities and, most importantly, identify effective interventions that could be implemented to reduce health inequalities across European countries. The initial screening of titles and abstracts using EndNote will be conducted by one reviewer (KT), with a random sample of at least 10 % (in keeping with previous successful reviews, e.g. Impact of healthcare policy on population health. CAS  undertook a rapid review searching only one database (Medline) and identified 12 reviews meeting their inclusion criteria. Furthermore, inter-rater reliability will be assessed using the kappa statistic. Lost your password? In: Higgins JPT, Green S, editors. Health Information Research Unit. In doing so, population health scientists will need to convey their findings to audiences beyond fellow researchers – to the general public and lawmakers – to sound the alarm about the ongoing and worsening stratification in the American healthcare system. Please enter your email address. For example, a recent study of workplace wellness conducted by the RAND Corporation found that participation in a workplace wellness program continuously over a seven-year period was associated with an average reduction of $30 in monthly health care costs per employee. Law and policy are among the most effective tools to improve health. A review of the international evidence. R506 Healthcare Policy Week 7 Assignment: Summary of Healthcare Concern Presentation Guidelines and Rubric. The welfare state is potentially an important macro-level determinant of health that also moderates the extent, and impact, of socio-economic inequalities in exposure to the social determinants of health. For example, the policy can set the standards that must be met by all of the healthcare providers in the market. 2017. Population tobacco control interventions and their effects on social inequalities in smoking: placing an equity lens on existing systematic reviews. Katie Thomson. Understanding the impact of specific public health policy interventions will help to establish causality in terms of the effects of welfare states on population health and health inequalities. Impact of healthcare policy on population health It is essential first to have from FNP NR-506 at chamberlain university People with higher income, employment and educational opportunities have lower mortality and morbidity . Further details can be found at http://data.worldbank.org/income-level/OEC. The Healthy People 2020 Law and Health Policy project aims to help close that gap by showcasing evidence-based legal and policy interventions … Oldroyd J, Burns C, Lucas P, Haikerwal A, Waters E. The effectiveness of nutrition interventions on dietary outcomes by relative social disadvantage: a systematic review. Graham H. Unequal lives: health and socioeconomic inequalities. Population health management assists these groups to attain and maintain health with an increased focus on shared accountability for the upstream … Equity Update. Young adults up to age 26 could also remain on their parent’s plans, which increased coverage for a group at risk of being uninsured. J Epidemiol Commun H. 2010;64(4):284–91. 2015. http://www.who.int/trade/glossary/story076/en/. Pilot search 1 used a search strategy based primarily on the Health Information Research Unit of McMaster University  and also the Scottish Intercollegiate Guidelines Network (SIGN) filter for systematic reviews .
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12th November 2018