Does Medicaid expansion influence county health spending? A case of New York counties

2021 ◽  
pp. 1-16
Author(s):  
Shihyun Noh ◽  
Ji-Hyung Park
Keyword(s):  
Public Health ◽  
New York ◽  
Health Services ◽  
Local Governments ◽  
Health Spending ◽  
Medicaid Expansion ◽  
Health Administration ◽  
Public Health Services ◽  
York County ◽  
Uninsured Population

Abstract We investigated the impacts of Medicaid expansion on New York county total health spending and specifics of health spending, including health services, public health facilities and public health administration. Little research considered the financial effect of Medicaid expansion on local governments while well reported are its influences on uninsured rates and health services utilization. New York counties have contributed to health in their boundaries by providing or funding public health services, and supporting a part of the non-federal share of Medicaid expenditures and uncompensated care. Medicaid expansion can reduce the size of county expenditures for health by enrolling more previously uninsured population in the program and offering more generous federal funding for the expanded Medicaid. We offer empirical evidence that Medicaid expansion was associated with reduced county health spending.

Human Relationships in Public Health

PEDIATRICS ◽  
1949 ◽  
Vol 4 (2) ◽  
pp. 266-266
Keyword(s):  
Public Health ◽  
Mental Health ◽  
New York ◽  
Health Services ◽  
Health Department ◽  
State Health ◽  
Public Health Services ◽  
State Health Department ◽  
Human Relationships ◽  
Commonwealth Fund

This is the title of a small pamphlet just issued by the Commonwealth Fund of New York. Written by Geddes Smith, an associate of the Fund, it describes an institute on mental health in public health which was held in the summer of 1948. Students at the institute were health officers of California counties and cities, or bureau chiefs in the State Health Department, with representatives of public health services of Tennessee, Mississippi, and Oklahoma.

scholarly journals Model to assess workload of village doctors in the National E sential Public Health Services Program in six provinces of China

2020 ◽  
Author(s):  
Delu Yin ◽  
Tao Yin ◽  
Huiming Yang ◽  
Lihong Wang ◽  
Bowen Chen
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Local Governments ◽  
Health Workers ◽  
Public Health Services ◽  
Health Service Provision ◽  
Village Doctors ◽  
Town Hospital ◽  
Ev Model

Abstract Background: Village doctors face many challenges in providing the National Essential Public Health Service (NEPHS) program, and many factors affect the provision of these services. However, there are no studies (particularly quantitative analyses) regarding the workload of public health services provided by village doctors. In this study, we aimed to develop a quantitative analysis approach to measure the workload of NEPHS provided by village doctors in six provinces of China in 2016. Methods: Based on survey data from 300 town hospital centers (THCs) located in 60 counties in the six selected provinces, we calculated village doctors’ share of workload under the NEPHS using the equivalent value (EV) model. To define the workload and corresponding EV of each NEPHS, a series of five meetings was held with THC managers, public health workers, family physicians, nurses and village doctors. Field observations were conducted to verify the workload and EV of each service. Results: Village doctors’ share of the workload under the NEPHS program was 47.0% across the 300 sampled THCs in six provinces. The village doctors’ workload shares for different NEPHS ranged from 17.1% to 57.0%. The percentage workload undertaken by village doctors under the NEPHS program varied across different provinces, with the highest proportion 63.4% and the lowest 28.5%. Conclusions: The total NEPHS workload assigned to village doctors by THCs in the six sampled provinces exceeded the Chinese government’s requirement of 40%, but the workload proportion in some provinces was less than 40%. We suggest that local governments conduct district-level analysis of the workload among village doctors under the NEPHS program using the EV method, to identify priorities and influencing factors and implement targeted measures to promote health service provision. An EV model of the NEPHS could be built to monitor village doctors’ workload and ensure that assigned workloads are manageable.

scholarly journals The Implementation of Earmarking Tax Policy on Cigarette Tax in West Java Province

2019 ◽  
Vol 23 (1) ◽  
pp. 45
Author(s):  
Maisarah Putriyandri Atsani ◽  
Murwendah Murwendah
Keyword(s):  
Public Health ◽  
Health Services ◽  
Tax Policy ◽  
Local Governments ◽  
Control Function ◽  
Cigarette Consumption ◽  
Public Health Services ◽  
West Java ◽  
Cigarette Tax ◽  
The Government

In an effort to control cigarette consumption in Indonesia, one of the policies used by the government is the earmarking tax policy on cigarette tax. In fact, the prevalence of smoking in Indonesia continues to increase even though the government has imposed various state levies. The purpose of this study is to analyze the implementation of earmarking tax policy on cigarette tax in West Java Province, as one of the regions receiving the largest cigarette tax allocation in Indonesia. This research uses qualitative approach with data collection techniques of literature and in-depth interviews. The results show that the earmarking tax policy on cigarette tax has not been able to reduce the prevalence of smoking since the cigarette tax in the region has not been utilized as per its designation. The function of control of earmarking tax policy on cigarette tax is limited to controlling budgeting aspect; yet, there is no control function related to cigarette tax income to be used according to its purpose (earmarking). Other factors are the cheap price of cigarettes sustained by people’s increasing revenue, massive tobacco advertising, and fervent smoking culture in the community. A partial policy that only relies on state levies is perceived as insufficient to control cigarette consumption, particularly without coordination among stakeholder in central and local governments. In fact, cigarette tax revenue has been budgeted for public health services in West Java Province; nevertheless, its implementation in the field has not been fully utilized for public health services.

Future Issues in Dissemination and Implementation Research

2017 ◽  
Author(s):  
Ross C. Brownson ◽  
Graham A. Colditz ◽  
Enola K. Proctor
Keyword(s):  
Public Health ◽  
Health Services ◽  
Implementation Research ◽  
Clinical Care ◽  
Dissemination And Implementation ◽  
Public Health Services ◽  
Middle Income ◽  
Middle Income Countries ◽  
Dissemination And Implementation Research ◽  
The Many

This chapter highlights just a sample of the many rich areas for dissemination and implementation research that will assist us in shortening the gap between discovery and practice, thus beginning to realize the benefits of research for patients, families, and communities. Greater emphasis on implementation in challenging settings, including lower and middle-income countries and underresourced communities in higher income countries will add to the lessons we must learn to fully reap the benefit of our advances in dissemination and implementation research methods. Moreover, collaboration and multidisciplinary approaches to dissemination and implementation research will help to make efforts more consistent and more effective moving forward. Thus, we will be better able to identify knowledge gaps that need to be addressed in future dissemination and implementation research, ultimately informing the practice and policies of clinical care and public health services.

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