scholarly journals Managed Care Development and Innovations in the US, and their Policy Implications for Japan

1997 ◽  
Vol 7 (1) ◽  
pp. 109-127
Author(s):  
Gregg L. Mayer ◽  
Shigeru Tanaka
Keyword(s):  
Managed Care ◽  
Policy Implications ◽  
The Us ◽  
Care Development

scholarly journals Alternate care sites during the COVID-19 pandemic: Policy Implications for pandemic surge planning

2021 ◽  
pp. 1-8
Author(s):  
Sue Anne Bell ◽  
Lydia Krienke ◽  
Kathryn Quanstrom
Keyword(s):  
United States ◽  
Capacity Planning ◽  
The United States ◽  
Policy Implications ◽  
Multiple Response ◽  
Current Policy ◽  
Surge Capacity ◽  
Effective Care ◽  
The Us ◽  
Staffing Needs

Abstract Alternate care sites across the US were widely underutilized during the COVID-19 outbreak, while the volume and severity of COVID-19 cases overwhelmed health systems across the United States. The challenges presented by the pandemic have shown the need to design surge capacity principles with consideration for demand that strains multiple response capabilities. We reviewed current policy and previous literature from past ACS as well as highlight challenges from the COVID-19 pandemic, to make recommendations that can inform future surge capacity planning. Our recommendations include: 1) Preparedness actions need to be continuous and flexible; 2) Staffing needs must be met as they arise with solutions that are specific to the pandemic; 3) Health equity must be a focus of ACS establishment and planning; and 4) ACS should be designed to function without compromising safe and effective care. A critical opportunity exists to identify improvements for future use of ACS in pandemics.

A clinical update on managed care implications for Australian psychiatric practice

2021 ◽  
pp. 103985622110300
Author(s):  
Jeffrey CL Looi ◽  
Stephen R Kisely ◽  
Tarun Bastiampillai ◽  
William Pring ◽  
Stephen Allison
Keyword(s):  
Health Insurance ◽  
Managed Care ◽  
Private Health Insurance ◽  
Psychiatric Treatment ◽  
Patient Choice ◽  
Insurance Sector ◽  
Cost Cutting ◽  
Appropriate Treatment ◽  
The Us ◽  
Limit Access

Objective: To provide a clinical update on private health insurance in Australia and outline developments in US-style managed care that are likely to affect psychiatric and other specialist healthcare. We explain aspects of the US health system, which has resulted in a powerful and profitable private health insurance sector, and one of the most expensive and inefficient health systems in the world, with limited patient choice in psychiatric treatment. Conclusions: Australian psychiatrists should be aware of changes to private health insurance that emphasise aspects of managed care such as selective contracting, cost-cutting or capitation of services. These approaches may limit access to private hospital care and diminish the autonomy of patients and practitioners in choosing the most appropriate treatment. Australian patients, carers and practitioners need to be informed about the potential impact of private managed care on patient-centred evidence-based treatment.

scholarly journals Exploring Attitudes About the Legality of Self-Managed Abortion in the US: Results from a Nationally Representative Survey

2021 ◽  
Author(s):  
Sarah Raifman ◽  
M. Antonia Biggs ◽  
Lauren Ralph ◽  
Katherine Ehrenreich ◽  
Daniel Grossman
Keyword(s):  
Multinomial Logistic Regression ◽  
Public Attitudes ◽  
The United States ◽  
Public Affairs ◽  
Policy Implications ◽  
Reproductive Age ◽  
Factors Associated ◽  
The Us ◽  
The Law ◽  
Nationally Representative

Abstract Introduction Twenty-four states have at least one law in place that could be used to prosecute people for self-managed abortion (SMA), or the termination of a pregnancy outside of the formal healthcare system. We investigated factors associated with public attitudes about SMA legality and legal access to abortion more generally. Methods In August 2017, we surveyed a nationally representative sample of English- and Spanish-speaking women ages 18–49 years in the United States (US) using Ipsos Public Affairs’ KnowledgePanel. Unadjusted and adjusted multinomial logistic regression estimates identify characteristics associated with believing that SMA should not be against the law, compared to should be against the law, with weighting to account for sampling into the panel. Results Overall, 76% (95% CI: 74.3%-77.1%) and 59% (95% CI: 57.3%-60.4%) of participants (n = 7,022, completion rate 50%) reported that abortion and SMA, respectively, should not be against the law; 1% and 19% were unsure. Among those living in a state with at least one law that could be used to prosecute an individual for SMA, the majority (55%, 95% CI: 52.7%-57.9%) believed SMA should not be against the law. Factors associated with believing SMA should not be against the law, compared to should be against the law, included prior abortion experience and higher levels of education and income. Conclusion Most reproductive age women in the US believe that SMA should not be criminalized. There is more uncertainty about SMA legality than about the legality of abortion more generally. Policy Implications US laws that criminalize SMA are not supported by the majority of the people living in their jurisdictions.

scholarly journals Private in-patient psychiatry in the USA

2014 ◽  
Vol 38 (5) ◽  
pp. 230-235 ◽  
Author(s):  
L. Mark Russakoff
Keyword(s):  
Managed Care ◽  
Healthcare System ◽  
Affordable Care Act ◽  
Private Practice ◽  
Psychiatric Care ◽  
Current System ◽  
Baby Boomer Generation ◽  
Current State ◽  
The Us ◽  
The Usa

SummaryThe US healthcare system is in the midst of major changes driven by four forces: the growing consensus in the country that the current system is financially unsustainable; managed care and parity legislation; the Affordable Care Act 2010; and the ageing of the ‘baby boomer’ generation. How these forces will combine and interact is unclear. The current state of in-patient psychiatric care and trends affecting the private practice of in-patient psychiatry over the next few years will be described.

scholarly journals Green Complexity, Economic Fitness, and Environmental Degradation: Evidence from U.S. State-Level Data

2021 ◽  
Author(s):  
İbrahim Tuğrul Çınar ◽  
İlhan Korkmaz ◽  
Muhammet Yunus Şişman
Keyword(s):  
Environmental Degradation ◽  
Environmental Quality ◽  
Negative Impact ◽  
National Level ◽  
State Level ◽  
Policy Implications ◽  
Green Economy ◽  
The Us ◽  
Green Production ◽  
Significant Negative Impact

Abstract Green production is one of the major debates as environmental degradation poses threats globally. The paper attempts to explore the relationship between green economy and environmental quality by using Economic Fitness approach. We develop a Green Complexity Index (GCI) dataset consists of 290 traded green-labeled products for the US States between 2002 and 2018. We analyze the environmental performance of green production using the GCI data at the sub-national level. Findings indicate that exporting more complex green products has insignificant effects on local (i.e., Sulfur dioxide, Particulate Matter 10) and global polluters such as Carbon dioxide (CO2), even accounting for per capita income. Yet, overall economic complexity has a significant negative impact on the emission levels implying that sophisticated production significantly improves environmental quality in the US. The insignificant impact of GCI on environmental degradation suggests that green product classifications should incorporate the production and end-use stages of goods to limit the adverse environmental effects of green-labeled products. The study, therefore, provides policy implications for green industrial policies.JEL codes: O18, Q56, R11

Who drinks most of the alcohol in the US? The policy implications.

1999 ◽  
Vol 60 (1) ◽  
pp. 78-89 ◽  
Author(s):  
T K Greenfield ◽  
J D Rogers
Keyword(s):  
Policy Implications ◽  
The Us

What lessons can be learned from the US archivist’s digital mandate for 2019 and is there potential for applying them in lower resource countries?

2016 ◽  
Vol 26 (2) ◽  
pp. 206-217 ◽  
Author(s):  
Jason R. Baron ◽  
Anne Thurston
Keyword(s):  
Public Sector ◽  
Historical Record ◽  
Policy Implications ◽  
Records Management ◽  
Successful Implementation ◽  
Content Type ◽  
The Us ◽  
Governmental Institutions ◽  
E Mail

Purpose This paper aims to present a high-level summary of the US archivist’s digital mandate for 2019, embodied in the publication “Managing Government Records”, issued on August 24, 2012, and a summary of US policy. The authors then consider the implications of the US e-recordkeeping initiative for lower-resource countries. Design/methodology/approach After setting out key elements of the US Archivist’s digital mandate, the paper proceeds to evaluate its policy implications for lower-resource countries based on the authors’ field experience and knowledge of case studies. Findings The USA is embarking on a state of the art approach for managing public sector archives in a digital form, with deadlines approaching for all federal agencies to manage e-mail and other e-records. Although a similar need exists in lesser-resourced countries, there are enormous barriers to successful implementation of a similar approach. Research limitations/implications The archivist’s 2019 digital mandate assumes that the technology sector will embrace the needs of public sector agencies in working on applicable electronic archiving solutions. Practical implications The Archivist’s Directive has the potential to be an enormous driver of change in the records management profession with respect to future management of increasingly digital archive collections. Vast collections of public sector e-mail and other forms of e-records potentially will be preserved under the directive, raising the stakes that archivists and records managers work on solutions in the area of long-term preservation and future access. Social implications The importance of capturing the activities of public-sector institutions in all countries for the purpose of openness, transparency and access cannot be overstated. In an increasingly digital age, new methods are needed to ensure that the historical record of governmental institutions is preserved and made accessible. Originality/value The US Archivist’s mandate represents a cutting-edge approach to long-term digital archiving with potential future applicability to the management of public sector records worldwide.

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