scholarly journals Municipal Officials' Participation in Built Environment Policy Development in the United States

2015 ◽  
Vol 30 (1) ◽  
pp. 42-49 ◽  
Author(s):  
Stephenie C. Lemon ◽  
Karin Valentine Goins ◽  
Kristin L. Schneider ◽  
Ross C. Brownson ◽  
Cheryl A. Valko ◽  
...  
Keyword(s):  
United States ◽  
Built Environment ◽  
Policy Development ◽  
The United States ◽  
Environment Policy

scholarly journals The Trade and Environment Debate: Relevant for Southern Agriculture?

1994 ◽  
Vol 26 (1) ◽  
pp. 108-128 ◽  
Author(s):  
Mary A. Marchant ◽  
Nicole Ballenger
Keyword(s):  
United States ◽  
The United States ◽  
Environmental Standards ◽  
Trade And Environment ◽  
Agricultural Producers ◽  
International Debate ◽  
Policy Issues ◽  
Environment Policy ◽  
Know How ◽  
Trade Measures

AbstractThis paper introduces and briefly discusses the economics of two important trade and environment policy issues--international harmonization of environmental standards and the use of trade measures for environmental purposes. Both issues are likely to generate lively international debate among environmentalists, industry representatives, and trade negotiators over the next few years. As the international community seeks new multilateral rules in these areas, agricultural producers will want to know how they will be affected. Thus, this paper also examines the potential impacts of environmental policy on the competitiveness of commodities unique to the Southern region of the United States.

A Study of the Alcohol Policy Development Process in the United States: Theory, Goals, and Methods

2004 ◽  
Vol 31 (4) ◽  
pp. 591-626 ◽  
Author(s):  
Thomas K. Greenfield ◽  
Norman Giesbrecht ◽  
Lee Ann Kaskutas ◽  
Suzanne Johnson ◽  
Lynn Kavanagh ◽  
...  
Keyword(s):  
United States ◽  
Policy Development ◽  
Development Process ◽  
The United States ◽  
Alcohol Policy ◽  
Policy Development Process

The Built Environment, Physical Activity, and Aging in the United States: A State of the Science Review

2015 ◽  
Vol 23 (2) ◽  
pp. 323-329 ◽  
Author(s):  
Elizabeth M. Haselwandter ◽  
Michael P. Corcoran ◽  
Sara C. Folta ◽  
Raymond Hyatt ◽  
Mark Fenton ◽  
...  
Keyword(s):  
Physical Activity ◽  
United States ◽  
Built Environment ◽  
The United States ◽  
Science Review ◽  
State Of The Science

Introduction: Vitality of Heritage Languages in the United States: The Role of Capacity, Opportunity, and Desire

2013 ◽  
Vol 10 (3) ◽  
pp. i-viii
Author(s):  
Joseph Lo Bianco ◽  
Joy Kreeft Peyton
Keyword(s):  
United States ◽  
Policy Development ◽  
National Level ◽  
The United States ◽  
Minority Languages ◽  
Specific Context ◽  
Heritage Languages ◽  
Development Opportunity ◽  
Intergenerational Connections

A framework to examine vitality of languages in a specific context, developed by Francois Grin and elaborated by Joseph Lo Bianco, specifies that three conditions are necessary for language vitality and revitalization: Capacity Development, Opportunity Creation, and Desire (COD). This framework was developed as a tool to help communities and governments support regional and minority languages and to promote policy development at the national level related to language revitalization and use. The framework is used in this issue as a guide for examining the vitality of languages spoken in the United States as “heritage” languages, which are spoken by individuals who have home, community, and intergenerational connections with the languages as well as some proficiency in them.

Price Regulation and Pay-for-Performance in Public Health Systems

2018 ◽  
Author(s):  
Luigi Siciliani
Keyword(s):  
United States ◽  
United Kingdom ◽  
Policy Development ◽  
Pay For Performance ◽  
The United States ◽  
Price Regulation ◽  
Payment Systems ◽  
The United Kingdom ◽  
Fixed Price ◽  
Fixed Prices

Payment systems based on fixed prices have become the dominant model to finance hospitals across OECD countries. In the early 1980s, Medicare in the United States introduced the Diagnosis Related Groups (DRG) system. The idea was that hospitals should be paid a fixed price for treating a patient within a given diagnosis or treatment. The system then spread to other European countries (e.g., France, Germany, Italy, Norway, Spain, the United Kingdom) and high-income countries (e.g., Canada, Australia). The change in payment system was motivated by concerns over rapid health expenditure growth, and replaced financing arrangements based on reimbursing costs (e.g., in the United States) or fixed annual budgets (e.g., in the United Kingdom). A more recent policy development is the introduction of pay-for-performance (P4P) schemes, which, in most cases, pay directly for higher quality. This is also a form of regulated price payment but the unit of payment is a (process or outcome) measure of quality, as opposed to activity, that is admitting a patient with a given diagnosis or a treatment. Fixed price payment systems, either of the DRG type or the P4P type, affect hospital incentives to provide quality, contain costs, and treat the right patients (allocative efficiency). Quality and efficiency are ubiquitous policy goals across a range of countries. Fixed price regulation induces providers to contain costs and, under certain conditions (e.g., excess demand), offer some incentives to sustain quality. But payment systems in the health sector are complex. Since its inception, DRG systems have been continuously refined. From their initial (around) 500 tariffs, many DRG codes have been split in two or more finer ones to reflect heterogeneity in costs within each subgroup. In turn, this may give incentives to provide excessive intensive treatments or to code patients in more remunerative tariffs, a practice known as upcoding. Fixed prices also make it financially unprofitable to treat high cost patients. This is particularly problematic when patients with the highest costs have the largest benefits from treatment. Hospitals also differ systematically in costs and other dimensions, and some of these external differences are beyond their control (e.g., higher cost of living, land, or capital). Price regulation can be put in place to address such differences. The development of information technology has allowed constructing a plethora of quality indicators, mostly process measures of quality and in some cases health outcomes. These have been used both for public reporting, to help patients choose providers, but also for incentive schemes that directly pay for quality. P4P schemes are attractive but raise new issues, such as they might divert provider attention and unincentivized dimensions of quality might suffer as a result.

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