Abstract:
OBJECTIVES:To evaluate how met need for accessibility and availability of primary care among nonelderly individuals in Georgia will be affected by the Patient Protection and Affordable Care Act (ACA) over the next 10 years. METHODS:We used a stock-and-flow model to predict the number of available visits from 2013 to 2025, regression models to project needed visits, and an optimization model to estimate met need. The outputs of these models were used to estimate unmet need and the availability and accessibility of primary care. RESULTS:Our findings showed that the number of primary care providers will increase by 9.2% to 11.7% by 2025 and that the number of needed visits will increase by 20%. Under Medicaid expansion, the percentage of met need will increase from 67% to 80%. Accessibility will improve by 20% under expansion, and availability will decrease by 13% to 19% under expansion. CONCLUSIONS:The ACAs' provisions will reduce unmet need and positively affect accessibility while reducing availability in some communities. Increased need because of a larger Medicaid population under Medicaid expansion will not be a significant burden on the privately insured population.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Gentili M,Harati P,Serban Ndoi
10.2105/AJPH.2016.303222subject
Has Abstractpub_date
2016-08-01 00:00:00pages
1470-6issue
8eissn
0090-0036issn
1541-0048journal_volume
106pub_type
杂志文章abstract::Most exposure to low-level ionizing radiation, both diagnostic x-rays and nuclear radiation, occur in the range between 100 milirads and 10 rads--the "one rad range". In the past, the estimates of hazards in this range have been obtained by linear extrapolation from data on persons who were exposed to much higher dosa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.69.2.130
更新日期:1979-02-01 00:00:00
abstract::We estimated the annual cost of bike and pedestrian trails in Lincoln, Neb, using construction and maintenance costs provided by the Department of Parks and Recreation of Nebraska. We obtained the number of users of 5 trails from a 1998 census report. The annual construction cost of each trail was calculated by using ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.4.549
更新日期:2004-04-01 00:00:00
abstract:OBJECTIVES:We compared faculty promotion rates by race/ethnicity across US academic medical centers. METHODS:We used the Association of American Medical College's 1983 through 2000 faculty roster data to estimate median institution-specific promotion rates for assistant professor to associate professor and for associa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2011.300552
更新日期:2012-05-01 00:00:00
abstract::Historically Black colleges and universities (HBCUs) continue to be overlooked as a resource to address health care workforce shortages and growing needs for a diverse health workforce, despite our commitment as a nation to health equity and eliminating health disparities. Health workforce graduation rates help illum...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300726
更新日期:2013-03-01 00:00:00
abstract::In 2004, Murray et al. reviewed methodological developments in the design and analysis of group-randomized trials (GRTs). We have updated that review with developments in analysis of the past 13 years, with a companion article to focus on developments in design. We discuss developments in the topics of the earlier rev...
journal_title:American journal of public health
pub_type: 杂志文章,评审
doi:10.2105/AJPH.2017.303707
更新日期:2017-07-01 00:00:00
abstract::We explore how a 1987 New York State court decision-Boreali v. Axelrod-affected public health rule-making nationally and, with considerable impact, locally in New York City (NYC).We discuss the history of the origin of the NYC Board of Health (BOH), and establish that legislatures can be challenging venues in which to...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2018.304755
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVES:This report documents the effect of not having had a Papanicolaou (Pap) test on survival with uterine cervical squamous carcinoma. METHODS:Data were derived from Charity Hospital of Louisiana at New Orleans Tumor Registry reports for 1984-1987 and 1996. RESULTS:During the 5 study years, 101 of 213 women (4...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.4.620
更新日期:2000-04-01 00:00:00
abstract::The emergence in 1988 of ciprofloxacin-resistant methicillin-resistant Staphylococcus aureus (MRSA) in New York City was studied in nine hospitals and eight nursing homes. Of the 43 hospitalized patients studied, 21 were admitted from home, while nine of the 12 nursing home patients were transferred from a hospital. T...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.7.810
更新日期:1990-07-01 00:00:00
abstract:OBJECTIVES:We examined differences in substance abuse treatment outcomes between American Indians and their non-American Indian counterparts in California, during 2000 to 2002. METHODS:A total of 368 American Indians and a matched sample of 368 non-American Indians from 39 substance abuse treatment programs in 13 Cali...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.055871
更新日期:2006-05-01 00:00:00
abstract::Cotinine was measured in the serum of nearly all 5,115 18-30 year old, Black and White, men and women participating in the Coronary Artery Risk Development in (Young) Adults Study, 30 percent of whom reported current cigarette smoking. Ninety-five percent of the reported smokers had serum cotinine levels indicative of...
journal_title:American journal of public health
pub_type: 杂志文章,多中心研究
doi:10.2105/ajph.80.9.1053
更新日期:1990-09-01 00:00:00
abstract:OBJECTIVES:We determined factors associated with hearing aid acquisition in older adults. METHODS:We conducted a population-based, prospective study that used information from 3 examinations performed on study participants as part of the Epidemiology of Hearing Loss Study (1993-2005). We included participants (n = 718...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.300078
更新日期:2011-08-01 00:00:00
abstract:OBJECTIVES:This study evaluated the effectiveness of a community coalition to prevent severe injuries to children in Central Harlem, New York, NY. It was hypothesized that injury incidence rates would decline during the intervention (1989 through 1991) relative to preintervention years (1983 through 1988); that the dec...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.84.4.580
更新日期:1994-04-01 00:00:00
abstract::The Protection of Lawful Commerce in Arms Act (PLCAA), enacted in 2005, grants the firearm industry broad immunity from liability. The PLCAA not only prevents most people from receiving compensation for their firearm-related injuries, it erodes litigation's ability to serve its public health role of providing manufact...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.092544
更新日期:2007-11-01 00:00:00
abstract::Unanswered questions about racial and socioeconomic health disparities may be addressed using community-based participatory research and systems science. Community-based participatory research is an orientation to research that prioritizes developing capacity, improving trust, and translating knowledge to action. Syst...
journal_title:American journal of public health
pub_type: 信件
doi:10.2105/AJPH.2015.302944
更新日期:2016-02-01 00:00:00
abstract::Few data are available on human immunodeficiency virus (HIV) infection and risk behaviors among lesbians and bisexual women. A total of 498 lesbians and bisexual women was sampled from public venues in San Francisco and Berkeley, Calif, during 1993. The overall HIV seroprevalence was 1.2%. Ten percent of participants ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.11.1549
更新日期:1995-11-01 00:00:00
abstract::Men entering gay bars in three small southern cities were administered questionnaires to assess AIDS (acquired immunodeficiency syndrome) risk knowledge, perceived norms concerning the social acceptability of AIDS risk precautions, and personal sexual behavior. Seventy-seven percent (N = 355) of male patrons completed...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.4.416
更新日期:1990-04-01 00:00:00
abstract:OBJECTIVES:We examined the probability of an obese person attaining normal body weight. METHODS:We drew a sample of individuals aged 20 years and older from the United Kingdom's Clinical Practice Research Datalink from 2004 to 2014. We analyzed data for 76,704 obese men and 99,791 obese women. We excluded participants...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302773
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:We assessed the effectiveness of an intervention targeting home food and activity environments to reduce energy intake and increase physical activity among overweight and obese patients from 3 community health centers in rural Georgia. METHODS:We conducted a randomized controlled trial (n = 349) from 2011 t...
journal_title:American journal of public health
pub_type: 杂志文章,随机对照试验
doi:10.2105/AJPH.2015.302942
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVES:We identified barriers and facilitators to the state-level implementation of primary stroke center (PSC) policies, which encourage the certification or designation of specialized stroke treatment facilities and may address concerns such as transportation bypass, telemedicine, and treatment protocols. METHOD...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.197954
更新日期:2011-03-01 00:00:00
abstract::To determine the percentage of unintentional firearm-related injuries associated with hunting and to identify risk factors, we conducted a retrospective, descriptive survey of all hunting firearm injuries identified by two North Carolina surveillance systems. Almost one-third of unintentional shooting deaths are hunti...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.12.1585
更新日期:1988-12-01 00:00:00
abstract:OBJECTIVES:We examined the association between neighborhood convenience stores and diet outcomes for 20 years of the Coronary Artery Risk Development in Young Adults study. METHODS:We used dietary data from the Coronary Artery Risk Development in Young Adults study years 1985-1986, 1992-1993, and 2005-2006 (n = 3299; ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302435
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVES:To develop a smoking indicator that combines the popularity and duration of smoking and the quantity and quality of consumed cigarettes, factors that vary dramatically over time and across generations. METHODS:We used retrospective reports on smoking behavior and a time series of cigarette tar yields to sta...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303130
更新日期:2016-07-01 00:00:00
abstract::Although "population health" is one of the Institute for Healthcare Improvement's Triple Aim goals, its relationship to accountable care organizations (ACOs) remains ill-defined and lacks clarity as to how the clinical delivery system intersects with the public health system. Although defining population health as "pa...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301254
更新日期:2013-07-01 00:00:00
abstract::To assess the impact of adoption of a national health program on homeless care in the United States, care for this group in Britain's National Health Service (NHS) was evaluated. Although hospital and medication charges are eliminated, primary care for the homeless lacks central government directive, suffers from over...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.8.1033
更新日期:1989-08-01 00:00:00
abstract::Data from the 1981 Child Health Supplement to the National Health Interview Survey were used to examine relationships between family and child characteristics and regular use of seatbelts or child restraints. Only for a third of children less than seven years old was regular seatbelt use reported. They were more likel...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.76.12.1425
更新日期:1986-12-01 00:00:00
abstract::Cervix and breast cancer incidence in 1978-82 was computed for immigrant and United States-born Black women in Brooklyn, New York. Compared to the national SEER (Surveillance, Epidemiology and End Results) rates, US-born and Haitian women had high rates of invasive cervical cancer, while English-speaking Caribbean imm...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.6.722
更新日期:1990-06-01 00:00:00
abstract::The Gay, Lesbian, Bisexual, and Transgender (GLBT) Health Access Project is a unique public-private collaboration working to eliminate barriers to health care for the GLBT community, foster development of comprehensive, culturally appropriate health promotion policies and health care services for GLBT people and their...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.91.6.895
更新日期:2001-06-01 00:00:00
abstract:OBJECTIVES:We evaluated the use of hearing health care services (hearing testing and hearing aids) by adults aged 21 to 84 years. METHODS:Hearing was tested and medical and hearing health histories were obtained as part of the Beaver Dam Offspring Study between 2005 and 2008 (n = 3285, mean age = 49 years). RESULTS:O...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.301031
更新日期:2013-06-01 00:00:00
abstract::Small, immigrant-owned businesses, such as auto repair shops and nail salons, often face barriers to environmental and occupational health compliance and may be a source of neighborhood pollution complaints. The Boston Public Health Commission established the Safe Shops Project to improve safety and environmental prac...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.176511
更新日期:2010-04-01 00:00:00
abstract:OBJECTIVE:The child labor laws are intended to protect young workers from the most dangerous jobs. However, children who work on their parents' farms are exempt from these laws. We evaluated the potential for preventing the occurrence of farm injuries among children by changing the US Federal Child Labor Laws, Hazardou...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.078923
更新日期:2007-02-01 00:00:00