Abstract:
:Medicaid expansion, a key part of the Affordable Care Act, has been opposed by conservative politicians despite its fiscal and public health benefits. In response, some Republican-led states have expanded Medicaid with new reforms, including requirements for cost sharing and behavioral incentives, that promote conservative political values tied to an ideology of personal responsibility. We examine this trend using Michigan's Medicaid expansion as a case example. We explore the origins, evidence base, and possible consequences of these reforms. We argue that these reforms prioritize ideology over sound public health knowledge, deflecting attention away from the social, economic, and structural factors that influence the health of the poor, and may ultimately contribute to counterproductive public health and fiscal outcomes.
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Baker AM,Hunt LMdoi
10.2105/AJPH.2016.303192subject
Has Abstractpub_date
2016-07-01 00:00:00pages
1181-7issue
7eissn
0090-0036issn
1541-0048journal_volume
106pub_type
杂志文章abstract::[This corrects the article DOI: 10.2105/AJPH.2018.304412.]. ...
journal_title:American journal of public health
pub_type: 已发布勘误
doi:10.2105/AJPH.2018.304412e
更新日期:2018-09-01 00:00:00
abstract:OBJECTIVES:This study sought to develop a methodology for estimating potential solid organ donors and measuring donation performance in a geographic region based on readily available data on the hospitals in that region. METHODS:Medical records were reviewed in a stratified random sample of 89 hospitals from 3 regions...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.11.1645
更新日期:1998-11-01 00:00:00
abstract:OBJECTIVES:We sought to assess whether breastfeeding-related hospital practices reported by mothers were associated with achievement of their intentions to exclusively breastfeed. METHODS:We used data from Listening to Mothers II, a nationally representative survey of 1573 mothers who had given birth in a hospital to ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.135236
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVES:The purpose of this study was to determine whether adequacy of prenatal care utilization improved after the implementation of a Medicaid managed care program in Rhode Island. METHODS:Rhode Island birth certificate data (1993-1995; n = 37021) were used to analyze pre- and post-program implementation changes ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.4.497
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVES:We sought to measure the difference in employment rates between HIV-seropositive and HIV-seronegative persons and to establish whether this difference varied according to the HIV-infected persons' socioeconomic position as defined by education level. METHODS:We used data from the VESPA (VIH: Enquête Sur les...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.081083
更新日期:2007-03-01 00:00:00
abstract::We examined longitudinal changes in smoking behavior among older adults in three community cohorts of the Established Populations for Epidemiologic Studies of the Elderly. Smoking prevalence declined from 15% at baseline to 9% during 6 years of follow-up. Annual smoking cessation and relapse rates were 10% and less th...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.9.1268
更新日期:1992-09-01 00:00:00
abstract::The average number of visits to a physician made by a sample of 351 residents of homes insulated with urea formaldehyde foam insulation in Montreal in the one year period before exposure was 5.25, and in the year following 5.62, an increase of 7 per cent (odds ratio 1.07, 95% CI = 1.00, 1.15). The increase in visits i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.78.11.1489
更新日期:1988-11-01 00:00:00
abstract:OBJECTIVES:This study sought to clarify the possible associations between blood lead level and serum cholesterol and lipoprotein levels in subjects occupationally exposed to lead. METHODS:Levels of blood lead, serum total cholesterol, high-density lipoprotein (HDL) cholesterol, low-density lipoprotein cholesterol, and...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.89.7.1083
更新日期:1999-07-01 00:00:00
abstract:OBJECTIVES:To describe changes in suspected heroin overdose emergency department (ED) visits. Methods. We analyzed quarterly and yearly changes in heroin overdoses during 2017-2018 by using data from 23 states and jurisdictions (including the District of Columbia) funded by the Centers for Disease Control and Preventio...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2019.305053
更新日期:2019-07-01 00:00:00
abstract::Smoking behavior of consistently high and low users of medical care services were compared in two groups of older health maintenance organization (HMO) members continuously enrolled for five years and a subgroup who were continuously enrolled for 10 years. Smokers and former smokers, combined, were more likely than ne...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.80.5.603
更新日期:1990-05-01 00:00:00
abstract::The Enhancing Care Initiative of Puerto Rico assessed services available to people living with HIV/AIDS in the western region of Puerto Rico. Participants were 212 people living with HIV/AIDS and 116 employees from 6 agencies providing HIV/AIDS services in the region. Two main findings were that depression symptoms we...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.071696
更新日期:2006-06-01 00:00:00
abstract::In 2006, the Centers for Disease Control and Prevention recommended discontinuing the use of adamantanes (amantadine and rimantadine) to treat influenza because of high levels of resistance to this class of antivirals. We examined changes in prescribing practices resulting from this recommendation and found that presc...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.171462
更新日期:2009-10-01 00:00:00
abstract::Three hundred ninety-eight patients treated in the emergency room for non-urgent complaints who stated that they had no regular source of primary medical care were referred to one of several medical care centers in the area. Overall, 34 per cent of such patients complied with the referral. Correlates of compliance wer...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.1.57
更新日期:1983-01-01 00:00:00
abstract::Mammograms from a statewide screening program were subjected to a blind review by a panel of expert mammographers. Ninety-five percent (173/182) of original normal mammograms and 53% (164/311) of original abnormal mammograms were reread as normal. In comparison with the expert panel community radiologists were more li...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.85.6.837
更新日期:1995-06-01 00:00:00
abstract::We tested the efficacy of a simple, visual cue to increase hand washing with soap and water. Automated towel dispensers in 8 public bathrooms were set to present a towel either with or without activation by users. We set the 2 modes to operate alternately for 10 weeks. Wireless sensors were used to record entry into b...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章
doi:10.2105/AJPH.2013.301477
更新日期:2014-10-01 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 examined US health educators' likelihood of adopting genomic competencies--specific skills and knowledge in public health genomics--into health promotion and the factors influencing such likelihood. METHODS:We developed and tested a model to assess likelihood to adopt genomic competencies. Data from 1607...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2007.122663
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVES:We compared voluntary participation and comprehension of informed consent among individuals of African ancestry enrolled in similarly designed genetic studies of hypertension in the United States and Nigeria. METHODS:Survey questionnaires were used to evaluate factors associated with voluntariness (the numb...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.076232
更新日期:2006-11-01 00:00:00
abstract::Data from the Hispanic Health and Nutrition Examination Survey (HHANES) (1982 through 1984) and the National Health and Nutrition Examination Survey (NHANES) II (1976 through 1980) were used to examine reported physician-diagnosed asthma among 6-month-old through 11-year-old children. The highest prevalence of active ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.4.580
更新日期:1993-04-01 00:00:00
abstract:OBJECTIVES:To evaluate the impact of the partial repeal of Michigan's universal motorcycle helmet law on helmet use, fatalities, and head injuries. METHODS:We compared helmet use rates and motorcycle crash fatality risk for the 12 months before and after the April 13, 2012, repeal with a statewide police-reported cras...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2016.303525
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVES:We assessed background characteristics, health status, and prevalence rates of mental health disorders in 2 studies of homeless mothers conducted in Worcester, Mass, one in 1993 and the other in 2003. METHODS:We compared the women taking part in the 2 studies, which involved similar methodologies, on the ke...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.069310
更新日期:2006-08-01 00:00:00
abstract:OBJECTIVES:In this study we examined the relationship between indicators of socioeconomic status (SES) and mortality for a representative sample of individuals. METHODS:The sample included 3734 individuals aged 45 and older interviewed in 1984 in the Panel Study of Income Dynamics. In the current study, mortality was ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.92.7.1151
更新日期:2002-07-01 00:00:00
abstract:BACKGROUND:National surveys indicate that only 15% to 30% of all women in the general population 50 years of age or older have an annual mammogram. METHODS:We studied first-degree female relatives of women with breast cancer, who are at elevated risk of disease, to describe the breast cancer screening practices of the...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.9.1174
更新日期:1991-09-01 00:00:00
abstract::The newborn screening program mandated by the New York State Public Health Law requires that every baby born in the state be tested for eight conditions including sickle cell anemia. Although sickle cell screening of newborns has been in operation since 1975, the follow-up program for case retrieval to obtain repeat b...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.3.249
更新日期:1983-03-01 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::The World Bank began operations on June 25, 1946. Although it was established to finance European reconstruction after World War II, the bank today is a considerable force in the health, nutrition, and population (HNP) sector in developing countries. Indeed, it has evolved from having virtually no presence in global h...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2004.042002
更新日期:2005-01-01 00:00:00
abstract:OBJECTIVES:We estimated national and state-level potential medical care cost savings achievable through modest reductions in the prevalence of several diseases associated with the same lifestyle-related risk factors. METHODS:Using Medical Expenditure Panel Survey Household Component data (2003-2005), we estimated the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2009.182287
更新日期:2011-01-01 00:00:00
abstract::This commentary argues that 100 years after the deadly Spanish flu, the public health emergency community's responses to much more limited pandemics and outbreaks demonstrate a critical shortage of personnel and resources. Rather than relying on nonpharmaceutical interventions, such as quarantine, the United States mu...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2018.304682
更新日期:2018-11-01 00:00:00
abstract:OBJECTIVES:We investigated trends in disability among older Americans from 1988 through 2004 to test the hypothesis that more recent cohorts show increased burdens of disability. METHODS:We used data from 2 National Health and Nutrition Examination Surveys (1988-1994 and 1999-2004) to assess time trends in basic activ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.157388
更新日期:2010-01-01 00:00:00
abstract::In a matched case-control study of an occupational cohort in East Tennessee, data from the death certificates of 608 cases and controls were abstracted and analyzed in order to investigate possible risk factors associated with the certification on the death certificate of an ill-defined cause of death. There was a ver...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.82.3.455
更新日期:1992-03-01 00:00:00