Abstract:
:Successful implementation of the Affordable Care Act (ACA) depends on the capacity of local communities to mobilize for action. Yet the literature offers few systematic investigations of what communities are doing to ensure support for enrollment. In this empirical case study, we report implementation and outcomes of Enroll Wyandotte, a community mobilization effort to facilitate enrollment through the ACA in Wyandotte County, Kansas. We describe mobilization activities during the first round of open enrollment in coverage under the ACA (October 1, 2013-March 31, 2014), including the unfolding of community and organizational changes (e.g., new enrollment sites) and services provided to assist enrollment over time. The findings show an association between implementation measures and newly created accounts under the ACA (the primary outcome).
journal_name
Am J Public Healthjournal_title
American journal of public healthauthors
Fawcett SB,Sepers CE,Jones J,Jones L,McKain Wdoi
10.2105/AJPH.2014.302505subject
Has Abstractpub_date
2015-07-01 00:00:00pages
S433-7eissn
0090-0036issn
1541-0048journal_volume
105 Suppl 3pub_type
杂志文章abstract:OBJECTIVES:We sought to determine the amount of time required for a primary care physician to provide recommended preventive services to an average patient panel. METHODS:We used published and estimated times per service to determine the physician time required to provide all services recommended by the US Preventive ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.93.4.635
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVES:To evaluate the Public Health Emergency Preparedness (PHEP) program's progress toward meeting public health preparedness capability standards in state, local, and territorial health departments. METHODS:All 62 PHEP awardees completed the Centers for Disease Control and Prevention's self-administered PHEP Im...
journal_title:American journal of public health
pub_type: 历史文章,杂志文章
doi:10.2105/AJPH.2017.304038
更新日期:2017-09-01 00:00:00
abstract:OBJECTIVES:This study examined whether interventions aimed at aggressive/disruptive classroom behavior and poor academic achievement would reduce the incidence of initiation of smoking. METHODS:An epidemiologically based, universal randomized preventive trial involved 2311 children in 2 classroom-based preventive inte...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.88.10.1490
更新日期:1998-10-01 00:00:00
abstract::One of the more controversial American public health issues is fluoridation of municipal water supplies. Opponents occasionally succeed in halting fluoridation through local referenda, but the courts usually uphold fluoridation laws. In 1982, however, an Illinois trial judge ruled that a state law authorizing fluori...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.75.8.888
更新日期:1985-08-01 00:00:00
abstract::A large portion of current epidemiologic research is based on methodologic individualism: the notion that the distribution of health and disease in populations can be explained exclusively in terms of the characteristics of individuals. The present paper discusses the need to include group- or macro-level variables in...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.2.216
更新日期:1998-02-01 00:00:00
abstract:OBJECTIVES:This report describes a model for delivering developmental services to children of patients in treatment for substance abuse. METHODS:A multidisciplinary team provides developmental evaluations of children at a substance abuse treatment clinic. RESULTS:In 3 years of operation, 85% of 117 children completed...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.90.12.1930
更新日期:2000-12-01 00:00:00
abstract::The unusual resistance of the "unconventional viruses" to inactivation by the commonly used disinfectants has led to a high degree of apprehension regarding patients with any form of dementia. The rapid adaptation of a newly acquired isolate of the agent of Creutzfeldt-Jakob Disease (CJD) to mice made possible this la...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.6.661
更新日期:1983-06-01 00:00:00
abstract:OBJECTIVES:We compared pneumonia and influenza death rates among American Indian/Alaska Native (AI/AN) people with rates among Whites and examined geographic differences in pneumonia and influenza death rates for AI/AN persons. METHODS:We adjusted National Vital Statistics Surveillance mortality data for racial miscla...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301740
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVES:We used participatory design methods to develop and test guidebooks about health care choices intended for 600 000 English-, Spanish-, and Chinese-speaking seniors and people with disabilities receiving Medicaid in California. METHODS:Design and testing processes were conducted with consumers and profession...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2008.155648
更新日期:2009-12-01 00:00:00
abstract::The term "rural" suggests many things to many people, such as agricultural landscapes, isolation, small towns, and low population density.However, defining "rural" for health policy and research purposes requires researchers and policy analysts to specify which aspects of rurality are most relevant to the topic at han...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.042432
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVES:Whether or not spermicides can reduce the risk of human immunodeficiency virus (HIV) transmission remains an important question for the control of heterosexual HIV transmission. The authors provide estimates from a reanalysis of one of the few observational studies on the efficacy of condoms and spermicides,...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.4.590
更新日期:1998-04-01 00:00:00
abstract:OBJECTIVES:We assessed the effect of public health leadership training on the capacity of public health leaders to perform competencies derived from the list of "Ten Essential Public Health Services" presented in 1994 by the steering committee of the Public Health Functions Project. METHODS:Graduating scholars of the ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.94.7.1245
更新日期:2004-07-01 00:00:00
abstract:OBJECTIVES:This study examined how immunization-related beliefs, attitudes, and perceived control mediate up-to-date immunization among various sociodemographic groups. METHODS:Statewide estimates of immunization rates among children up to the age of 2 years were obtained via a multistage cluster sample. In-person int...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.88.12.1821
更新日期:1998-12-01 00:00:00
abstract::An epidemic of morbidity and mortality has swept across the United States related to the use of prescription opioids for chronic noncancer pain. More than 100,000 people have died from unintentional overdose, making this one of the worst manmade epidemics in history. Much of health care delivery in the United States i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2014.302367
更新日期:2015-03-01 00:00:00
abstract:OBJECTIVES:Follow-up of California blood lead registry reports, 95% of which are of occupationally exposed adults, can guide interventions at specific high-risk work sites and measure the impact of targeted, industry-specific interventions. METHODS:A protocol was implemented to follow up the most severe case reports (...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.83.3.402
更新日期:1993-03-01 00:00:00
abstract::Examining previously underused corporate documents, we revisit the story of the Asbestos Information Association/North America, an industry trade group that sought in the early 1970s to counteract the growing public attention to, and government regulation of, asbestos as a serious threat to workers and consumers. From...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.303023
更新日期:2016-05-01 00:00:00
abstract::In northern Uganda, physical and structural violence (political repression, economic inequality, and gender-based discrimination) increase vulnerability to HIV infection. In settings of war, traditional HIV prevention that solely promotes risk avoidance and risk reduction and assumes the existence of personal choice i...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.072777
更新日期:2007-07-01 00:00:00
abstract::We performed a cost-effectiveness analysis to evaluate whether patients with artificial joints should take penicillin, erythromycin, or no antibiotics before dental procedures. We modeled the risk of anaphylaxis from penicillin, the risks and consequences of an artificial joint infection, and the actual variable costs...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.79.6.739
更新日期:1989-06-01 00:00:00
abstract:OBJECTIVES:Our community health center attempted to meet public health goals for encouraging exercise in adult patients vulnerable to obesity, diabetes, hypertension, and other chronic diseases by partnering with a local YMCA. METHODS:During routine office visits, providers referred individual patients to the YMCA at ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2012.300958
更新日期:2012-11-01 00:00:00
abstract::From mid-June through early August 1980, an outbreak of gastrointestinal illness in Red Lodge, Montana affected approximately 780 persons, as estimated from attack rates of 33 per cent and 15 per cent in urban and rural residents, respectively. Giardia lamblia was identified in stool specimens from 51 per cent of 47 p...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.73.8.868
更新日期:1983-08-01 00:00:00
abstract::We investigated enforcement of mental health benefits provided by California Medicaid's Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program. Enforcement, compelled by a consumer-driven lawsuit, resulted in an almost 4-fold funding increase over a 5-year period. We evaluated the impact of enforcement on ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2006.094771
更新日期:2007-11-01 00:00:00
abstract::The geographic distribution of newborn human immunodeficiency virus seroprevalence at zip code level was compared with the distribution of four sociodemographic variables. For New York City significant univariate correlations were found between HIV and low birthweight, drug use (as measured by hospital discharges), ma...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.81.suppl.25
更新日期:1991-05-01 00:00:00
abstract::Dynamic treatment regimes are an emerging and important methodological area in health research, particularly in the management of chronic health conditions. This paradigm encompasses the ideological shift in research from the acute care model to the chronic care model. It allows individualization of treatment (type, d...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2010.198937
更新日期:2011-01-01 00:00:00
abstract::Rabies antibody titers ranged from 0-9.3 IU/mL in 117 human volunteers one year after intradermal vaccination with one or two doses of human diploid cell rabies vaccine (HDCV). At that time, each volunteer received one 0.1-mL booster dose of HDCV intradermally. All 117 volunteers showed good anamnestic responses, with...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.74.5.503
更新日期:1984-05-01 00:00:00
abstract:BACKGROUND:Interventions are needed to assist drug abusers in reducing risky drug and sexual behavior. METHODS:A randomized controlled trial compared three small-group AIDS educational interventions among 567 clients of a 21-day inpatient drug detoxification program: a two-session informational intervention, given eit...
journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.2105/ajph.82.4.533
更新日期:1992-04-01 00:00:00
abstract::Two generations of epidemiological studies of the true prevalence of mental disorders have been conducted since the turn of the century. The first and smaller in number took place prior to World War II and was characterized by the use of records and key informants to define "cases." The second, utilizing the greatly e...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/ajph.72.11.1271
更新日期:1982-11-01 00:00:00
abstract:OBJECTIVES:We examined the association between the size and growth of Latino populations and hospitals' uncompensated care in California. METHODS:Our sample consisted of general acute care hospitals in California operating during 2000 and 2010 (n = 251). We merged California hospital data with US Census data for each ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302583
更新日期:2015-08-01 00:00:00
abstract::Recently in Russia, abortion rights have been attacked. For decades, Russian women could have an elective abortion up to week 12 of pregnancy; between 12 and 22 weeks, medical or social grounds were required for an abortion. In mid 2011, a group of Parliamentarians teamed up with Russian Orthodox Church activists and ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2013.301329
更新日期:2013-11-01 00:00:00
abstract::Schools of Public Health historically introduced core curriculum courses in the first year of the Master of Public Health program as independent perspectives; these perspectives included epidemiology, biostatistics, environmental health, public health biology, health behaviors, and health policy. We performed a pilot ...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2015.302558
更新日期:2015-03-01 00:00:00
abstract::In 1984, the tobacco workers' union and the Tobacco Institute, which represents US tobacco companies, formed a labor management committee (LMC). The institute relied on LMC unions to resist smoke-free worksite rules. In a review of the internal tobacco industry documents now publicly available, we found that the LMC s...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2004.052126
更新日期:2005-06-01 00:00:00