Science.gov

Sample records for agency national health

  1. [National health security agencies: facts and perspectives].

    PubMed

    Houssin, Didier

    2013-10-01

    Despite major changes in its composition over the past two decades, the French health security infrastructure, currently consisting of eight agencies, has endured. This infrastructure has reinforced the French state's capacity to protect the health of its population, but it did not yet provide total protection. The future of national health agencies will depend on their ability to maintain the priority given to public health security ; to preserve credible, high-level scientific expertise ; to meet the challenges of healthcare safety ; and to organize health security at the European level.

  2. Agency problems of global budget system in Taiwan's National Health Insurance.

    PubMed

    Yan, Yu-Hua; Yang, Chen-Wei; Fang, Shih-Chieh

    2014-05-01

    The main purpose of this study was to investigate the agency problem presented by the global budget system followed by hospitals in Taiwan. In this study, we examine empirically the interaction between the principal: Bureau of National Health Insurance (BNHI) and agency: medical service providers (hospitals); we also describe actual medical service provider and hospital governance conditions from a agency theory perspective. This study identified a positive correlation between aversion to agency hazard (self-interest behavior, asymmetric information, and risk hedging) and agency problem risks (disregard of medical ethics, pursuit of extra-contract profit, disregard of professionalism, and cost orientation). Agency costs refer to BNHI auditing and monitoring expenditures used to prevent hospitals from deviating from NHI policy goals. This study also found agency costs negatively moderate the relationship between agency hazards and agency problems The main contribution of this study is its use of agency theory to clarify agency problems and several potential factors caused by the NHI system. This study also contributes to the field of health policy study by clarifying the nature and importance of agency problems in the health care sector.

  3. 76 FR 63623 - Board of Scientific Counselors, National Center for Environmental Health/Agency for Toxic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-13

    ... Board of Scientific Counselors, National Center for Environmental Health/Agency for Toxic Substances and..., cooperate with, and assist other appropriate public authorities, scientific institutions, and scientists in... local personnel in health work. The BSC, NCEH/ATSDR provides advice and guidance to the Secretary,...

  4. 77 FR 24720 - Board of Scientific Counselors, National Center for Environmental Health/Agency for Toxic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-25

    ... Center for Environmental Health/Agency for Toxic Substances and Disease Registry (BSC, NCEH/ ATSDR) In... Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry. Dated: April...

  5. 76 FR 24031 - Board of Scientific Counselors, National Center for Environmental Health/Agency for Toxic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-29

    ... Center for Environmental Health/Agency for Toxic Substances and Disease Registry (BSC, NCEH/ ATSDR) In... and the Agency for Toxic Substances and Disease Registry. Dated: April 21, 2011. Elaine L....

  6. 75 FR 43172 - Board of Scientific Counselors, National Center for Environmental Health/Agency for Toxic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-23

    ... for Environmental Health/Agency for Toxic Substances and Disease Registry (BSC, NCEH/ ATSDR): Notice... October 6, 1972, that the Board of Scientific Counselors, Agency for Toxic Substances and Disease Registry... management activities, for both CDC and the Agency for Toxic Substances and Disease Registry. Dated: July...

  7. The Public Health Workforce Interests and Needs Survey: The First National Survey of State Health Agency Employees

    PubMed Central

    Sellers, Katie; Leider, Jonathon P.; Harper, Elizabeth; Castrucci, Brian C.; Bharthapudi, Kiran; Liss-Levinson, Rivka; Jarris, Paul E.; Hunter, Edward L.

    2015-01-01

    Context: Public health practitioners, policy makers, and researchers alike have called for more data on individual worker's perceptions about workplace environment, job satisfaction, and training needs for a quarter of a century. The Public Health Workforce Interests and Needs Survey (PH WINS) was created to answer that call. Objective: Characterize key components of the public health workforce, including demographics, workplace environment, perceptions about national trends, and perceived training needs. Design: A nationally representative survey of central office employees at state health agencies (SHAs) was conducted in 2014. Approximately 25 000 e-mail invitations to a Web-based survey were sent out to public health staff in 37 states, based on a stratified sampling approach. Balanced repeated replication weights were used to account for the complex sampling design. Setting and Participants: A total of 10 246 permanently employed SHA central office employees participated in PH WINS (46% response rate). Main Outcome Measures: Perceptions about training needs; workplace environment and job satisfaction; national initiatives and trends; and demographics. Results: Although the majority of staff said they were somewhat or very satisfied with their job (79%; 95% confidence interval [CI], 78-80), as well as their organization (65%; 95% CI, 64-66), more than 42% (95% CI, 41-43) were considering leaving their organization in the next year or retiring before 2020; 4% of those were considering leaving for another job elsewhere in governmental public health. The majority of public health staff at SHA central offices are female (72%; 95% CI, 71-73), non-Hispanic white (70%; 95% CI, 69-71), and older than 40 years (73%; 95% CI, 72-74). The greatest training needs include influencing policy development, preparing a budget, and training related to the social determinants of health. Conclusions: PH WINS represents the first nationally representative survey of SHA employees. It

  8. 77 FR 37678 - Board of Scientific Counselors, National Center for Environmental Health/Agency for Toxic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-22

    ... Center for Environmental Health/Agency for Toxic Substances and Disease Registry: Notice of Charter... Substances and Disease Registry, Department of Health and Human Services, has been renewed for a 2-year... Registry, Department of Health and Human Services, 4770 Buford Highway Mailstop F61, Chamblee,...

  9. 77 FR 58557 - Board of Scientific Counselors, National Center for Environmental Health/Agency for Toxic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-21

    ... Center for Environmental Health/Agency for Toxic Substances and Disease Registry (BSC, NCEH/ ATSDR) In... Toxic Substances and Disease Registry. Dated: September 17, 2012. Elaine L. Baker, Director,...

  10. 76 FR 9578 - National Center for Environmental Health/Agency for Toxic Substances and Disease Registry (NCEH...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-18

    ... Health and Chemical Exposures Leadership Council. The National Conversation on Public Health and Chemical... an action agenda for strengthening the nation's approach to protecting the public's health from... National Conversation on Public Health and Chemical Exposures, visit this Web site:...

  11. 78 FR 32657 - Board of Scientific Counselors, National Center for Environmental Health/Agency for Toxic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-31

    ... HUMAN SERVICES Centers for Disease Control and Prevention (CDC) Board of Scientific Counselors, National... Disease Control and Prevention (CDC), announces the following meeting of the aforementioned committee: Times and Dates: 8:30 a.m.-3:00 p.m., June 27, 2013; 8:30 a.m.- 12:00 p.m., June 28, 2013. Place:...

  12. 75 FR 16488 - National Center for Environmental Health/Agency for Toxic Substances and Disease Registry (NCEH...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-01

    ... National Conversation on Public Health and Chemical Exposures Leadership Council, which is convened by RESOLVE, a non-profit independent facilitator. The National Conversation on Public Health and Chemical... public's health from harmful chemical exposures. The Leadership Council provides overall guidance to...

  13. 75 FR 59727 - National Center for Environmental Health/Agency for Toxic Substances and Disease Registry (NCEH...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-28

    ... sixth meeting of the National Conversation on Public ] Health and Chemical Exposures Leadership Council... approach to protecting the public's health from harmful chemical exposures. The Leadership Council provides... agenda. For additional information on the National Conversation on Public Health and Chemical...

  14. 75 FR 75474 - National Center for Environmental Health/Agency for Toxic Substances and Disease Registry (NCEH...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-03

    ... seventh meeting of the National Conversation on Public Health and Chemical Exposures Leadership Council... approach to protecting the public's health from harmful chemical exposures. The Leadership Council provides... agenda. For additional information on the National Conversation on Public Health and Chemical...

  15. 75 FR 41505 - National Center for Environmental Health/Agency for Toxic Substances and Disease Registry (NCEH...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-16

    ... on Public Health and Chemical Exposures Leadership Council Meeting Time and Date: 1 p.m.-5 p.m. EDT... National Conversation on Public Health and Chemical Exposures Leadership Council, which is convened by... protecting the public's health from harmful chemical exposures. The Leadership Council provides...

  16. 76 FR 40383 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-08

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Government-Owned Inventions; Availability for Licensing AGENCY: Public Health Service, National Institutes of Health, HHS. ACTION: Notice. SUMMARY:...

  17. Does Money Matter: Earnings Patterns Among a National Sample of the US State Governmental Public Health Agency Workforce

    PubMed Central

    Castrucci, Brian C.; Leider, Jonathon P.; Liss-Levinson, Rivka; Sellers, Katie

    2015-01-01

    Context: Earnings have been shown to be a critical point in workforce recruitment and retention. However, little is known about how much governmental public health staff are paid across the United States. Objective: To characterize earnings among state health agency central office employees. Design: A cross-sectional survey was conducted of state health agency central office employees in late 2014. The sampling approach was stratified by 5 (paired HHS) regions. Balanced repeated replication weights were used to correctly calculate variance estimates, given the complex sampling design. Descriptive and bivariate statistical comparisons were conducted. A linear regression model was used to examine correlates of earnings among full-time employees. Setting and Participants: A total of 9300 permanently employed, full-time state health agency central office staff who reported earnings information. Main Outcome Measure: Earnings are the main outcomes examined in this article. Results: Central office staff earn between $55 000 and $65 000 on average annually. Ascending supervisory status, educational attainment, and tenure are all associated with greater earnings. Those employed in clinical and laboratory positions and public health science positions earn more than their colleagues in administrative positions. Disparities exist between men and women, with men earning more, all else being equal (P < .001). Racial/ethnic disparities also exist, after accounting for other factors. Conclusions: This study provides baseline information to characterize the workforce and key challenges that result from earnings levels, including disparities in earnings that persist after accounting for education and experience. Data from the survey can inform strategies to address earnings issues and help reduce disparities. PMID:26422496

  18. 75 FR 25870 - Board of Scientific Counselors (BSC), National Center for Environmental Health/Agency for Toxic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-10

    ... HUMAN SERVICES Centers for Disease Control and Prevention Board of Scientific Counselors (BSC), National... Friday, May 28, 2010 from 8:45 a.m. until 9 a.m. Purpose: The Secretary, Department of Health and Human..., scientific institutions, and scientists in the conduct of research, investigations,...

  19. Vulnerability, Health Agency and Capability to Health.

    PubMed

    Straehle, Christine

    2016-01-01

    One of the defining features of the capability approach (CA) to health, as developed in Venkatapuram's book Health Justice, is its aim to enable individual health agency. Furthermore, the CA to health hopes to provide a strong guideline for assessing the health-enabling content of social and political conditions. In this article, I employ the recent literature on the liberal concept of vulnerability to assess the CA. I distinguish two kinds of vulnerability. Considering circumstantial vulnerability, I argue that liberal accounts of vulnerability concerned with individual autonomy, align with the CA to health. Individuals should, as far as possible, be able to make health-enabling decisions about their lives, and their capability to do so should certainly not be hindered by public policy. The CA to health and a vulnerability-based analysis then work alongside to define moral responsibilities and designate those who hold them. Both approaches demand social policy to address circumstances that hinder individuals from taking health-enabling decisions. A background condition of vulnerability, on the other hand, even though it hampers the capability for health, does not warrant the strong moral claim proposed by the CA to health to define health as a meta-capability that should guide social policy. Nothing in our designing social policy could change the challenge to health agency when we deal with background conditions of vulnerability.

  20. Lessons learned for the National Children's Study from the National Institute of Environmental Health Sciences/U.S. Environmental Protection Agency Centers for Children's Environmental Health and Disease Prevention Research.

    PubMed

    Kimmel, Carole A; Collman, Gwen W; Fields, Nigel; Eskenazi, Brenda

    2005-10-01

    This mini-monograph was developed to highlight the experiences of the National Institute of Environmental Health Sciences (NIEHS)/U.S. Environmental Protection Agency (EPA) Centers for Children's Environmental Health and Disease Prevention Research, focusing particularly on several areas of interest for the National Children's Study. These include general methodologic issues for conducting longitudinal birth cohort studies and community-based participatory research and for measuring air pollution exposures, pesticide exposures, asthma, and neurobehavioral toxicity. Rather than a detailed description of the studies in each of the centers, this series of articles is intended to provide information on the practicalities of conducting such intensive studies and the lessons learned. This explication of lessons learned provides an outstanding opportunity for the planners of the National Children's Study to draw on past experiences that provide information on what has and has not worked when studying diverse multiracial and multiethnic groups of children with unique urban and rural exposures. The Children's Centers have addressed and overcome many hurdles in their efforts to understand the link between environmental exposures and health outcomes as well as interactions between exposures and a variety of social and cultural factors. Some of the major lessons learned include the critical importance of long-term studies for assessing the full range of developmental consequences of environmental exposures, recognition of the unique challenges presented at different life stages for both outcome and exposure measurement, and the importance of ethical issues that must be dealt with in a changing medical and legal environment. It is hoped that these articles will be of value to others who are embarking on studies of children's environmental health.

  1. Continuing Professional Education Programs of Voluntary Health Agencies.

    ERIC Educational Resources Information Center

    American Medical Association, Chicago, IL.

    Organizational objectives and professional continuing education programs of ten voluntary health agencies--Allergy Foundation of America, American Cancer Society, American Heart Association, Arthritis Foundation, National Association for Mental Health, National Foundation for Infantile Paralysis, National Society for the Prevention of Blindness,…

  2. National Health Information Center

    MedlinePlus

    ... to navigation Office of Disease Prevention and Health Promotion health.gov healthfinder.gov healthypeople.gov health .gov ... by ODPHP. NHIC supports public health education and promotion by maintaining a calendar of National Health Observances. ...

  3. 77 FR 70444 - Office of the National Coordinator for Health Information Technology; Health Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-26

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; Health Information... Electronic Health Records (EHRs) AGENCY: Health Information Technology (HIT) Policy Committee, Office of the National Coordinator for Health Information Technology (ONC), Department of Health and Human Services...

  4. 77 FR 11557 - National Advisory Council on the National Health Service Corps; Request for Nominations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-27

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Council on the National Health Service Corps; Request for Nominations AGENCY: Health Resources and Services Administration, Department of Health and Human Services. ACTION: Notice. SUMMARY: The Health Resources and...

  5. Should health systems agencies be involved in environmental health planning?

    PubMed Central

    Higgins, C W; Philips, B U; Bruhn, J G; Aker, L T

    1980-01-01

    Public Law 93-641 provides health systems agencies (HSAs) with a broad planning preview which has enabled a number of agencies to address environmental health issues in their health systems plans. Opponents of HSA involvement in environmental health planning charge that these activities overextend agency resources, duplicate efforts of other government agencies and involve HSAs in "issues of public policy." Closer examination of these charges finds them lacking in validity. The planning activities of health systems agencies are cooperative in nature, drawing upon the planning efforts of other institutions and agencies. It is illogical to exclude environmental concerns from general health planning in light of the impact of the environment upon health. Charges that issues of public policy are inappropriate topics for health planning are seen as attempts to avoid scrutiny of inconsistant legislative policies. Cooperative planning between health systems agencies and environmental health agencies is considered both desirable and essential for the development of effective health planning. PMID:7428743

  6. 75 FR 60762 - Board of Scientific Counselors (BSC), National Center for Environmental Health/Agency for Toxic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-01

    ... HUMAN SERVICES (HHS) Centers for Disease Control and Prevention Board of Scientific Counselors (BSC..., and assist other appropriate public authorities, scientific institutions, and scientists in the... in health work. The BSC, NCEH/ATSDR provides advice and guidance to the Secretary, HHS; the...

  7. 78 FR 9705 - National Advisory Council on the National Health Service Corps; Request for Nominations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-11

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Council on the National Health Service Corps; Request for Nominations AGENCY: Health Resources and Services Administration, HHS. ACTION: Notice. SUMMARY: The Health Resources and Services Administration (HRSA) is...

  8. [The external quality assessment schemes for lead in blood organized by the French national agency for medicine and health product safety: a synthesis of 15 years of activity].

    PubMed

    Pineau, Alain; Otz, Jocelyne; Guillard, Olivier; Fauconneau, Bernard; Dumont, Gilles; François-Burg, Elisabeth

    2014-01-01

    In 1992, at the request of the French labor ministry following questions on the ability of medical biology laboratories to satisfactorily measure blood lead level (PbB), a national PbB quality control came into being. Only in 1996 did this external quality control include a number of laboratories sufficient to allow for a significant retrospective evaluation. After fifteen years (1996-2011), The French National Agency for Medicines and Health Products Safety wished to exploit the database collected. The number of participating laboratories went down from 73 to 41. On the other hand, the key finding pertained to the highly improved performance of the laboratories, which was associated with a spread decrease of the results over the entire range of tested PbBs (9 to 700 μg/L). Since 2006, we have observed increasing use of the inductively coupled plasma with mass spectrometry and decreasing use of electrothermal atomic absorption spectrometry. Provided that they rely on identical metrology expertise, the two analytical techniques lead to results on all the tested concentrations that are not statistically different.

  9. Safety of Comprehensive Aortic Root and Valve Repair Surgery: A Retrospective Outcomes Research by National Evidence-Based Health Care Collaborating Agency, Korea

    PubMed Central

    Shin, Eunhee; Heo, Dae Seog

    2012-01-01

    Comprehensive aortic root and valve repair (CARVAR) is a recently introduced surgical technique for aortic valve disease. The National Evidence-based Health Care Collaborating Agency was offered by the ministry of Health and Welfare, Korea to perform a restrospective outcome analysis for this surgical procedure. The aims of this study were to evaluate the safety of patients who underwent CARVAR surgery and to provide a rationale for further prospective randomized study. During the period of March 2007 to November 2009, 397 patients received this procedure and enrolled in this study. Clinical events including major bleeding, endocarditis, re-operation and death were followed-up till March 2010 by medical records. During the follow-up periods, 1-year cumulative incidence of major bleeding, re-operation, endocarditis and death were 3.55, 5.65, 5.05 and 5.33%/year respectively. This study showed that the CARVAR technique is not beneficial, and is indeed even more harmful than conventional valve replacement surgery. PMID:23236329

  10. "1970" Inter-Agency Health Meeting (Navajo).

    ERIC Educational Resources Information Center

    Arizona Commission of Indian Affairs, Phoenix.

    An inter-agency health meeting regarding health services for Navajo Indians is reported on in this document. The meeting, sponsored by the Arizona Commission of Indian Affairs, involved agencies such as the U.S. Public Health Service, Bureau of Indian Affairs, and the Navajo Tribe. Included in the proceedings are reports and remarks by…

  11. National Institutes of Health

    MedlinePlus

    ... Health NIH Research Matters NIH Record Research & Training Medical Research Initiatives Science Highlights Science Education Research in NIH ... Glance Who We Are NIH is the nation’s medical research agency, supporting scientific studies that turn discovery into ...

  12. National health expenditures, 1990

    PubMed Central

    Levit, Katharine R.; Lazenby, Helen C.; Cowan, Cathy A.; Letsch, Suzanne W.

    1991-01-01

    During 1990, health expenditures as a share of gross national product rose to 12.2 percent, up from 11.6 percent in 1989. This dramatic increase is the second largest increase in the past three decades. The national health expenditure estimates presented in this article document rapidly rising health care costs and provide a context for understanding the health care financing crisis facing the Nation today. The 1990 national health expenditures incorporate the most recently available data. They differ from historical estimates presented in the preceding article. The length of time and complicated process of producing projections required use of 1989 national health expenditures—data available prior to the completion of the 1990 estimates presented here. PMID:10114934

  13. Home Health Agency Work Environments and Hospitalizations

    PubMed Central

    Flynn, Linda; Lake, Eileen T.; Aiken, Linda H.

    2014-01-01

    Background: An important goal of home health care is to assist patients to remain in community living arrangements. Yet home care often fails to prevent hospitalizations and to facilitate discharges to community living, thus putting patients at risk of additional health challenges and increasing care costs. Objectives: To determine the relationship between home health agency work environments and agency-level rates of acute hospitalization and discharges to community living. Methods and Design: Analysis of linked Center for Medicare and Medicaid Services Home Health Compare data and nurse survey data from 118 home health agencies. Robust regression models were used to estimate the effect of work environment ratings on between-agency variation in rates of acute hospitalization and community discharge. Results: Home health agencies with good work environments had lower rates of acute hospitalizations and higher rates of patient discharges to community living arrangements compared with home health agencies with poor work environments. Conclusion: Improved work environments in home health agencies hold promise for optimizing patient outcomes and reducing use of expensive hospital and institutional care. PMID:25215647

  14. Creating Quality Improvement Culture in Public Health Agencies

    PubMed Central

    Mahanna, Elizabeth; Joly, Brenda; Zelek, Michael; Riley, William; Verma, Pooja; Fisher, Jessica Solomon

    2014-01-01

    Objectives. We conducted case studies of 10 agencies that participated in early quality improvement efforts. Methods. The agencies participated in a project conducted by the National Association of County and City Health Officials (2007–2008). Case study participants included health directors and quality improvement team leaders and members. We implemented multiple qualitative analysis processes, including cross-case analysis and logic modeling. We categorized agencies according to the extent to which they had developed a quality improvement culture. Results. Agencies were conducting informal quality improvement projects (n = 4), conducting formal quality improvement projects (n = 3), or creating a quality improvement culture (n = 4). Agencies conducting formal quality improvement and creating a quality improvement culture had leadership support for quality improvement, participated in national quality improvement initiatives, had a greater number of staff trained in quality improvement and quality improvement teams that met regularly with decision-making authority. Agencies conducting informal quality improvement were likely to report that accreditation is the major driver for quality improvement work. Agencies creating a quality improvement culture were more likely to have a history of evidence-based decision-making and use quality improvement to address emerging issues. Conclusions. Our findings support previous research and add the roles of national public health accreditation and emerging issues as factors in agencies’ ability to create and sustain a quality improvement culture. PMID:24228680

  15. National Center for Health Statistics

    MedlinePlus

    ... Topics Data and Tools Publications News and Events Population Surveys National Health and Nutrition Examination Survey National Health Interview Survey National Survey of Family Growth Vital Records National Vital Statistics System National Death ...

  16. Results of the National Institute for Occupational Safety and Health-U.S. Environmental Protection Agency interlaboratory comparison of American National Standards Institute S12.6-1997 Methods A and B.

    PubMed

    Murphy, William J; Byrne, David C; Gauger, Dan; Ahroon, William A; Berger, Elliott; Gerges, Samir N Y; McKinley, Richard; Witt, Brad; Krieg, Edward F

    2009-05-01

    The National Institute for Occupational Safety and Health and the Environmental Protection Agency sponsored the completion of an interlaboratory study to compare two fitting protocols specified by ANSI S12.6-1997 (R2002) [(2002). American National Standard Methods for the Measuring Real-Ear Attenuation of Hearing Protectors, American National Standards Institute, New York]. Six hearing protection devices (two earmuffs, foam, premolded, custom-molded earplugs, and canal-caps) were tested in six laboratories using the experimenter-supervised, Method A, and (naive) subject-fit, Method B, protocols with 24 subjects per laboratory. Within-subject, between-subject, and between-laboratory standard deviations were determined for individual frequencies and A-weighted attenuations. The differences for the within-subject standard deviations were not statistically significant between Methods A and B. Using between-subject standard deviations from Method A, 3-12 subjects would be required to identify 6-dB differences between attenuation distributions. Whereas using between-subject standard deviations from Method B, 5-19 subjects would be required to identify 6-dB differences in attenuation distributions of a product tested within the same laboratory. However, the between-laboratory standard deviations for Method B were -0.1 to 3.0 dB less than the Method A results. These differences resulted in considerably more subjects being required to identify statistically significant differences between laboratories for Method A (12-132 subjects) than for Method B (9-28 subjects).

  17. 32 CFR 147.24 - The national agency check.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Standards § 147.24 The national agency check. The National Agency Check is a part of all investigations and reinvestigations. It consists of a review of; (a) Investigative and criminal history files of the FBI, including...

  18. [Mortality aftermyocardial infarction: when the health local organization network has a role in interpreting themarkers of theNational Agency for RegionalHealth Services].

    PubMed

    Virgili, Gianni; Barchielli, Alessandro; Balzi, Daniela; Matarrese, Daniela; Paci, Eugenio; Gusinu, Roberto; Zuppiroli, Alfredo; Gensini, Gian Franco

    2013-01-01

    The Italian National Outcome Programme has assessed the performance of Italian hospitals regarding several clinical performance indicators, including 30-daymortality after admission for acute myocardial infarction. Risk adjustment was obtained using demographic and comorbidity data based on the hospital discharge databases in the index admission, as well as in those of the previous two years. Noticeably, the ICD-9-CM 410.7* classification coding for NSTEMI (Non-ST elevation myocardial infarction)myocardial infarction, i.e. the less severe form, was not used, due to known variability in its use. We found that hospital-specific adjusted relative risk of death versus the national mean, as computed by the programme, is negatively associated with the proportion of NSTEMI infarctions at each Tuscan and Florentine hospital, coherently with the hypothesis of a selection by the emergency network, which addresses STEMI (ST elevation myocardial infarction) patients to hospitals offering haemodynamic laboratory with reperfusive services. Individual level clinical data of 3,200 patients in the AMI-Florence study in the period April 2008-March 2010 found that ICD-9-CM410.7* is underused. The analysis based on hospital discharge diagnoses (410.7* vs. other 410* codes) cannot explain differences in mortality among Florentine hospitals, as opposed to the use of a classification of myocardial infarction type (STEMI vs. NSTEMI) based on clinical data collected in AMI-Florence.

  19. National health expenditures, 1988

    PubMed Central

    1990-01-01

    Every year, analysts in the Health Care Financing Administration present figures on what our Nation spends for health. As the result of a comprehensive re-examination of the definitions, concepts, methods, and data sources used to prepare those figures, this year's report contains new estimates of national health expenditures for calendar years 1960 through 1988. Significant changes have been made to estimates of spending for professional services and to estimates of what consumers pay out of pocket for health care. In the first article, trends in use of and expenditure for various types of goods and services are discussed, as well as trends in the sources of funds used to finance health care. In a companion article, the benchmark process is described in more detail, as are the data sources and methods used to prepare annual estimates of health expenditures. PMID:10113395

  20. 78 FR 58269 - Notice of Request for Approval of an Information Collection; National Animal Health Monitoring...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-23

    ...; National Animal Health Monitoring System; Bison 2014 Study AGENCY: Animal and Plant Health Inspection...: National Animal Health Monitoring System; Bison 2014 Study. OMB Number: 0579-XXXX. Type of Request..., APHIS operates the National Animal Health Monitoring System (NAHMS), which collects...

  1. 78 FR 58268 - Notice of Request for Approval of an Information Collection; National Animal Health Monitoring...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-23

    ...; National Animal Health Monitoring System; Cervid 2014 Study AGENCY: Animal and Plant Health Inspection...: National Animal Health Monitoring System; Cervid 2014 Study. OMB Number: 0579-XXXX. Type of Request..., APHIS operates the National Animal Health Monitoring System (NAHMS), which collects...

  2. National health expenditures, 1991

    PubMed Central

    Letsch, Suzanne W.; Lazenby, Helen C.; Levit, Katharine R.; Cowan, Cathy A.

    1992-01-01

    Spending for health care rose to $751.8 billion in 1991, an increase of 11.4 percent from the 1990 level. National health expenditures as a share of gross domestic product increased to 13.2 percent, up from 12.2 percent in 1990. The health care sector exhibited strong growth, despite slow growth in the overall economy. This combination resulted in the largest increase in the share of the Nation's output consumed by health care in the past three decades. In this article, the authors present estimates of health spending in the United States for 1991. The authors also examine reasons for the unusually large growth in Medicaid expenditures and highlight recent trends in the hospital sector. PMID:10127445

  3. Integrating child health information systems in public health agencies.

    PubMed

    Bara, Debra; McPhillips-Tangum, Carol; Wild, Ellen L; Mann, Marie Y

    2009-01-01

    Public health agencies at state and local levels are integrating information systems to improve health outcomes for children. An assessment was conducted to describe the extent to which public health agencies are currently integrating child health information systems (CHIS). Using online technology information was collected, to assess completed and planned activities related to integration of CHIS, maturity of these systems, and factors that influence decisions by public health agencies to pursue integration activities. Of the 39 public health agencies that participated, 18 (46%) reported already integrating some or all of their CHIS, and 13 (33%) reported to be planning to integrate during the next 3 years. Information systems most commonly integrated include Early Hearing Detection and Intervention (EHDI), immunization, vital records, and Newborn Dried Bloodspot Screening (NDBS). Given the high priority that has been placed on using technology to improve health status in the United States, the emphasis on expanding the capability for the electronic exchange of health information, and federal support for electronic health records by 2014, public health agencies should be encouraged and supported in their efforts to develop, implement, and maintain integrated CHIS to facilitate the electronic exchange of health information with the clinical healthcare sector.

  4. [The national health status].

    PubMed

    Afek, Arnon

    2010-04-01

    During the Golden Age of Medicine (20th Century), scientific and technological breakthroughs enabled physicians to treat diseases that were previously incurable. The idealist, romantic approach of medical practice believed in the right of every human being to receive the best treatment possible, regardless of cost. However, the rise in health care expenditure at the end of the last century made this approach impossible to follow. The growing health expenses are due to the increased percentage of chronically sick patients and elderly population, costs of novel technologies and public expectations. Israel spends 7.9% of its GDP on health, a figure which has not changed in the last fifteen years, while other western countries spend a considerably higher and increasing percentage of their GDP on health. Public resources must be allocated in order to maintain the health of the population and to decrease inequities. A data-based demonstration of the population health status and health care system is therefore mandated. in this issue of the Harefuah, three articles are presented which try to show different aspects of the measurement of Israeli heath status. The data accumulated is used to improve the health status of the Israeli people. The Israel Medical Association (IMA) has assumed responsibility for the creation of an objective index for the measurement and evaluation of the public state of health and the healthcare system. The goal of the IMA National Health Index is to promote discussions regarding medicine and health in Israel, and to serve as a tool to be used by relevant policy makers. Prof. Israeli et al discuss the merits of the National Health Index as well as delineate the difficulties regarding the methodology and choice of parameters. They suggest methods for its improvement. Dr Cohen and his colleagues of Clalit Health Services present the Quality Health indicator program in the community. In effect over the past fifteen years, this program is based on

  5. 75 FR 58281 - National Farm Safety and Health Week, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-23

    ... Documents#0;#0; ] Proclamation 8565 of September 17, 2010 National Farm Safety and Health Week, 2010 By the... around the globe. As we celebrate National Farm Safety and Health Week, we recognize the tremendous... National Farm Safety and Health Week. I call upon the agencies, organizations, businesses, and...

  6. 78 FR 24153 - Notice of Emergency Approval of an Information Collection; National Animal Health Monitoring...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-24

    ...; National Animal Health Monitoring System; Equine Herpesvirus Myeloencephalopathy Study AGENCY: Animal and... information collection for a National Animal Health Monitoring System Equine Herpesvirus Myeloencephalopathy...: National Animal Health Monitoring System; Equine Herpesvirus Myeloencephalopathy Study. OMB Number:...

  7. 78 FR 35837 - National Institute on Minority Health and Health Disparities Research Endowments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-14

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health 42 CFR Part 52i RIN 0925-AA61 National Institute on Minority Health and Health Disparities Research Endowments AGENCY: National Institutes of...

  8. National Health Interview Survey (NHIS)

    EPA Pesticide Factsheets

    The NHIS collects data on a broad range of health topics through personal household interviews. The results of NHIS provide data to track health status, health care access, and progress toward achieving national health objectives.

  9. Fatty acid dietary intake in the general French population: are the French Agency for Food, Environmental and Occupational Health & Safety (ANSES) national recommendations met?

    PubMed

    Tressou, Jessica; Moulin, Philippe; Vergès, Bruno; Le Guillou, Céline; Simon, Noémie; Pasteau, Stéphane

    2016-12-01

    Quantity and quality of fatty acids (FA) in diet influence CVD risk. Consequently, health authorities promote recommended dietary intakes for FA, looking for optimal intakes in a primary prevention of CVD perspective. In parallel, a few data are available detailing intakes in national populations. The objective of the present study was to perform a large analysis combining the data of the French National Survey INCA 2 on food consumption performed in 2006 and 2007, and the nutritional content of food consumed in France updated in 2013 by the French Information Centre on Food Quality, to explore in details the FA intakes in French adults using the most recent available data. To compare the discrepancies in the observed intake levels with the French recommended levels, a weighted fat adherence score was built combining intakes of the different FA. Individual scores were computed in relation to official recommendations, and potential explanatory factors were identified. These data show that SFA intakes are persistently higher than national recommendations, combined with low intakes of MUFA and PUFA, particularly long-chain n-3 FA. Only 14·6 % of the French population met DHA intake recommendation, 7·8 % for EPA and 21·6 % for SFA. This situation remains unfavourable in terms of primary prevention of CVD. Consuming fish and other sources of n-3 FA, living in the south of France, being female, having a higher education level, and low alcohol consumption were associated with a healthier fat adherence score.

  10. 76 FR 32374 - National Advisory Committee on Occupational Safety and Health (NACOSH)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-06

    ... Occupational Safety and Health Administration National Advisory Committee on Occupational Safety and Health (NACOSH) AGENCY: Occupational Safety and Health Administration (OSHA), Labor. ACTION: Announcement of meetings of the National Advisory Committee on Occupational Safety and Health (NACOSH) and NACOSH...

  11. 75 FR 66797 - National Advisory Committee on Occupational Safety and Health (NACOSH), Charter Renewal

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-29

    ... Occupational Safety and Health Administration National Advisory Committee on Occupational Safety and Health (NACOSH), Charter Renewal AGENCY: Occupational Safety and Health Administration (OSHA), Labor. ACTION... National Advisory Committee on Occupational Safety and Health (NACOSH) for two years. FOR...

  12. 75 FR 76423 - Defense Intelligence Agency National Defense Intelligence College Board of Visitors Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-08

    ... of the Secretary Defense Intelligence Agency National Defense Intelligence College Board of Visitors Closed Meeting AGENCY: National Defense Intelligence College, Defense Intelligence Agency, Department of... a closed meeting of the Defense Intelligence Agency National Defense Intelligence College Board...

  13. 76 FR 28960 - Defense Intelligence Agency National Defense Intelligence College Board of Visitors Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-19

    ... of the Secretary Defense Intelligence Agency National Defense Intelligence College Board of Visitors Closed Meeting AGENCY: National Defense Intelligence College, Defense Intelligence Agency, Department of... a closed meeting of the Defense Intelligence Agency National Defense Intelligence College Board...

  14. 77 FR 32952 - Defense Intelligence Agency National Intelligence University Board of Visitors Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-04

    ... of the Secretary Defense Intelligence Agency National Intelligence University Board of Visitors Closed Meeting AGENCY: Department of Defense, Defense Intelligence Agency, National Intelligence... a closed meeting of the Defense Intelligence Agency National Intelligence University Board...

  15. Mental health training and development needs of community agency staff.

    PubMed

    Secker, Jenny; Hill, Kathryn

    2002-09-01

    Emphasis has long been placed in UK national policy on providing 'seamless' mental health services to meet both the health and social care needs of service users. While attention has been paid to the training required by specialist mental health and primary care staff in order to achieve this, the needs of other community agency staff have received less attention. The present article describes a study designed to identify the training needs of staff working within a broad range of agencies. Focus group discussions were used to explore participants' experiences of mental health problems amongst clients, their confidence in dealing with these, current sources of support and perceived training needs. The results indicate that participants in all agencies routinely encountered a range of problems. Colleagues were the main source of support, followed by line managers, but supervision structures and wider organisational support were lacking in some cases. Joint working with specialist mental health services was almost universally problematic and all groups identified a range of training needs. On the basis of the results, the present authors put forward suggestions as to how these needs might be met.

  16. 32 CFR 644.432 - Assignment to Department of Health, Education, and Welfare (HEW) or successor agencies for health...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 4 2011-07-01 2011-07-01 false Assignment to Department of Health, Education... to Department of Health, Education, and Welfare (HEW) or successor agencies for health or educational... the protection of public health, including research. The Secretary of HEW is authorized under...

  17. 75 FR 25259 - National Health Care Workforce Commission

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... OFFICE National Health Care Workforce Commission AGENCY: Government Accountability Office (GAO). ACTION... Comptroller General of the United States responsibility for appointing 15 members to the National Health Care...: Nominations can be submitted by either of the following: E- mail: HCWorkforce@gao.gov . Mail: GAO Health...

  18. National health spending trends in 1996. National Health Accounts Team.

    PubMed

    Levit, K R; Lazenby, H C; Braden, B R

    1998-01-01

    The National Health Accounts, produced annually by the Health Care Financing Administration's Office of the Actuary, present estimates for 1960-1996 of nationwide spending for health care and the sources funding that care. This year's estimates set two records: Spending topped $1 trillion for the first time, and expenditure growth slowed to the lowest rate seen in thirty-seven years of measuring health care spending--4.4 percent. The combination of decelerating health spending and a growing economy has kept national health spending as a share of the nation's gross domestic product unchanged for the fourth consecutive year.

  19. [Quality management in a public health agency].

    PubMed

    Villalbí, Joan R; Ballestín, Manuela; Casas, Conrad; Subirana, Teresa

    2012-01-01

    This article describes the introduction of quality improvement actions in a public health organization. After ISO 17025 accreditation, which was legally mandated, was granted to the official control laboratory, the management decided to expand a quality policy in 2003, through a series of actions based on process analysis and proposals for improvement, further definition of standard operating procedures, exploration of users' opinions, the creation of improvement groups, and external audits or certification. The organizational response to these initiatives was diverse. External audit or certification of services seems to be the most powerful tool for change. Costing studies showed that up to 75% of the total expenditure of the agency in 2010 was spent on public health services subject to external audit or certification.

  20. National Health Care Skill Standards.

    ERIC Educational Resources Information Center

    National Consortium on Health Science and Technology Education, Okemos, MI.

    This document presents the National Health Care Skill Standards, which were developed by the National Consortium on Health Science and Technology and West Ed Regional Research Laboratory, in partnership with educators and health care employers. The document begins with an overview of the purpose and benefits of skill standards. Presented next are…

  1. National Patient Safety Agency: improving patient safety across all critical care areas.

    PubMed

    Keady, Simon; Thacker, Meera

    2008-04-01

    The National Patient Safety Agency (NPSA) reviews patient safety incidents throughout the National Health Service (NHS) in the United Kingdom and aims to initiate preventative measures. Recent alerts include injectable medication, oral syringes for enternal administration, preventing hyponatraemia in children and anticoagulation. This article gives an insight into the rationale and steps currently being undertaken to respond to these recommendations.

  2. 75 FR 45154 - National Security Division; Agency Information Collection Activities:

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-02

    ... National Security Division; Agency Information Collection Activities: Proposed Collection; Comments... (Foreign Agents). The Department of Justice (DOJ), National Security Division (NSD), will be submitting the... information, please write to U.S. Department of Justice, 10th & Constitution Avenue, NW., National...

  3. National health data warehouse: issues to consider.

    PubMed

    Blewett, Lynn A; Parente, Stephen T; Finch, Michael D; Peterson, Eileen

    2004-01-01

    A national data warehouse that links public and private data could be used to monitor trends in healthcare costs, utilization, quality of care, and adherence to quality guidelines and changes in treatment protocols. The development of the data warehouse, however, would require overcoming a number of political and technical challenges to gain access to private insurance data. This article outlines recommendations from a national conference sponsored by the Agency for Healthcare Research and Quality (AHRQ) on the private sector's role in quality monitoring and provides an operational outline for the development of a national private sector health data warehouse.

  4. Integration of site-specific health information: Agency for Toxic Substances and Disease Registry health assessments

    SciTech Connect

    Lesperance, A.M.; Siegel, M.R.

    1990-12-01

    The Agency for Toxic Substances and Disease Registry is required to conduct a health assessment of any site that is listed on or proposed for the US Environmental Protection Agency's National Priorities List. Sixteen US Department of Energy (DOE) sites currently fall into this category. Health assessments contain a qualitative description of impacts to public health and the environment from hazardous waste sites, as well as recommendations for actions to mitigate or eliminate risk. Because these recommendations may have major impacts on compliance activities at DOE facilities, the health assessments are an important source of information for the monitoring activities of DOE's Office of Environmental Compliance (OEC). This report provides an overview of the activities involved in preparing the health assessment, its role in environmental management, and its key elements.

  5. National Rural Health Association

    MedlinePlus

    ... and Roster NRHA Past Presidents NRHA Leadership Constituency Groups History of Rural Health History of Rural Health Globalization Urban Bias Dependency Theory Political Economy History of Rural Health IV: '60s ...

  6. Enhancing Coordination Among the U.S. Preventive Services Task Force, Agency for Healthcare Research and Quality, and National Institutes of Health.

    PubMed

    Murray, David M; Kaplan, Robert M; Ngo-Metzger, Quyen; Portnoy, Barry; Olkkola, Susanne; Stredrick, Denise; Kuczmarski, Robert J; Goldstein, Amy B; Perl, Harold I; O'Connell, Mary E

    2015-09-01

    This paper focuses on the relationships among the U.S. Preventive Services Task Force (USPSTF); Agency for Healthcare Research and Quality (AHRQ); and NIH. After a brief description of the Task Force, AHRQ, NIH, and an example of how they interact, we describe the steps that have been taken recently by NIH to enhance their coordination. We also discuss several challenges that remain and consider potential remedies that NIH, AHRQ, and investigators can take to provide the USPSTF with the data it needs to make recommendations, particularly those pertaining to behavioral interventions.

  7. School Health Nursing Services: Exploring National Issues and Priorities.

    ERIC Educational Resources Information Center

    Journal of School Health, 1995

    1995-01-01

    A 1994 conference explored national issues and priorities related to school health nursing, identifying seven critical issues and related actions. Several papers discuss school nurse perspectives, federal agency efforts, issues, and priority actions. An annotated bibliography and information on National Nursing Coalition for School Health are…

  8. Veterinarians in Environmental Health: Opportunities for Veterinarians at the Environmental Protection Agency

    EPA Science Inventory

    The United States Environmental Protection Agency (EPA) was created in 1970 partially in response to widespread public concern about environmental degradation. The EPA mission is to protect human health and the environment and the Agency is tasked with enforcing our nation's envi...

  9. 78 FR 32241 - Defense Intelligence Agency National Intelligence University Board of Visitors; Notice of Closed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-29

    ... of the Secretary Defense Intelligence Agency National Intelligence University Board of Visitors; Notice of Closed Meeting AGENCY: National Intelligence University, Defense Intelligence Agency... given that a closed meeting of the National Intelligence University Board of Visitors has been...

  10. 78 FR 90 - Defense Intelligence Agency National Intelligence University Board of Visitors Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-02

    ... of the Secretary Defense Intelligence Agency National Intelligence University Board of Visitors Closed Meeting AGENCY: National Intelligence University, Defense Intelligence Agency, Department of... a closed meeting of the National Intelligence University Board of Visitors has been scheduled...

  11. 77 FR 62536 - National Advisory Committee on Occupational Safety and Health (NACOSH)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-15

    ... Occupational Safety and Health Administration National Advisory Committee on Occupational Safety and Health (NACOSH) AGENCY: Occupational Safety and Health Administration (OSHA), Labor. ACTION: Notice of renewal of... Committee on Occupational Safety and Health (NACOSH). FOR FURTHER INFORMATION CONTACT: Ms. Deborah...

  12. National Health Care Survey

    Cancer.gov

    This survey encompasses a family of health care provider surveys, including information about the facilities that supply health care, the services rendered, and the characteristics of the patients served.

  13. 78 FR 64228 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special...

  14. 75 FR 6044 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-05

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... and projects conducted by the National Institute of Environmental Health Sciences,...

  15. National Rural Health Association

    MedlinePlus

    ... Publications Join Donate NRHA Connect Partners search-opener Search for: Experience the best health care climate Learn from rural health leaders by the beach in sunny San Diego NRHA's Annual Rural Health Conference is May 9-12 NRHA Partners Program Support ...

  16. A Model for Implementing Integrative Practice in Health Care Agencies

    PubMed Central

    Patterson, Chris; Arthur, Heather M.

    2008-01-01

    Over the last few years, there has been increased awareness and use of complementary/alternative therapies (CAM) in many countries without the health care infrastructure to support it. The National Centre for Complementary and Alternative Medicine referred to the combining of mainstream medical therapies and CAM as integrative medicine. The creation of integrative health care teams will definitely result in redefining roles, but more importantly in a change in how services are delivered. The purpose of this paper is to describe a model of the necessary health care agency resources to support an integrative practice model. A logic model is used to depict the findings of a review of current evidence. Logic models are designed to show relationships between the goals of a program or initiative, the resources to achieve desired outputs and the activities that lead to outcomes. The four major resource categories necessary for implementing integrative care are within the domains of a) professional and research development, b) health human resource planning, c) regulation and legislation and d) practice and management in clinical areas. It was concluded that the system outcomes from activities within these resource categories should lead to freedom of choice in health care; a culturally sensitive health care system and a broader spectrum of services for achieving public health goals. PMID:21614155

  17. From patchwork to national network: working collaboratively to create a national environmental public health tracking network.

    PubMed

    Li, Jennifer; Dawson, Becky

    2008-01-01

    Partnership and collaboration are hallmarks for the National Environmental Public Health Tracking Network (EPHT) Program. When CDC issued its first request for proposals for EPHT in August 2002, it required formal collaboration between state public health and environmental protection agencies. In addition, each of the grantees assembled a planning consortium or technical advisory committee to aid in the creation of the National EPHT together with local health agencies, community groups, industry, and healthcare professionals and other organizations. Partnerships have resulted in actions that protect and monitor public health; substantial the development and use of state and national tracking networks; and increase collaboration and information sharing.

  18. National health expenditures, 1984

    PubMed Central

    Levit, Katharine R.; Lazenby, Helen; Waldo, Daniel R.; Davidoff, Lawrence M.

    1985-01-01

    Growth in health care expenditures slowed to 9.1 percent in 1984, the smallest increase in expenditures in 19 years. Economic forces and emerging structural changes within the health sector played a role in slowing growth. Of the $1,580 per person spent for health care in 1984, 41 percent was financed by public programs; 31 percent by private health insurance; and the remainder by other private sources. Together, Medicare and Medicaid accounted for 27 percent of all health spending. PMID:10311395

  19. For-profit medicare home health agencies' costs appear higher and quality appears lower compared to nonprofit agencies.

    PubMed

    Cabin, William; Himmelstein, David U; Siman, Michael L; Woolhandler, Steffie

    2014-08-01

    For-profit, or proprietary, home health agencies were banned from Medicare until 1980 but now account for a majority of the agencies that provide such services. Medicare home health costs have grown rapidly since the implementation of a risk-based prospective payment system in 2000. We analyzed recent national cost and case-mix-adjusted quality outcomes to assess the performance of for-profit and nonprofit home health agencies. For-profit agencies scored slightly but significantly worse on overall quality indicators compared to nonprofits (77.18 percent and 78.71 percent, respectively). Notably, for-profit agencies scored lower than nonprofits on the clinically important outcome "avoidance of hospitalization" (71.64 percent versus 73.53 percent). Scores on quality measures were lowest in the South, where for-profits predominate. Compared to nonprofits, proprietary agencies also had higher costs per patient ($4,827 versus $4,075), were more profitable, and had higher administrative costs. Our findings raise concerns about whether for-profit agencies should continue to be eligible for Medicare payments and about the efficiency of Medicare's market-oriented, risk-based home care payment system.

  20. 75 FR 33811 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-15

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; HIT Policy Committee's Privacy & Security Tiger Team Meeting; Notice of Meeting AGENCY: Office of the National Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice announces...

  1. 75 FR 32472 - Office of the National Coordinator for Health Information Technology; HIT Standards Committee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-08

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; HIT Standards... Information Technology AGENCY: Office of the National Coordinator for Health Information Technology, HHS... Information Technology (ONC). Name of Committee: HIT Standards Committee. General Function of the...

  2. Communication between public health agencies and their external stakeholders.

    PubMed

    Longest, Beaufort B; Rohrer, Wesley M

    2005-01-01

    Effective communication between public health agencies and their external stakeholders is vital to the agencies, as well as to those they serve. Agency leaders must obtain information from stakeholders and provide information to them. A process is described whereby agencies can systematically obtain necessary information from external stakeholders, and three of the most important forms of communications are described through which an agency provides information to stakeholders: promotion of the agency, advocacy, and social marketing. Barriers to effective communication of the interpersonal, personality, organizational, operational, skill/knowledge, attitude, and nature-of-information types are described, and guidelines are provided for minimizing the impact of these barriers.

  3. HUMAN HEALTH RESEARCH IMPLEMENTATION PLAN, NATIONAL HEALTH AND ENVIRONMENTAL EFFECTS RESEARCH LABORATORY

    EPA Science Inventory

    The National Health and Environmental Effects Research Laboratory (NHEERL), as part of the Environmental Protection Agency's (EPA's) Office of Research and Development (ORD), is responsible for conducting research to improve the risk assessment of chemicals for potential effects ...

  4. 75 FR 71134 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Cancer Institute; Notice of Closed Meeting..., Cancer Control, National Institutes of Health, HHS) Dated: November 16, 2010. Jennifer S....

  5. A national public health service.

    PubMed Central

    Galbraith, N S

    1981-01-01

    The development of the British public health services is briefly reviewed and it is suggested that two types of epidemiologist (Community Physician) are necessary in each locality: one concerned with medical administration and health care planning-the medical administrator, and the other with the prevention of disease-the clinical epidemiologist. A new nation public health service is proposed to revive disease prevention with four main features: (1) A district Clinical Epidemiologist who is a member of the district department of community medicine with responsibility for prevention but with no district administrative duties. (2) A District Epidemiology Unit comprising other appropriate staff. (3) National specialist epidemiology units within the NHS with service roles to support and coordinate the District Clinical Epidemiologists. (4) A national authority within the NHS with responsibility for prevention and for administering the national specialist units. PMID:7007637

  6. State Education Agencies and the National Institute of Education.

    ERIC Educational Resources Information Center

    Phillips, A. Craig

    A. Craig Phillips, superintendent of public instruction of North Carolina, declares that a major priority of the National Institute of Education is to collaboratively develop with state education agencies an adequate system of dissemination, diffusion, and adoption of improved practices. The NIE Advisory Panel on Dissemination and Utilization and…

  7. 76 FR 60085 - National Advisory Committee on Occupational Safety and Health (NACOSH)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-28

    ... Occupational Safety and Health Administration National Advisory Committee on Occupational Safety and Health (NACOSH) AGENCY: Occupational Safety and Health Administration (OSHA), Labor. ACTION: Request for nominations to serve on NACOSH. SUMMARY: The Assistant Secretary of Labor for Occupational Safety and...

  8. 78 FR 58539 - National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-24

    ... Health and Health Care AGENCY: Office of Minority Health, Office of the Secretary, Department of Health... National Standards for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care... for Culturally and Linguistically Appropriate Services (CLAS) in Health and Health Care will...

  9. National Multi-agency Support for Airborne Hazard Prediction

    SciTech Connect

    Nasstrom, J S; Sugiyama, G A; Baskett, R L; Larsen, S C; Bradley, M M; Aines, R D

    2005-11-28

    Lawrence Livermore National Laboratory (LLNL) provides hazardous material plume modeling tools and services for a large number of emergency managers and responders. This paper describes ongoing advancement of LLNL's support for multiple agencies through the National Atmospheric Release Advisory Center (NARAC) and the Interagency Atmospheric Modeling and Atmospheric Assessment Center (IMAAC). A suite of software tools developed by LLNL and collaborating organizations includes simple stand-alone, local-scale plume modeling tools for end user's computers, and Web- and Internet-based software to access advanced 3-D flow and atmospheric dispersion modeling tools and expert analyses from the national center at LLNL.

  10. The national health care imperative.

    PubMed

    Halamandaris, V J

    1990-03-01

    In summary, the nation's health care system is in serious need of reform. It is expensive and woefully inefficient. Millions of people are excluded from coverage, while others receive limited or second-class care. For those millions who suffer serious chronic problems that require long-term care, there is virtually no help. There is no help for the family whose loved one suffers from Alzheimer's disease. There is no help for the family whose child is born with cerebral palsy or epilepsy. There is no help for the middle-aged father, disabled in an automobile accident. Providing good care to all Americans is not a matter of money. America currently spends some 13% of its gross national product on health care, and yet the health statistics of Americans are the worst in the industrialized world. What America needs is a comprehensive system of health care that includes both acute and long-term care. Congress must take action to restore health care as a basic constitutional right of all Americans. Coverage for long-term care must be included within the context of any new national health care program. Funding for such a program should come from the most progressive tax that the Congress can fashion, which to this point is the federal income tax. Although there is an appropriate role for private insurance, it should function as a supplement to rather than as a substitute for a new national program. There are several other elements that are key to a national health care program: Home care must be the first line of any national long-term care program.(ABSTRACT TRUNCATED AT 250 WORDS)

  11. [Health technology assessment agencies in the xxi century].

    PubMed

    Argimon, Josep Maria

    2015-11-01

    The origins of the health technology assessment (HTA) agencies date back to the 70s in the United States; in the European context, the current Agency for Quality and Health Assessment of Catalonia was among the pioneers in 1991. Epidemiological, social, technological and economic changes of recent years have led to the incorporation, by the agencies, of new functions, activities and projects that can offer better services (information and knowledge) to the various players in the healthcare system (patients, professionals, providers, insurers and policy-makers) in order to increase healthcare quality and preserve the sustainability of the health system.

  12. Promoting Health/Preventing Disease. Objectives for the Nation.

    ERIC Educational Resources Information Center

    Public Health Service (DHHS), Rockville, MD.

    Broad national goals, expressed as reductions in overall death rates or days of disability, have been established as guidelines for private and public sector policy makers in health-related fields. These goals were established through the work of various agencies, organizations, and individuals participating in a Department of Health and Human…

  13. 78 FR 8153 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-05

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Proposed Collection; Comment Request: Recipient... Blood Institute (NHLBI), the National Institutes of Health (NIH) has submitted to the Office...

  14. 78 FR 24427 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-25

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Proposed Collection; 60-Day Comment Request; Genomics and... Research Institute (NHGRI), National Institutes of Health (NIH), will publish periodic summaries...

  15. Measurement of Women's Agency in Egypt: A National Validation Study.

    PubMed

    Yount, Kathryn M; VanderEnde, Kristin E; Dodell, Sylvie; Cheong, Yuk Fai

    2016-09-01

    Despite widespread assumptions about women's empowerment and agency in the Arab Middle East, psychometric research of these constructs is limited. Using national data from 6214 married women ages 16-49 who took part in the 2006 Egypt Labor Market Panel Survey, we applied factor analysis to explore and then to test the factor structure of women's agency. We then used multiple indicator multiple cause structural equations models to test for differential item functioning (DIF) by women's age at first marriage, a potential resource for women's agency. Our results confirm that women's agency in Egypt is multi-dimensional and comprised of their (1) influence in family decisions, including those reserved for men, (2) freedom of movement in public spaces, and (3) attitudes about gender, specifically violence against wives. These dimensions confirm those explored previously in selected rural areas of Egypt and South Asia. Yet, three items showed significant uniform DIF by women's categorical age at first marriage, with and without a control for women's age in years. Models adjusting for DIF and women's age in years showed that women's older age at first marriage was positively associated with the factor means for family decision-making and gender-violence attitudes, but not freedom of movement. Our findings reveal the value of our analytical strategy for research on the dimensions and determinants of women's agency. Our approach offers a promising model to discern "hierarchies of evidence" for social policies and programs to enhance women's empowerment.

  16. Copernicus - Practice of Daily Life in a National Mapping Agency?

    NASA Astrophysics Data System (ADS)

    Wiatr, T.; Suresh, G.; Gehrke, R.; Hovenbitzer, M.

    2016-06-01

    Copernicus is an European system created for Earth observation and monitoring. It consists of a set of Earth observation satellites and in-situ sensors that provide geo-information that are used, through a set of Copernicus services, for applications related to the environment and global security. The main services of the Copernicus programme address six thematic areas: land, marine, atmosphere, climate change, emergency management and security. In Germany, there is a national service team of Copernicus service coordinators, who are responsible for the national development of the Copernicus services and for providing user-specific information about the Copernicus processes. These coordinators represent the contact points for all the programmes and services concerning their respective Copernicus theme. To publish information about Copernicus, national conferences and workshops are organised. Many people are involved in planning the continuous process of bringing the information to public authorities, research institutes and commercial companies. The Federal Agency for Cartography and Geodesy (Bundesamt für Kartographie und Geodäsie, BKG) is one such organisation, and is mainly responsible for the national land monitoring service of Copernicus. To make use of the freely available data from the Copernicus programme, the Federal Agency for Cartography and Geodesy is currently developing new applications and projects in the field of remote sensing and land monitoring. These projects can be used by other public authorities as examples on how to use the Copernicus data and services for their individual demands and requirements. Copernicus data and services are currently not very commonly used in the daily routine of the national mapping agencies, but they will soon be.

  17. 75 FR 70365 - Agency Information Collection (Follow-Up Study of a National Cohort of Gulf War and Gulf Era...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-17

    ... AFFAIRS Agency Information Collection (Follow-Up Study of a National Cohort of Gulf War and Gulf Era... National Cohort of Gulf War and Gulf Era Veterans, VA Form 10-0488 and Consent Form for Release of Medical.... Abstracts: a. The data collected on VA Form 10-0488, will help VA to assess the health of Gulf War...

  18. The United Nations and One Health: the International Health Regulations (2005) and global health security.

    PubMed

    Nuttall, I; Miyagishima, K; Roth, C; de La Rocque, S

    2014-08-01

    The One Health approach encompasses multiple themes and can be understood from many different perspectives. This paper expresses the viewpoint of those in charge of responding to public health events of international concern and, in particular, to outbreaks of zoonotic disease. Several international organisations are involved in responding to such outbreaks, including the United Nations (UN) and its technical agencies; principally, the Food and Agriculture Organization of the UN (FAO) and the World Health Organization (WHO); UN funds and programmes, such as the United Nations Development Programme, the World Food Programme, the United Nations Environment Programme, the United Nations Children's Fund; the UN-linked multilateral banking system (the World Bank and regional development banks); and partner organisations, such as the World Organisation for Animal Health (OIE). All of these organisations have benefited from the experiences gained during zoonotic disease outbreaks over the last decade, developing common approaches and mechanisms to foster good governance, promote policies that cut across different sectors, target investment more effectively and strengthen global and national capacities for dealing with emerging crises. Coordination among the various UN agencies and creating partnerships with related organisations have helped to improve disease surveillance in all countries, enabling more efficient detection of disease outbreaks and a faster response, greater transparency and stakeholder engagement and improved public health. The need to build more robust national public human and animal health systems, which are based on good governance and comply with the International Health Regulations (2005) and the international standards set by the OIE, prompted FAO, WHO and the OIE to join forces with the World Bank, to provide practical tools to help countries manage their zoonotic disease risks and develop adequate resources to prevent and control disease

  19. 78 FR 6081 - Agency Information Collection Activities; Comment Request; National Student Loan Data System (NSLDS)

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-29

    ... Agency Information Collection Activities; Comment Request; National Student Loan Data System (NSLDS) AGENCY: Federal Student Aid (FSA), Department of Education (ED). ACTION: Notice. SUMMARY: In accordance... notice will be considered public records. Title of Collection: National Student Loan Data System...

  20. 76 FR 37371 - Agency Information Collection: Comment Request for National Gap Analysis Program Evaluation

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-27

    ... (ICR) for a new collection of information: National Gap Analysis Program Evaluation. This notice....S. Geological Survey Agency Information Collection: Comment Request for National Gap Analysis Program Evaluation AGENCY: United States Geological Survey (USGS), Interior. ACTION: Notice of a...

  1. 78 FR 19710 - Call for Collaborating Partners for National Women's Health Week

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-02

    ... HUMAN SERVICES Call for Collaborating Partners for National Women's Health Week AGENCY: Office on Women...), Office on Women's Health (OWH) invites public and private-sector health-related organizations to participate in National Women's Health Week (NWHW) as partners to help create awareness of women's...

  2. National Center for Environmental Health

    MedlinePlus

    ... Health Asthma Carbon Monoxide Clean Water for Health Climate and Public Health Environmental Noise Exposure and Health ... Overviews Asthma Control Built Environment and Health Initiative Climate and Health Environmental Health Laboratory Environmental Health Services ...

  3. State public health agency expenditures: categorizing and comparing to performance levels.

    PubMed

    Honoré, Peggy A; Schlechte, Tricia

    2007-01-01

    For optimal effectiveness, assessments of public health agency and system performance should include analysis to measure the amount of financial resources consumed to achieve performance levels. This pilot study was conducted to test a methodology in a state health department for comparing financial resources consumed to performance scores in each of the 10 Essential Public Health Services categories. An additional feature was to quantify the percentage of total agency expenditures utilized for administrative functions as well. The allocation of all fiscal year 2004 expenditures to the 10 Essential Public Health Services and administration categories was based on assessments of employee job functions and scope of services performed under agency contracts. Performance scores were obtained through a 2-month process of completing self-assessment surveys with system partners using the National Public Health Performance Standards Program Assessment Instrument. Investigators found no clear consistency between performance scores and agency expenditure levels. Two categories, essential service 5 (develop policies and plans) and essential service 10 (research), did have low performance and low expenditure levels. Overall though, categories with high performance scores consumed low percentages of agency expenditures and expenditure patterns were relatively high in categories with low performance scores. The study did quantify that the percentage of expenditures in the administration category was low compared to previous studies in other health departments. This knowledge was particularly useful for informing policymakers.

  4. 78 FR 55751 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-11

    ... Institute, National Institutes of Health Bethesda, MD 20892, (301) 451-2020, mcnicoll@nei.nih.gov . Any... Nos. 93.867, Vision Research, National Institutes of Health, HHS) Dated: September 5, 2013. Melanie...

  5. Emergency medicine public health research funded by federal agencies: progress and priorities.

    PubMed

    D'Onofrio, Gail; Goldstein, Amy B; Denisco, Richard A; Hingson, Ralph; Heffelfinger, James D; Post, Lori A

    2009-11-01

    The emergency department (ED) visit provides an opportunity to impact the health of the public throughout the entire spectrum of care, from prevention to treatment. As the federal government has a vested interest in funding research and providing programmatic opportunities that promote the health of the public, emergency medicine (EM) is prime to develop a research agenda to advance the field. EM researchers need to be aware of federal funding opportunities, which entails an understanding of the organizational structure of the federal agencies that fund medical research, and the rules and regulations governing applications for grants. Additionally, there are numerous funding streams outside of the National Institutes of Health (NIH; the primary federal health research agency). EM researchers should seek funding from agencies according to each agency's mission and aims. Finally, while funds from the Department of Health and Human Services (HHS) are an important source of support for EM research, we need to look beyond traditional sources and appeal to other agencies with a vested interest in promoting public health in EDs. EM requires a broad skill set from a multitude of medical disciplines, and conducting research in the field will require looking for funding opportunities in a variety of traditional and not so traditional places within and without the federal government. The following is the discussion of a moderated session at the 2009 Academic Emergency Medicine consensus conference that included panel discussants from the National Institutes of Mental Health, Drug Abuse, and Alcoholism and Alcohol Abuse and the Centers for Disease Control and Prevention (CDC). Further information is also provided to discuss those agencies and centers not represented.

  6. Comparing maternal child health problems and outcomes across public health nursing agencies.

    PubMed

    Monsen, Karen A; Fulkerson, Jayne A; Lytton, Amy B; Taft, Lila L; Schwichtenberg, Linda D; Martin, Karen S

    2010-05-01

    To use aggregated data from health informatics systems to identify needs of maternal and child health (MCH) clients served by county public health agencies and to demonstrate outcomes of services provided. Participating agencies developed and implemented a formal standardized classification data comparison process using structured Omaha System data. An exploratory descriptive analysis of the data was performed. Summary reports of aggregated and analyzed data from records of clients served and discharged in 2005 were compared. Client problems and outcomes were found to be similar across agencies, with behavioral, psychosocial, environmental and physiological problems identified and addressed. Differential improvement was noted by problem, outcome measure, and agency; and areas for enhancing intervention strategies were prioritized. Problems with greatest improvement across agencies were Antepartum/postpartum and Family planning, and least improvement across agencies were Neglect and Substance use. Findings demonstrated that public health nurses address many serious health-related problems with low-income high-risk MCH clients. MCH client needs were found to be similar across agencies. Public health nurse home visiting services addressed important health issues with MCH clients, and statistically significant improvement in client health problems occurred consistently across agencies. The data comparison processes developed in this project were useful for MCH programs, and may be applicable to other program areas using structured client data for evaluation purposes. Using informatics tools and data facilitated needs assessment, program evaluation, and outcomes management processes for the agencies, and will continue to play an integral role in directing practice and improving client outcomes.

  7. Towards National eHealth Implementation--a comparative study on WHO/ITU National eHealth Strategy Toolkit in Iran.

    PubMed

    Riazi, Hossein; Jafarpour, Maryam; Bitaraf, Ehsan

    2014-01-01

    Experiences has shown that utilization of ICT in health sector requires national commitment and planned efforts to make the best use of existing capacity. Establishing the main directions as well as planning the detailed steps needed are key to achieving longer-term goals such as health sector efficiency, reform or more fundamental transformation. Collaboration between the health and ICT sectors, both public and private, is central to this effort. As the major United Nations agencies for health and telecommunications respectively, the World Health Organization (WHO) and the International Telecommunication Union (ITU) have recognized the importance of collaboration for eHealth in their global resolutions, which encourage countries to develop national eHealth strategies; the National eHealth Strategy Toolkit is the proof of these recommendations. In this study a mapping of eHealth components in WHO/ITU National eHealth Strategy Toolkit and our national eHealth vision is presented.

  8. National Institutes of Health Presentation at IPE Conference Program

    NASA Technical Reports Server (NTRS)

    Holloway, Caroline

    1992-01-01

    The conference objective was to set up a working dialogue among representatives from industry and various Federal agencies. Discussed here are present National Institutes of Health (NIH) support in the area of intelligent processing equipment (IPE) and how researchers can work together on future research objectives. Information is given in viewgraph form with accompanying comments.

  9. 76 FR 44597 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Heart, Lung, and Blood Institute; Notice of Closed...; 93.839, Blood Diseases and Resources Research, National Institutes of Health, HHS) Dated: July...

  10. 76 FR 71047 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-16

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute on Alcohol Abuse and Alcoholism; Notice... EPRB, NIAAA, National Institutes of Health, 5365 Fishers Lane, Room 2085, Rockville, MD 20852,...

  11. Nutrition and patient safety a report from the National Patient Safety Agency (United Kingdom).

    PubMed

    Lecko, Caroline

    2010-01-01

    The National Patient Safety Agency (NPSA), established in 2001 as part of the U.K. National Health Service (NHS), extended it's portfolio of patient safety programmes to include nutrition in 2006. Since 2006 the focus of the NPSA's nutrition programme has been to raise awareness of nutrition as a patient safety issue and to encourage healthcare staff to report nutrition related patient safety incidents to the NPSA's reporting data base, the Reporting and Learning System, to identify key themes and areas for national learning. In the summer of 2009 the NPSA were invited by the International Hospital Federation to join the Improving Infant and Child Food Safety in Health Facilities project as a member of the Advisory Group. This opportunity allowed for the NPSA to share their experience and knowledge of nutrition patient safety themes.

  12. [Vulnerability and National Health Service].

    PubMed

    Lima, Cristina

    2006-01-01

    Safegarding health has been an objective of every learned civilization, ancient and modern. In modern times, at least in the western world, the increase in longevity associated with social isolation has created further vu1nerability for the older individua1. Today, healthcare is a social burden of extremely high cost. Among us this service is provided by the National Health Service in accordance to the Constituição da República Portuguesa (Constitution of the Portuguese Republic). Despite the constitutional guarantees of equa1ity in health there are obvious discrepancies in access to health care and the conditions that promote health such as education and wealth. In a poor country, even with limited resources, inequa1ity can be minimized via policies and practical measures founded in equa1ity and social responsibility, not only the principles of economic efficiency. Only in this way can we guarantee equa1 access to health and the distribution of available resources in accordance to health care necessities. Yet, the investment in high technology among us seems out of fase with the investment in the area concerning functional recovery from high morta1ity illness, such as stroke. In Portugal the problem is extremely bad. Life expectancy has been extended but qua1ity of life is still very low. Victims of the social order, the elderly live alone without family who can care for them; on the other hand, the lack of investment in recovery and social integration of individua1s with disabling scars, Turns the ends of their life's into a nightmare for themselves and their kin. It follows stating the necessity to analyse and define the criteria to be used when allocating resources in order to guarantee equality in health and relief from suffering and also to stop discrimination of vu1nerable populations in access to healthcare. Whatever the criteria, it must be pre-defined and its principles widely discussed, reiterating, only that longevity cannot be an acceptable criteria

  13. Health-related biotechnology transfer to Africa: principal-agency relationship issues.

    PubMed

    Kirigia, J M; Muthuri, L K; Kirigia, D G

    2007-01-01

    The aim of this paper is to stimulate debate on the agency (principal-agent) in health-related biotechnology research. It attempts to answer the following questions: What is health-related biotechnology and biotechnology research? What is an agency? What factors are likely to undermine the principal's capacity to exercise informed consent? When might the principal-agency problem arise? How could the agency in biotechnology transfer be strengthened in Sub-Saharan Africa (SSA)? The transfer of health-related biotechnology to SSA ought to be preceded by research to ascertain the effectiveness of such technologies on population health. In that process, the national ethical review committee (REC), as an agent of every human research subject (principal), ought to ensure that international principles (e.g. beneficence, non-malfeasance, autonomy, justice, dignity, truthfulness and honesty) for human experimentation are observed by biotechnology researchers in order to satisfy moral, ethical and legal requirements. The key factors that undermine principals' sovereignty in exercising their right to informed consent to participate in biotechnology trials are discussed. The paper ends with a list of activities that can strengthen the agency, e.g. legislative requirement that all health-related biotechnology transfer should be preceded by rigorous evaluation; continuous update of the agents knowledge of the contents of the international ethical guidelines; and education of potential and actual principals on their human rights; among others.

  14. The 1980 National Natality Survey and National Fetal Mortality Survey--methods used and PHS agency participation.

    PubMed Central

    Placek, P J

    1984-01-01

    Seven Public Health Service agencies collaborated with the National Center for Health Statistics in designing, funding, and analyzing the 1980 National Natality Survey (NNS) and 1980 National Fetal Mortality Survey (NFMS). The 1980 NNS-NFMS were nationally representative surveys based on samples of 9,941 live birth vital records and 6,386 fetal death vital records, which were weighted up to reflect U.S. estimates of 3,612,258 live births and 19,202 fetal deaths at 28 weeks' gestation or more. Four types of potential respondents who were associated with the sampled deliveries (married mothers, hospitals, attendants at delivery, and other medical providers of radiation procedures) were mailed eight-page questionnaires. The aim of the questionnaires was to expand our knowledge of the relationships of social, demographic, maternal health, infant health, and radiation characteristics to live births and late fetal deaths. The methods used in the NNS-NFMS are described in detail since seven other articles and the editorial in this issue are based on these surveys. The availability of other NNS-NFMS data is also discussed. PMID:6424159

  15. Myanmar: promotion of the national health standard.

    PubMed

    1999-09-01

    In order to improve the health, fitness and education standards of the nation, Myanmar has initiated efforts for human resources development and promotion of the national health standard. Among these are the opening of new hospitals and clinics and upgrading of other health facilities, including health centers. The national health policies that were implemented focused on the areas of community health, disease control, environmental health, health systems development, and organization and management. These policies include the provision of health care services throughout the country and enabling cooperatives and private entrepreneurs to actively participate in health care activities, and extending health care services together with international organizations. Through these initiatives efforts are being taken to uplift national health services to international standards.

  16. 75 FR 2545 - Call for Collaborating Partners for National Women's Health Week

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-15

    ... HUMAN SERVICES Call for Collaborating Partners for National Women's Health Week AGENCY: Department of Health and Human Services, Office of the Secretary, Office of Public Health and Science, Office on Women... Women's Health (OWH) ] invites public and private sector women's health-related organizations...

  17. 75 FR 60459 - National Committee on Vital and Health Statistics; Nominations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-30

    ... financing health care services, integrated computerized health information systems, health services research... HUMAN SERVICES National Committee on Vital and Health Statistics; Nominations AGENCY: Office of the... statutory public advisory body to the U.S. Department of Health and Human Services (HHS) in the areas...

  18. [Quality of health care, accreditation, and health technology assessment in Croatia: role of agency for quality and accreditation in health].

    PubMed

    Mittermayer, Renato; Huić, Mirjana; Mestrović, Josipa

    2010-12-01

    standards, and providing other services in the field of healthcare quality assurance, improvement, promotion and monitoring, according to the Act. Formal activities of the Agency in the field of HTA actually began in summer 2009. In the field of quality and accreditation, the plan and program of healthcare quality assurance, improvement, promotion and monitoring was finished and published in October 2010; preparation of the healthcare quality standards as well as the accreditation standards is still in process, with the aim to start accreditation process at 10 hospitals in 2011. Education in the field of healthcare quality assurance, improvement and promotion has been established as a continuous process from the beginning. The Agency is member of the International Society for Quality in Health Care (ISQua) and participates in the work of the European Accreditation Network (EAN). In the field of HTA, the Agency has established international collaboration and support, which resulted in its appointment and participation in the European network for Health Technology Assessment (EUnetHTA) Joint Action Project as a EUnetHTA Partner, as well as its membership in the international society, HTAi. TAIEX project has been approved as a two-day workshop in December 2010. The Croatian HTA Guidelines have been issued with the aim to start the HTA process and reports that should serve as recommendations, as a support to policy-makers at the national level, in particular the Croatian Ministry of Health and Social Welfare, and Croatian Institute of Health Insurance, in making evidence-informed decisions on the strategic planning, investment, management and implementation of technologies in health care, on funding (reimbursement) and coverage of health technologies, and at hospital level on the request from hospital directors and policy teams. In conclusion, establishment of all these measures in Croatia is by no means an easy and quick process, however, we do believe that it is feasible

  19. 76 FR 13969 - Notice of Request for Approval of an Information Collection; National Animal Health Monitoring...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-15

    ...; National Animal Health Monitoring System; Needs Assessments AGENCY: Animal and Plant Health Inspection... National Animal Health Monitoring System needs assessments. DATES: We will consider all comments that we... FURTHER INFORMATION CONTACT: For information on the Needs Assessment study, contact Mr. Chris...

  20. 75 FR 51818 - Office of the National Coordinator for Health Information Technology; HIT Standards Committee's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ... Health Information Technology; HIT Standards Committee's Workgroup Meetings; Notice of Meetings AGENCY: Office of the National Coordinator for Health Information Technology, HHS. ACTION: Notice of meetings... of the National Coordinator for Health Information Technology (ONC). The meetings will be open to...

  1. 78 FR 27183 - Notice of Request for Reinstatement of an Information Collection; National Animal Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-09

    ... Collection; National Animal Health Monitoring System; Dairy 2014 Study AGENCY: Animal and Plant Health... National Animal Health Monitoring System's Dairy 2014 Study to support the dairy industry of the United... INFORMATION CONTACT: For information on the Dairy 2014 Study, contact Mr. Chris Quatrano, Industry...

  2. Health Status of Homeless and Marginally Housed Users of Mental Health Self-Help Agencies.

    ERIC Educational Resources Information Center

    Segal, Steven P.; Gomory, Tomi; Silverman, Carol J.

    1998-01-01

    Investigates the health status of 310 homeless and marginally housed people to determine the usefulness of mental health self-help agencies (SHAs) in addressing their physical health needs. Findings indicated that frequencies of health problems among respondents were similar to those of other homeless or marginally housed groups and that the study…

  3. 75 FR 45150 - National Security Division: Agency Information Collection Activities: Proposed Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-02

    ... National Security Division: Agency Information Collection Activities: Proposed Collection; Comments... Agents). The Department of Justice (DOJ), National Security Division (NSD), will be submitting the... information, please write to U.S. Department of ] Justice, 10th & Constitution Avenue, NW., National...

  4. 75 FR 45153 - National Security Division; Agency Information Collection Activities: Proposed Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-02

    ... National Security Division; Agency Information Collection Activities: Proposed Collection; Comments... Agents). The Department of Justice (DOJ), National Security Division (NSD), will be submitting the... information, please write to U.S. Department of Justice, 10th & Constitution Avenue, NW., National...

  5. 75 FR 45152 - National Security Division: Agency Information Collection Activities: Proposed Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-02

    ... National Security Division: Agency Information Collection Activities: Proposed Collection; Comments... (Foreign Agents). The Department of Justice (DOJ), National Security Division (NSD), will be submitting the... & Constitution Avenue, NW., National Security Division, Counterespionage Section/ Registration Unit,...

  6. Seeking stability in the Medicare home health benefit. Margins evaporate; agencies in financial jeopardy.

    PubMed

    2003-07-01

    In a watershed moment for the home care industry, National Association for Home Care & Hospice (NAHC) staff has obtained, decoded, deciphered, and tabulated rates of return for all Medicare-participating agencies in the nation. The results show the average rate of return for Medicare agencies in the latest fiscal year--that is, before the October 2002 15 percent cut in home health reimbursements, before audits, and before partial episode payment adjustments--is 5.15 percent. That figure is well below the average 22 percent rate of return the Medicare Payment Advisory Commission alleged that home care agencies were making. Following is the text of NAHC's report, along with a letter from the respected firm of Muse & Associates vouching for the accuracy of NAHC's methodology.

  7. 32 CFR Attachment A to Subpart B... - Standard A-National Agency Check With Local Agency Checks and Credit Check (NACLC)

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 1 2011-07-01 2011-07-01 false Standard A-National Agency Check With Local Agency Checks and Credit Check (NACLC) A Attachment A to Subpart B of Part 147 National Defense..., Subpt. B, Att. A Attachment A to Subpart B of Part 147—Standard A—National Agency Check With...

  8. Small Business Grants at the National Cancer Institute and National Institutes of Health

    NASA Astrophysics Data System (ADS)

    Baker, Houston

    2002-10-01

    Ten Federal Agencies set aside 2.5% of their external research budget for US small businesses—mainly for technology research and development, including radiation sensor system developments. Five agencies also set aside another 0.15% for the Small Business Technology Transfer Program, which is intended to facilitate technology transfers from research laboratories to public use through small businesses. The second largest of these agencies is the Department of Health and Human Services, and almost all of its extramural research funds flow through the 28 Institutes and Centers of the National Institutes of Health. For information, instructions, and application forms, visit the NIH website's Omnibus Solicitation for SBIR and STTR applications. The National Cancer Institute is the largest NIH research unit and SBIR/STTR participant. NCI also issues SBIR and STTR Program Announcements of its own that feature details modified to better support its initiatives and objectives in cancer prevention, detection, diagnosis, treatment, and monitoring.

  9. 78 FR 42967 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-18

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Heart, Lung, and Blood Institute; Notice of Closed... Institutes of Health, HHS) Dated: July 12, 2013. Michelle Trout, Program Analyst, Office of Federal...

  10. 78 FR 31947 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-28

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Proposed Collection; 60-Day Comment Request: National Institute of Mental Health Data Access Request and Use Certification SUMMARY: In compliance with...

  11. 75 FR 42758 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-22

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Cancer Institute; Notice of Meeting Pursuant to... Institutes of Health, 9000 Rockville Pike, Building 31, C Wing, 6th Floor, Conference Room 10, Bethesda,...

  12. 76 FR 53685 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-29

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Submission for OMB Review; Comment Request; Partner and... Center for Scientific Review (CSR), National Institutes of Health (NIH), has submitted to the Office...

  13. 76 FR 24476 - Agency Information Collection Activities; Proposed Collection; Comment Request; National Volatile...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-02

    ... Organic Compound Emission Standards for Aerosol Coatings AGENCY: Environmental Protection Agency (EPA... Manufacturing''. Title: National Volatile Organic Compound (VOC) Emission Standards for Aerosol Coatings (40 CFR... volatile organic compounds emissions from the use of consumer and commercial products. Pursuant to...

  14. Medicare-certified home health services: national and regional supply in the 1980s.

    PubMed Central

    Scalzi, C C; Zinn, J S; Guilfoyle, M J; Perdue, S T

    1994-01-01

    The number of Medicare-certified home health agencies nearly doubled from 1980 to 1990. Using Health Care Financing Administration data, this study documented national and regional patterns of entry and exist by Medicare home health providers from 1980 to 1990. Nationally, agency origination rates accelerated during the early 1980s and then dropped abruptly in the second half of the decade. The proprietary sector, accounting for approximately 42% of agencies in existence during the period of the study, exhibited the greatest volatility. Regional differences are also evident. Both expansion and contraction in Medicare home health services appear to be a response to the incentives of legislation implemented during this period. PMID:7943487

  15. National Center for Environmental Health

    MedlinePlus

    ... Services Healthy Homes Healthy Places – Community Design Lead Poisoning Prevention Vessel Sanitation Environmental Hazards and Health Effects ... Program Overviews Built Environment and Health Initiative Childhood Lead Poisoning Prevention Program Climate and Health Environmental Health Laboratory ...

  16. Home Health Compare: Find a Home Health Agency

    MedlinePlus

    ... You” Handbook Help with file formats & plug-ins CMS & HHS Websites HealthCare.gov STOPMedicareFraud.gov InsureKidsNow.gov MyMedicare.gov Medicaid.gov CMS.gov HHS.gov Get Involved with Us Twitter ...

  17. 75 FR 25321 - Agency Information Collection (VA National Rehabilitation Special Events, Event Registration...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... AFFAIRS Agency Information Collection (VA National Rehabilitation Special Events, Event Registration Applications) Activities Under OMB Review AGENCY: Office of National Programs and Special Events, Department of... U.S.C. 3501-21), this notice announces that the Office of National Programs and Special...

  18. 78 FR 76412 - Agency Information Collection (VA National Rehabilitation Special Events, Event Registration...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-17

    ... AFFAIRS Agency Information Collection (VA National Rehabilitation Special Events, Event Registration Applications) Activities Under OMB Review AGENCY: Office of National Programs and Special Events, Department of... U.S.C. 3501-21), this notice announces that the Office of National Programs and Special...

  19. 77 FR 1945 - Agency Information Collection Activities: Proposed Collection; Comment Request, National Fire...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-12

    ...; Comment Request, National Fire Department Census AGENCY: Federal Emergency Management Agency, DHS. ACTION... collect data for the development and continuation of the National Fire Department Census. DATES: Comments..., Statistician, United States Fire Administration, National Fire Data Center, (301) 447-1154 for...

  20. Providing health and social services to illegal alien families: a dilemma for community agencies.

    PubMed

    Young, C L; Hall, W T; Collins, J

    1979-01-01

    Proposals for dealing with illegeal migration from Mexico to the United States generally do not recognize it as an international social problem. The proposals also present contradictory solutions. Amnesty, a humanitarian policy, is being suggested as well as increased restrictions and punishments, a policing policy. However, in the absence of a comprehensive national policy, community social and health care programs must provide services to illegal aliens. This article attempts to document some of the issues that illegal immigration presents for community agencies.

  1. Private Health Care Coverage in the Brazilian population, according to the 2013 Brazilian National Health Survey.

    PubMed

    Malta, Deborah Carvalho; Stopa, Sheila Rizzato; Pereira, Cimar Azeredo; Szwarcwald, Célia Landmann; Oliveira, Martha; Reis, Arthur Chioro Dos

    2017-01-01

    This study aims to present the percentages of the Brazilian population holding health insurance plans, itemized by social-demographic characteristics, based on the data of the National Health Survey carried out in 2013, and to compare this information with the administrative data of the National Supplementary Health Agency for the same year. Data from the National Health Survey, and from the Beneficiaries Information System of the National Health Agency for the year 2013, were used. The percentage of people having a health plan was described according to stratification for: all of Brazil, urban/rural, Brazilian official Regions, Brazilian States and state capitals, gender, age group, level of schooling, position in the workforce, ethnic classification, and self-assessed state of health. Results include the following: The percentage of people saying they had some health plan in Brazil was 27.9% (CI 95%: 27.1-28.8). A significant difference was found relating to level of schooling - the percentage being highest for those who stated they had complete secondary education (68.8% CI 95%: 67.2-70.4) and for those who said they were currently in work (32.5% CI 95%: 31.5-33.5). The increase in health plan coverage in the Brazilian population reflects the improvement of the suply of employment and the growth in the country's economy.

  2. The readiness of addiction treatment agencies for health care reform.

    PubMed

    Molfenter, Todd; Capoccia, Victor A; Boyle, Michael G; Sherbeck, Carol K

    2012-05-02

    The Patient Protection and Affordable Care Act (PPACA) aims to provide affordable health insurance and expanded health care coverage for some 32 million Americans. The PPACA makes provisions for using technology, evidence-based treatments, and integrated, patient-centered care to modernize the delivery of health care services. These changes are designed to ensure effectiveness, efficiency, and cost-savings within the health care system.To gauge the addiction treatment field's readiness for health reform, the authors developed a Health Reform Readiness Index (HRRI) survey for addiction treatment agencies. Addiction treatment administrators and providers from around the United States completed the survey located on the http://www.niatx.net website. Respondents self-assessed their agencies based on 13 conditions pertinent to health reform readiness, and received a confidential score and instant feedback.On a scale of "Needs to Begin," "Early Stages," "On the Way," and "Advanced," the mean scores for respondents (n = 276) ranked in the Early Stages of health reform preparation for 11 of 13 conditions. Of greater concern was that organizations with budgets of < $5 million (n = 193) were less likely than those with budgets > $5 million to have information technology (patient records, patient health technology, and administrative information technology), evidence-based treatments, quality management systems, a continuum of care, or a board of directors informed about PPACA.The findings of the HRRI indicate that the addiction field, and in particular smaller organizations, have much to do to prepare for a future environment that has greater expectations for information technology use, a credentialed workforce, accountability for patient care, and an integrated continuum of care.

  3. 75 FR 37813 - Announcement of Meeting of the Secretary's Advisory Committee on National Health Promotion and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-30

    ... Promotion and Disease Prevention Objectives for 2020 AGENCY: Department of Health and Human Services, Office of the Secretary, Office of Public Health and Science, Office of Disease Prevention and Health... the national health promotion and disease prevention objectives for 2020. This meeting will be open...

  4. 75 FR 20603 - Agency Information Collection Activities; Proposed Collection; Comment Request; Tobacco Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-20

    ... HUMAN SERVICES Food and Drug Administration Agency Information Collection Activities; Proposed Collection; Comment Request; Tobacco Health Document Submission AGENCY: Food and Drug Administration, HHS... comment on the proposed collection of certain information by the agency. Under the Paperwork Reduction...

  5. State and Provincial Fish And Wildlife Agencies Librarians National Conference.

    ERIC Educational Resources Information Center

    Hanson, Donna M.

    1992-01-01

    Discusses agency library information activities, production and dissemination, and resource access as presented at the first conference of state and provincial fish and game agency librarians. Agencies represented include the Fish and Wildlife Reference Service, Aquaculture, United States Fish and Wildlife Service, Bureau of Land Management,…

  6. History, Structure and Agency in Global Health Governance

    PubMed Central

    Gill, Stephen; Benatar, Solomon R.

    2017-01-01

    Ilona Kickbusch’s thought provoking editorial is criticized in this commentary, partly because she fails to refer to previous critical work on the global conditions and policies that sustain inequality, poverty, poor health and damage to the biosphere and, as a result, she misreads global power and elides consideration of the fundamental historical structures of political and material power that shape agency in global health governance. We also doubt that global health can be improved through structures and processes of multilateralism that are premised on the continued reproduction of the ecologically myopic and socially unsustainable market civilization model of capitalist development that currently prevails in the world economy. This model drives net financial flows from poor to rich countries and from the poor to the affluent and super wealthy individuals. By contrast, we suggest that significant progress in global health requires a profound and socially just restructuring of global power, greater global solidarity and the "development of sustainability."

  7. [Innovating the service management of public health: the experience of the Barcelona Public Health Agency (Spain)].

    PubMed

    Guix, Joan; Villalbí, Joan Ramon; Armengol, Ricard; Llebaria, Xavier; Manzanera, Rafael; Plasència, Antoni

    2008-01-01

    We describe the evolution of the organization of public health services in the city of Barcelona (Catalonia, Spain) until the creation of the Barcelona Public Health Agency. This Agency is a consortium created by the Barcelona City Council and the Government of Catalonia as the sole entity responsible for regional and local public health services in the city. The underlying logic for the Agency's design, as well as its mission, vision and value statements, strategy, services' portfolio, and the role of leadership in the process, are analyzed. Aspects related to the Agency's quality and communication plans, as well as the design of its processes, and its policy in terms of alliances for research and training in public health, are discussed. Finally, the main challenges for the future are described.

  8. The Nation's Health and Expenditures for Health: Thoughts on National Policy

    ERIC Educational Resources Information Center

    Burger, Edward J., Jr.

    1974-01-01

    The rise in costs of health care has led to a public questioning of a large number of elements of health services, health care financing, and clinical medicine. The assumption of a relationship between the nation's health and national expenditures for health appears to be of questionable validity. (Editor/PG)

  9. 75 FR 52768 - National Protection and Programs Directorate; Agency Information Collection Activities: Office of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-27

    ... Infrastructure Protection; Chemical Security Awareness Training Program AGENCY: National Protection and Programs... and Programs Directorate. Title: Chemical Security Awareness Training Program (CSATP). OMB...

  10. Does Formal Integration between Child Welfare and Behavioral Health Agencies Result in Improved Placement Stability for Adolescents Engaged with Both Systems?

    ERIC Educational Resources Information Center

    Wells, Rebecca; Chuang, Emmeline

    2012-01-01

    National survey data were used to assess whether child welfare agency ties to behavioral health care providers improved placement stability for adolescents served by both systems. Adolescents initially at home who were later removed tended to have fewer moves when child welfare and behavioral health were in the same larger agency. Joint training…

  11. National Health Insurance and Health Education: Strategies for Change.

    ERIC Educational Resources Information Center

    Dwore, Richard B.

    1980-01-01

    The concept of National Health Insurance (NHI) as one of several strategies for resolving health problems in the U.S. is discussed. NHI goals include comprehensive health care, quality health care, efficient delivery systems, phased-in benefits, and consumer representation. (JD)

  12. Health Education for Health Promotion in Less Developed Nations.

    ERIC Educational Resources Information Center

    Stambler, Moses

    Designed for policy makers and health education professionals, this paper presents a rationale and strategies for adapting health education to meet the needs of developing nations. Emphasis is placed on the need for health promotion rather than prescriptive health education. Section A, the first of two main sections, discusses perceptions of…

  13. National health surveys and health policy: impact of the Jamaica Health and Lifestyle Surveys and the Reproductive Health Surveys.

    PubMed

    Ferguson, T S; Tulloch-Reid, M K; Gordon-Strachan, G; Hamilton, P; Wilks, R J

    2012-07-01

    Over the last six decades, comprehensive national health surveys have become important data-gathering mechanisms to inform countries on their health status and provide information for health policy and programme planning. Developing countries have only recently begun such surveys and Jamaica has been at the forefront of this effort. Jamaica's Reproductive Health Surveys and programme response to their findings have resulted in an almost 50% reduction infertility rates over three decades as well as a 40% reduction in unmet contraceptive needs and a 40% reduction in unplanned pregnancies over the last two decades. The Jamaica Health and Lifestyle Surveys have served to reinforce the major burden that non-communicable diseases place on the society and the extent to which these are driven by unhealthy lifestyles. These surveys have shown that obesity, hypertension, diabetes and dyslipidaemia affect approximately 50%, 25%, 10% and 10% of the adult population, respectively. These surveys have documented low rates of treatment and control for these chronic non-communicable diseases despite two major policy initiatives, the National Programme for the Promotion of Healthy Lifestyles and the creation of the National Health Fund which subsidizes healthcare provision for chronic diseases. In order to maximize the uptake of the findings of future surveys into effective health policy, there will need to be effective collaborations between academia, policy-makers, regional and international health agencies, non-government organizations and civil society. Such collaborations should take into account the social, political and economic issues, thus ensuring a more comprehensive approach to health policy and result in improvement of the nation's health status and by extension national development.

  14. 75 FR 48973 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-12

    ... Review; Comment Request; National Survey of Older Americans Act Title III Service Recipients AGENCY... information to OMB for review and clearance. The National Survey of Older Americans Act Title III...

  15. 77 FR 8273 - Agency Information Collection Activities: Submission for OMB Review; Comment Request, National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-14

    ... Review; Comment Request, National Flood Insurance Program-Mortgage Portfolio Protection Program AGENCY... . SUPPLEMENTARY INFORMATON: Collection of Information Title: National Flood Insurance Program-Mortgage Portfolio... Portfolio Protection Program (MPPP) must review the information listed in the MPPP Agreement and...

  16. 76 FR 70745 - Agency Information Collection Activities: Proposed Collection; Comment Request; National Flood...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-15

    ...; Comment Request; National Flood Insurance Program--Mortgage Portfolio Protection Program AGENCY: Federal... comments concerning the National Flood Insurance Program Mortgage Portfolio Protection program, which is an... mortgage loan portfolios into compliance with the flood insurance purchase requirements. To participate...

  17. 75 FR 49946 - National Drug Intelligence Center: Agency Information Collection Activities: Proposed Extension...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-16

    ... National Drug Intelligence Center: Agency Information Collection Activities: Proposed Extension With Change... Response System. The United States Department of Justice (DOJ), National Drug Intelligence Center (NDIC... Intelligence Center, Fifth Floor, 319 Washington Street, Johnstown, PA 15901. Written comments and...

  18. 77 FR 57154 - Agency Information Collection Activities: Proposed Collection; Comment Request; National Youth...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-17

    ...; National Youth Gang Survey ACTION: 60-Day notice of information collection under review. The U.S.../Collection: National Youth Gang Survey. 3. Agency form number, if any, and the applicable component of the...

  19. 75 FR 52504 - Notice of Request for Approval of an Information Collection; National Animal Health Monitoring...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-26

    ... Information Collection; National Animal Health Monitoring System; Dairy Heifer Raiser 2010 Study AGENCY... National Animal Health Monitoring System Dairy Heifer Raiser 2010 Study. DATES: We will consider all....gov ). FOR FURTHER INFORMATION CONTACT: For information on the Dairy Heifer Raiser 2010 Study,...

  20. 76 FR 72417 - National Health and Nutrition Examination Survey (NHANES) DNA Samples

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-23

    ... National Health and Nutrition Examination Survey (NHANES) DNA Samples AGENCY: Centers for Disease Control... National Health and Nutrition Examination Survey (NHANES) will not be receiving DNA proposals in 2012. NHANES is changing its plan for making DNA available for genetic research and its proposal...

  1. Community health agency administrators' access to public health data for program planning, evaluation, and grant preparation.

    PubMed

    Lane, Sandra D; Cashman, Donna M; Keefe, Robert H; Narine, Lutchmie; Ducre, Bradford; Chesna, Sharon; Hall, Meghan; Oliver, David

    2017-02-01

    The Affordable Care Act mandates that public health data be made available for community agency use. Having access to such data allows community agencies to tailor interventions, evaluations, and funding requests more effectively. This study, jointly undertaken by Syracuse University faculty and students with the New York State Perinatal Association, sought to understand community agencies' access to requests for governmental data, as well as to identify areas for improving data access. Results from this survey of administrators from 43 agencies in New York State found that only one-half of their requests for data were successful. Difficulties in obtaining access to needed data included fiscal and staffing constraints of the state-level agencies that house the data, as well as possible overinterpretation of confidentiality policies. In addition, some of community agency respondents reported that their staff lacked skills in data analysis and would benefit from training in epidemiology and quantitative evaluation.

  2. 78 FR 62638 - National Institute on Minority Health and Health Disparities; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-22

    ... HUMAN SERVICES National Institutes of Health National Institute on Minority Health and Health... unwarranted invasion of personal privacy. Name of Committee: National Institute on Minority Health and Health Disparities Special Emphasis Panel; NIMHD Technologies for Improving Minority Health and Eliminating...

  3. National Space Agencies vs. Commercial Space: Towards Improved Space Safety

    NASA Astrophysics Data System (ADS)

    Pelton, J.

    2013-09-01

    assume that thiscondition will not change. This seems particularly true for high profile, multi-billion dollar programs.The second part of the paper focuses on new commercial space programs that appear to be undertaken in a less restrictive manner; i.e. outside the constraints of politically-driven national space policies. Here the drivers—even within international consortia—seem to be on reliable performance and commercial return. Since sustained accident-free performance is critical to commercial programs very existence and profitability, the inherent role of safety in commercial space industry would seem clear. The question of prime interest for this paper is whether or not it might be possible for smaller and more focused commercial space entities, free from the constraints of space agency organizational and political constraints, to be more "risk adverse" and thus be more nimble in designing "safe" vehicles? If so how can this "safety first" corporate philosophy and management practice be detected and even objectively measured? Could, in the future, risk reduction at the level of design, quality verification, etc., be objectively measured?

  4. 77 FR 19025 - Agency Information Collection Activities: Submission for OMB Review; Comment Request, National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-29

    ...; Comment Request, National Fire Department Census AGENCY: Federal Emergency Management Agency, DHS. ACTION... Fire Department Census. DATES: Comments must be submitted on or before April 30, 2012. ADDRESSES... Title: National Fire Department Census. Type of information collection: Revision of a currently...

  5. 76 FR 16798 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-25

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Center for Scientific Review; Notice of Closed Meeting... Institutes of Health, 6701 Rockledge Drive, Bethesda, MD 20892 (Telephone Conference Call). Contact...

  6. 78 FR 24760 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-26

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Prospective Grant of Start-Up Exclusive License: The... Institutes of Health, HHS. ACTION: Notice. SUMMARY: This is notice, in accordance with 35 U.S.C....

  7. 76 FR 55930 - National Institutes of Health

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-09

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Center For Scientific Review Notice of Closed Meetings... Health, 6701 Rockledge Drive, Room 6194, MSC 7804, Bethesda, MD 20892, 301-996-6208,...

  8. National Institute for Occupational Safety and Health

    MedlinePlus

    ... Analysis and Support (DCAS) Office of Research and Technology Transfer (r2p) Health Effects Laboratory Division (HELD) Division of Safety Research (DSR) Respiratory Health Division (RHD) Office of Mine Safety and Health National Personal Protective ... Research Laboratory Spokane Research Laboratory ...

  9. The International Atomic Energy Agency's activities in radiation medicine and cancer: promoting global health through diplomacy.

    PubMed

    Deatsch-Kratochvil, Amanda N; Pascual, Thomas Neil; Kesner, Adam; Rosenblatt, Eduardo; Chhem, Rethy K

    2013-02-01

    Global health has been an issue of seemingly low political importance in comparison with issues that have direct bearing on countries' national security. Recently, health has experienced a "political revolution" or a rise in political importance. Today, we face substantial global health challenges, from the spread of infectious disease, gaps in basic maternal and child health care, to the globalization of cancer. A recent estimate states that the "overall lifetime risk of developing cancer (both sexes) is expected to rise from more than one in three to one in two by 2015." These issues pose significant threats to international health security. To successfully combat these grave challenges, the international community must embrace and engage in global health diplomacy, defined by scholars Thomas Novotny and Vicanne Adams as a political activity aimed at improving global health, while at the same time maintaining and strengthening international relations. The IAEA (International Atomic Energy Agency) is an international organization with a unique mandate to "accelerate and enlarge the contribution of atomic energy to peace, health, and prosperity throughout the world." This article discusses global health diplomacy, reviews the IAEA's program activities in human health by focusing on radiation medicine and cancer, and the peaceful applications of atomic energy within the context of global health diplomacy.

  10. [The practice of the community health agency in health promotion of and disease prevention].

    PubMed

    Araújo, Maria Rizoneide Negreiros; Assunção, Raquel Silva

    2004-01-01

    This article discusses practices developed by the community health agency in the Family Health Program of Divinópolis--MG reporting on practices in the fields of Health Promotion and Disease Prevention, taking as main reference the principles established at the 1st International Health Promotion Conference, which took place in Canada in 1986. Field research was carried out by questionnaire, direct observation of work and open interviews with community health agencies. A qualitative approach was chosen in which the concepts and statements of the subjects were dealt with in the light of historical and dialectical materialism, and the organization and analysis of the discourses according to the Discourse of the Collective Subject. We conclude that the community health agency performs actions recommended by the Ministry of Health, and that its health promoting actions are confined to the creation of environments favorable to health, actions in the home. It works more widely in disease prevention, in individual actions, health education for the community and for groups at risk, and controlling infectious disease and parasites such as dengue and worms. Its focus of attention is predominantly the individual and not the family.

  11. National Center for Farmworker Health

    MedlinePlus

    ... Data Migrant Health Centers Population Estimates Resources Performance Management & Governance Tool Box > Administrative Governance Human Resources Needs Assessment Service Delivery Emergency Preparedness Call for ...

  12. Charter Schools: A Growing and Diverse National Reform Movement. Statement of Linda G. Morra, Director, Health, Education, and Human Services Division. Testimony before the Subcommittee on Labor, Health and Human Services, Education, and Related Agencies, Committee on Appropriations, U.S. Senate.

    ERIC Educational Resources Information Center

    General Accounting Office, Washington, DC. Health, Education, and Human Services Div.

    This testimony on charter schools is based on a report prepared at the request of the Subcommittee on Labor, Health and Human Services, Education, and related agencies by the General Accounting Office. Remarks focus on charter schools' instructional innovations, autonomy, accountability systems, and the challenges they pose for federal programs.…

  13. 75 FR 51819 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ... Health Information Technology; HIT Policy Committee Advisory Meeting; Notice of Meeting AGENCY: Office of the National Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This... Coordinator for Health Information Technology (ONC). The meeting will be open to the public. Name of...

  14. 75 FR 51820 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ... Health Information Technology; HIT Policy Committee Advisory Meeting; Notice of Meeting AGENCY: Office of the National Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This... Coordinator for Health Information Technology (ONC). The meeting will be open to the public. Name of...

  15. 76 FR 52633 - Notice of Request for Reinstatement of an Information Collection; National Animal Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ... Animal and Plant Health Inspection Service Notice of Request for Reinstatement of an Information Collection; National Animal Health Monitoring System; Swine 2012 Study AGENCY: Animal and Plant Health... accordance with the Paperwork Reduction Act of 1995, this notice announces the Animal and Plant...

  16. 78 FR 12065 - National Institute for Occupational Safety and Health Personal Protective Technology for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-21

    ... Health Personal Protective Technology for Pesticide Handlers: Stakeholder Meeting AGENCY: The National... a.m.-6 p.m.) will include formal sessions on potential health effects of pesticide exposure, work... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH...

  17. 76 FR 16777 - Announcement of Meeting of the Secretary's Advisory Committee on National Health Promotion and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-25

    ... Promotion and Disease Prevention Objectives for 2020 AGENCY: Department of Health and Human Services, Office of the Secretary, Office of the Assistant Secretary for Health, Office of Disease Prevention and... meeting regarding the national health promotion and disease prevention objectives for 2020. This...

  18. 76 FR 33764 - Announcement of Meeting of the Secretary's Advisory Committee on National Health Promotion and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-09

    ... Promotion and Disease Prevention Objectives for 2020 AGENCY: Department of Health and Human Services, Office of the Secretary, Office of the Assistant Secretary for Health, Office of Disease Prevention and... committee meeting regarding the national health promotion and disease prevention objectives for 2020....

  19. 75 FR 7599 - Announcement of Meeting of the Secretary's Advisory Committee on National Health Promotion and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-22

    ... Promotion and Disease Prevention Objectives for 2020 AGENCY: Office of Disease Prevention and Health... the national health promotion and disease prevention objectives for 2020. This meeting will be open to... Health Promotion and Disease Prevention Objectives for 2020 will address efforts to develop the...

  20. Building Public Health Ontario: experience in developing a new public health agency.

    PubMed

    Goel, Vivek

    2012-06-05

    The history and development of Ontario's new public health agency, Public Health Ontario, is explored. The governance model and organizational structure are identified along with an overview of the relationship with the Ontario Ministry of Health and Long-Term Care. The strategic mission and vision are described as are the key functions. The building of the organization through new investments and divestments is explained. The paper concludes with an overview of the challenges encountered and the opportunities ahead.

  1. A National Directory of Internships for Mental Health Counselors: Current Status.

    ERIC Educational Resources Information Center

    Randolph, Daniel Lee; Stuck, Katrina D.

    1989-01-01

    The development of a generic national directory of bachelor's, master's, and doctoral internships for human services agencies is described. Agencies represented in the directory include community mental health centers, correctional, mental retardation, rehabilitation, and other types of facilities. Implications of the increase in the numbers of…

  2. Primary healthcare reform in the United Nations Relief and Works Agency for Palestine Refugees in the Near East.

    PubMed

    Santoro, A; Abu-Rmeileh, N; Khader, A; Seita, A; McKee, M

    2016-09-25

    Palestinian refugees served by the United Nation Relief and Works Agency for Palestine Refugees in the Near East (UNRWA) are experiencing increasing rates of diagnosis of non-communicable diseases. In response, in 2011 UNRWA initiated an Agency-wide programme of primary healthcare reform, informed by the Chronic Care Model framework. Health services were reorganized following a family-centred approach, with delivery by multidisciplinary family health teams supported by updated technical advice. An inclusive clinical information system, termed e-Health, was implemented to collect a wide range of health information, with a focus on continuity of treatment. UNRWA was able to bring about these wide-ranging changes within its existing resources, reallocating finances, reforming its payment mechanisms, and modernizing its drug-procurement policies. While specific components of UNRWA's primary healthcare reform are showing promising results, additional efforts are needed to empower patients further and to strengthen involvement of the community.

  3. National health insurance and the physician assistant.

    PubMed

    Godkins, T R

    1978-01-01

    Although American medicine has vastly improved the delivery of medical care during the last half-century, there are still many problems confronting our health care delivery system. The physician assistant concept is but one attempt of many to alleviate the problem of access to health care of an acceptable quality. Another concept is national health insurance as a measure to bridge the economic gaps in medical care not met by Medicare, Medicaid, and private health insurance; and to make better use of all health resources. Physician assistants can have a beneficial impact on health care under national health insurance by: improving access to care; keeping practice costs down; and improving the quality of care provided. A program of national health insurance will undoubtedly create increased public demand to provide more health services than currently offered by federal programs. National health insurance can succeed only if an appropriate financing mechanism is developed and valid attempts are made to utilize available manpower such as physician assistants. These issues are discussed.

  4. Mental Health Need and Access to Mental Health Services by Youths Involved with Child Welfare: A National Survey.

    ERIC Educational Resources Information Center

    Burns, Barbara J.; Phillips, Susan D.; Wagner, H. Ryan; Barth, Richard P.; Kolko, David J.; Campbell, Yvonne; Landsverk, John

    2004-01-01

    Objective: This study assessed the relationship between the need for and use of mental health services among a nationally representative sample of children who were investigated by child welfare agencies after reported maltreatment. Method: Data were collected at study entry into the National Survey of Child and Adolescent Well-Being and were…

  5. EPIDEMIOLOGY and Health Care Reform The National Health Survey of 1935-1936

    PubMed Central

    2011-01-01

    The National Health Survey undertaken in 1935 and 1936 was the largest morbidity survey until that time. It was also the first national survey to focus on chronic disease and disability. The decision to conduct a survey of this magnitude was part of the larger strategy to reform health care in the United States. The focus on morbidity allowed reformers to argue that the health status of Americans was poor, despite falling mortality rates that suggested the opposite. The focus on chronic disease morbidity proved to be an especially effective way of demonstrating the poor health of the population and the strong links between poverty and illness. The survey, undertaken by a small group of reform-minded epidemiologists led by Edgar Sydenstricker, was made possible by the close interaction during the Depression of agencies and actors in the public health and social welfare sectors, a collaboration which produced new ways of thinking about disease burdens. PMID:21233434

  6. National Alliance for Hispanic Health

    MedlinePlus

    ... in three key areas: research, services, and policy; scientific discovery and benefit for the individual; and, community services and medical practice. Our Work: We believe that quality health means shared decision- ...

  7. Supporting National Men's Health Week.

    THOMAS, 111th Congress

    Rep. Cummings, Elijah E. [D-MD-7

    2009-06-03

    07/09/2009 Received in the Senate and referred to the Committee on Health, Education, Labor, and Pensions. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  8. Supporting National Men's Health Week.

    THOMAS, 111th Congress

    Rep. Cummings, Elijah E. [D-MD-7

    2010-06-14

    06/23/2010 Received in the Senate and referred to the Committee on Health, Education, Labor, and Pensions. (All Actions) Tracker: This bill has the status Passed HouseHere are the steps for Status of Legislation:

  9. National Institutes of Health, Clinical Center

    MedlinePlus

    ... Contact us | Site Map | Staff Only About the Clinical Center Search the Studies Patient Information Education & Training ... Events Staff Directory Dr. John I. Gallin Director, Clinical Center, National Institutes of Health Welcome to the ...

  10. When nurses are also patients: Intimate partner violence and the health system as an enabler of women's health and agency in Johannesburg.

    PubMed

    Sprague, Courtenay; Woollett, Nataly; Parpart, Jane; Hatcher, Abigail M; Sommers, Theresa; Brown, Shelley; Black, Vivian

    2016-01-01

    While violence against women is a recognised global health problem, women's agency in marginalised settings is poorly understood, particularly in relation to health systems. We explored agency as a practical and theoretical construct through qualitative research among 20 nurses with direct or indirect experiences of intimate partner violence (IPV) in Johannesburg. Interviews conducted from August 2013 to March 2014 generated rich descriptions from respondents in five health facilities. Nurses' self-reported IPV matched national prevalence of 24-31%. Findings revealed the way in which agency is enacted by nurses, allowing them the economic means to leave abusive partnerships, yet disabling them from agency and health promotion in their workplace. At the same time, nurses expanded agentic possibilities for patients by enabling a national response to IPV within South African health clinics - one that is largely undocumented. We posit that nurses can serve as important agentic actors in public health systems in low- and middle-income country settings by assisting patients to address IPV, even in the absence of targeted training and guidelines. To ensure the health and well-being of women experiencing IPV, nurses should be supported by the health sector to respond skilfully to patients and to safely process their own experiences of violence.

  11. 42 CFR 441.16 - Home health agency requirements for surety bonds; Prohibition on FFP.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false Home health agency requirements for surety bonds... OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES General Provisions § 441.16 Home health agency requirements...

  12. 42 CFR 441.16 - Home health agency requirements for surety bonds; Prohibition on FFP.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Home health agency requirements for surety bonds... OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICAL ASSISTANCE PROGRAMS SERVICES: REQUIREMENTS AND LIMITS APPLICABLE TO SPECIFIC SERVICES General Provisions § 441.16 Home health agency requirements...

  13. Exploring the effect of organizational culture on consumer perceptions of agency support for mental health recovery.

    PubMed

    Clossey, Laurene; Rheinheimer, David

    2014-05-01

    This research explores the impact of mental health agency culture on consumers' perceptions of agency support for their recovery. This study hypothesized that a constructive organizational culture must be present for consumers to perceive agency support for recovery. A sample of 12 mental health agencies in rural Pennsylvania participated in the research. Agency administrators completed an instrument called the recovery oriented service environment, which measured the number of recovery model program components offered by the agency. Consumers completed the recovery oriented services indicators, which taps into their perception of agency support for recovery. Direct service staff completed the organizational social context, which measured their agency's culture. Results showed that in this sample stronger consumer perceptions of agency support for recovery were correlated with higher ratings of agency constructive culture. The results suggest that agency culture is an important variable to target when implementing recovery model programming.

  14. 77 FR 44647 - Agency Information Collection Activities: Proposed Collection; Comment Request, National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-30

    ...; Comment Request, National Emergency Family Registry and Locator System (NEFRLS) AGENCY: Federal Emergency... FEMA National Emergency Family Registry and Locator System (NEFRLS), which allows adults that have been... the legal basis for FEMA to provide a National Emergency Family Registry and Locator System...

  15. 75 FR 45151 - National Security Division; Agency Information Collection Activities: Proposed Collection...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-02

    ... National Security Division; Agency Information Collection Activities: Proposed Collection; Comments... (Foreign Agents). The Department of Justice (DOJ), National Security Division (NSD), will be submitting the... information, please write to U.S. Department of Justice, 10th & Constitution Avenue, NW., National...

  16. 77 FR 37869 - Agency Information Collection Activities: Proposed Collection; Comment Request-National Hunger...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    ... Request--National Hunger Clearinghouse Database Form AGENCY: Food and Nutrition Service (FNS), USDA... collection is a revision of a currently approved collection for the National Hunger Clearinghouse. DATES... 703-305-2657. SUPPLEMENTARY INFORMATION: Title: National Hunger Clearinghouse Database Form. Form:...

  17. The Federal Government's Relationship to the Nationally Recognized Accrediting Agencies.

    ERIC Educational Resources Information Center

    Office of Education (DHEW), Washington, DC.

    Proceedings include: the keynote address (John Ellis); themes and questions on accreditation and institutional eligibility (David A. Trivett); the task force on futuristic Office of Education criteria for recognition (Samuel P. Martin); possible accreditation agency uses of the products of the Office of Education project on improving the consumer…

  18. A National Agenda for Public Health Informatics

    PubMed Central

    Yasnoff, William A.; Overhage, J. Marc; Humphreys, Betsy L.; LaVenture, Martin

    2001-01-01

    The AMIA 2001 Spring Congress brought together members of the the public health and informatics communities to develop a national agenda for public health informatics. Discussions of funding and governance; architecture and infrastructure; standards and vocabulary; research, evaluation, and best practices; privacy, confidentiality, and security; and training and workforce resulted in 74 recommendations with two key themes—that all stakeholders need to be engaged in coordinated activities related to public health information architecture, standards, confidentiality, best practices, and research; and that informatics training is needed throughout the public health workforce. Implementation of this consensus agenda will help promote progress in the application of information technology to improve public health. PMID:11687561

  19. 76 FR 67459 - Agency Information Collection Activities; Proposed Collection; Comment Request; Survey of “Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... Collection; Comment Request; Survey of ``Health Care Providers' Responses to Medical Device Labeling'' AGENCY... collection ``Health Care Providers' Responses to Medical Device Labeling.'' DATES: Submit either electronic... appropriate, and other forms of information technology. Survey of ``Health Care Providers' Responses...

  20. Earth Science and Public Health: Proceedings of the Second National Conference on USGS Health-Related Research

    USGS Publications Warehouse

    Buxton, Herbert T.; Griffin, Dale W.; Pierce, Brenda S.

    2007-01-01

    The mission of the U.S. Geological Survey (USGS) is to serve the Nation by providing reliable scientific information to describe and understand the earth; minimize loss of life and property from natural disasters; manage water, biological, energy, and mineral resources; and enhance and protect our quality of life. As the Nation?s largest water, earth, and biological science and civilian mapping agency, the USGS can play a significant role in providing scientific knowledge and information that will improve our understanding of the relations of environment and wildlife to human health and disease. USGS human health-related research is unique in the Federal government because it brings together a broad spectrum of natural science expertise and information, including extensive data collection and monitoring on varied landscapes and ecosystems across the Nation. USGS can provide a great service to the public health community by synthesizing the scientific information and knowledge on our natural and living resources that influence human health, and by bringing this science to the public health community in a manner that is most useful. Partnerships with health scientists and managers are essential to the success of these efforts. USGS scientists already are working closely with the public health community to pursue rigorous inquiries into the connections between natural science and public health. Partnering agencies include the Armed Forces Institute of Pathology, Agency for Toxic Substances Disease Registry, Centers for Disease Control and Prevention, U.S. Environmental Protection Agency, Food and Drug Administration, Mine Safety and Health Administration, National Cancer Institute, National Institute of Allergy and Infectious Disease, National Institute of Environmental Health Sciences, National Institute for Occupational Safety and Health, U.S. Public Health Service, and the U.S. Army Medical Research Institute of Infectious Diseases. Collaborations between public

  1. Health Hazard Evaluation Report HETA-93-802-2338, National Centers for Environmental Health, Stamford, Connecticut

    SciTech Connect

    Buchta, T.M.

    1993-07-01

    In response to a request from the National Centers for Environmental Health, technical assistance was rendered in assessing airborne concentrations of methyl-tert-butyl-ether (MtBE), benzene, xylene, and toluene at maintenance facilities for motor vehicles where workers were exposed to gasoline and exhaust emissions. Sites included automobile dealerships, auto repair shops, and municipal agencies. Bulk samples of fuel were collected from sites dispensing gasoline. Monitoring of the air quality was also performed for workers at these sites.

  2. National Library of Medicine Web Resources for Student Health Professionals

    SciTech Connect

    Womble, R.

    2010-04-02

    Familiarize students affiliated with the Student National Medical Association with the National Library of Medicine's online resources that address medical conditions, health disparities, and public health preparedness needs.

  3. 78 FR 77167 - Agency Information Collection Activities; Proposed Collection; Comments Requested: National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-20

    ... of Alcohol, Tobacco, Firearms and Explosives Agency Information Collection Activities; Proposed Collection; Comments Requested: National Firearms Act (NFA)--Special Occupation Taxes (SOT) ACTION: 60-day notice. The Department of Justice (DOJ), Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF),...

  4. 77 FR 3482 - Agency Information Collection Activities: Submission for OMB Review; Comment Request, National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-24

    ... FEMA (Mitigation Directorate/Risk Insurance Division), in the form of a signed letter explaining the...; Comment Request, National Flood Insurance Claims Appeals Process AGENCY: Federal Emergency Management... Insurance Claims Appeals Process. Type of Collection: Revision of a currently approved...

  5. 77 FR 32660 - Agency Information Collection Activities: Proposed Collection; Comment Request, National Interest...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-01

    ... Collection; Comment Request, National Interest Waivers, Supplemental Evidence to I- 140 and I-485 ACTION: 60... Evidence to I-140 and I-485. (3) Agency form number, if any, and the applicable component of the...

  6. 78 FR 20141 - Agency Information Collection Activities; Proposed Collection; Comments Requested: National Drug...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-03

    ... following four points: Evaluate whether the proposed collection of information is necessary for the proper... enforcement agencies. This survey is a critical component of the National Drug Threat Assessment and...

  7. 78 FR 74145 - Agency Information Collection Activities; Proposed Collection; Comment Request; National Survey...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-10

    ... Collection; Comment Request; National Survey of Older Americans Act Participants AGENCY: Administration for Community Living, HHS. ACTION: Notice. SUMMARY: The Administration for Community Living (ACL) is announcing.... Under the Paperwork Reduction Act of 1995 (the PRA), Federal agencies are required to ] publish...

  8. Developing Multi-Agency Teams: Implications of a National Programme Evaluation

    ERIC Educational Resources Information Center

    Simkins, Tim; Garrick, Ros

    2012-01-01

    This paper explores the factors which influence the effectiveness of formal development programmes targeted at multi-agency teams in children's services. It draws on two studies of the National College for School Leadership's Multi-Agency Teams Development programme, reporting key characteristics of the programme, short-term outcomes in terms of…

  9. Support or Control--or Both? The Role of a National Agency.

    ERIC Educational Resources Information Center

    Elmgren, Claes; Roman, Ola; Sjolund, Maivor; Wahlen, Staffan; Ostling, Malin

    1999-01-01

    Discusses the role and position of an educational buffer agency, as exemplified by the Swedish National Agency for Higher Education, with references to: (1) accreditation; (2) quality audit; (3) support of academic leadership; and (4) internal quality enhancement. Concludes that change is best accomplished by emphasizing support in the early…

  10. 76 FR 44354 - Agency Information Collection Activities: Comment Request for National Spatial Data...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-25

    ... Geological Survey Agency Information Collection Activities: Comment Request for National Spatial Data Infrastructure, Cooperative Agreements Program (NSDI CAP) AGENCY: United States Geological Survey (USGS...). SUMMARY: To comply with the Paperwork Reduction Act of 1995 (PRA), we (the U.S. Geological Survey)...

  11. A United Nations Global Health Panel for Global Health Governance.

    PubMed

    Mackey, Tim K; Liang, Bryan A

    2013-01-01

    The World Health Organization now relies upon voluntary contributions tied to specific projects, underwriting 75% of operations. A resulting cacophony of non-governmental, foundation, and private sector actors have emerged overlapping and fractionating WHO programs. In this expanding world of "global health organizations," WHO's role must be redefined. We propose coordination of global health initiatives through a United Nations Global Health Panel with active participation of WHO. Given recent events, the UN is poised to take a greater leadership role in global health.

  12. Joining Forces Between National Scientific Community and National Agencies: The Spanish GEOSS Network

    NASA Astrophysics Data System (ADS)

    Maso, J.; Díaz, P.; Pons, X.; Serral, I.; Belda, F.

    2011-12-01

    Currently, 86 countries are Group on Earth Observations (GEO) members. Mainly, GEO points are relevant national agencies that ensure the national participation in the GEOSS implementation efforts. AEMet (the Spanish Meteorological Office) is the direct responsible for GEOSS in Spain and they participate in GEO Committees and tasks. Also, the European Commission is actively funding European research projects to develop GEOSS using innovative conceptual frameworks and technologies. The success of GEO strongly depends on the contributions from science communities. Unfortunately, difficulties in the development and use of GEOSS resources have been identified in these communities including the earth observation one. Furthermore, up to now, these activities resemble a bottom-up approach, and depend on the initiative of national groups and individuals. There is a lack of a comprehensive outreach and engagement program, to which these activities could be linked, and there is a lack of top-down activities. The 7th framework program project "Coordinating Earth and Environmental cross-disciplinary projects to promote GEOSS" (EGIDA) will coordinate and cooperate with national agencies and existing research projects and will provide network methodologies. CREAF is EGIDA partner and will facilitate the implementation of the EGIDA methodology in Spain. Official Spanish representatives in GEOSS were contacted to explore the possibility of creating a permanent GEOSS-Spain network formed by both national administration bodies and relevant research initiatives. Also to assess the situation, CREAF prepared a questionnaire based on 5 simple questions that are conceived to start a dialog. 14 interviews were done so far by phone to public, private organizations and universities from 9 different European funded projects (EARLINETASOS, EuroSITES, ENVIROGRIDS, EuroGEOSS, ECOOP, GeoViQua, GFG2, HEREPLUS, and HERMIONE) and will be extended to other relevant communities in the near future

  13. [Developing a national health policy: a realistic ambition].

    PubMed

    Lopez, Alain

    2012-01-01

    The current national health policy in France is almost impossible to pin down and define, spread as it is across thirty or so schemes and a hundred or so targets set by a law adopted in 2004. Yet the current legislation defines the national health policy as a standard reference for public policies developed and implemented by the Ministry of Health and associated bodies. In addition, the current policy involves little consultation and is not systematically monitored and evaluated. Developing an interdepartmental health policy combining several intervention strategies and using different regulation tools may seem like an impossible task. It may also seem somewhat imprudent when it claims to define priorities and strategies. In order to overcome these difficulties and inherent contradictions, we need to develop a policy based on three key elements (a strategy, plans and policies, and policy decentralization and devolution). However, it is not enough to merely develop a framework; it is also important to define the steering and oversight plan, the consultation process and a monitoring and evaluation system. The foundations of a policy based on these principles have already been laid. The authorities simply need to continue along the lines of recent policy developments, including the creation of regional agencies (ARS), the creation of a national steering committee, and the various public health plans developed over the last 20 years.

  14. Mental health status of women in Jordan: a comparative study between attendees of governmental and UN relief and works agency's health care centers.

    PubMed

    Al-Modallal, Hanan; Hamaideh, Shaher; Mudallal, Rula

    2014-05-01

    This study aimed at investigating differences in mental health problems between attendees of governmental and United Nations Relief and Works Agency for Palestine Refugees health care centers in Jordan. Further, predictors of mental health problems based on women's demographic profile were investigated. A convenience sample of 620 women attending governmental and United Nations Relief and Works Agency for Palestine Refugees health care centers in Jordan was recruited for this purpose. Independent samples t-tests were used to identify differences in mental health, and multiple linear regression was implemented to identify significant predictors of women's mental health problems. Results indicated an absence of significant differences in mental health problems between attendees of the two types of health care centers. Further, among the demographic indicators that were tested, income, spousal violence, and general health were the predictors of at least three different mental health problems in women. This study highlights opportunities for health professionals to decrease women's propensity for mental health problems by addressing these factors when treating women attending primary care centers in different Jordanian towns, villages, and refugee camps.

  15. 76 FR 56503 - Agency Information Collection Activity (VSO Access to VHA Electronic Health Records) Under OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-13

    ... AFFAIRS Agency Information Collection Activity (VSO Access to VHA Electronic Health Records) Under OMB... INFORMATION: Title: VSO Access to VHA Electronic Health Records, VA Form 10- 0400. OMB Control Number: 2900... recorded in VHA electronic health records system. An agency may not conduct or sponsor, and a person is......

  16. 77 FR 50551 - Agency Information Collection: Emergency Submission for OMB Review (PACT VISN20 Health Care...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-21

    ... AFFAIRS Agency Information Collection: Emergency Submission for OMB Review (PACT VISN20 Health Care... No. 2900-New (VA Form 10-0535). SUPPLEMENTARY INFORMATION: Title: PACT VISN20 Health Care Experiences...); Comment Request AGENCY: Veterans Health Administration, Department of Veterans Affairs. ACTION:...

  17. 29 CFR 1960.6 - Designation of agency safety and health officials.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 9 2011-07-01 2011-07-01 false Designation of agency safety and health officials. 1960.6 Section 1960.6 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH... AND HEALTH PROGRAMS AND RELATED MATTERS Administration § 1960.6 Designation of agency safety...

  18. 29 CFR 1960.80 - Secretary's evaluations of agency occupational safety and health programs.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... EMPLOYEE OCCUPATIONAL SAFETY AND HEALTH PROGRAMS AND RELATED MATTERS Evaluation of Federal Occupational Safety and Health Programs § 1960.80 Secretary's evaluations of agency occupational safety and health... distribute to Federal agencies detailed information on the Department of Labor's evaluation program....

  19. 29 CFR 1960.80 - Secretary's evaluations of agency occupational safety and health programs.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... EMPLOYEE OCCUPATIONAL SAFETY AND HEALTH PROGRAMS AND RELATED MATTERS Evaluation of Federal Occupational Safety and Health Programs § 1960.80 Secretary's evaluations of agency occupational safety and health... distribute to Federal agencies detailed information on the Department of Labor's evaluation program....

  20. 29 CFR 1960.80 - Secretary's evaluations of agency occupational safety and health programs.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... EMPLOYEE OCCUPATIONAL SAFETY AND HEALTH PROGRAMS AND RELATED MATTERS Evaluation of Federal Occupational Safety and Health Programs § 1960.80 Secretary's evaluations of agency occupational safety and health... distribute to Federal agencies detailed information on the Department of Labor's evaluation program....

  1. 29 CFR 1960.80 - Secretary's evaluations of agency occupational safety and health programs.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... EMPLOYEE OCCUPATIONAL SAFETY AND HEALTH PROGRAMS AND RELATED MATTERS Evaluation of Federal Occupational Safety and Health Programs § 1960.80 Secretary's evaluations of agency occupational safety and health... distribute to Federal agencies detailed information on the Department of Labor's evaluation program....

  2. 78 FR 38287 - Bitterroot National Forest, Darby Ranger District, Como Forest Health Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-26

    ... Forest Service Bitterroot National Forest, Darby Ranger District, Como Forest Health Project AGENCY: Forest Service. ACTION: Notice; Correction. SUMMARY: The Department of Agriculture (USDA), Forest Service, Bitterroot National Forest, Darby Ranger District published a document in the Federal Register of June...

  3. 75 FR 151 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-04

    ... Information Technology; HIT Policy Committee Advisory Meeting; Notice of Meeting AGENCY: Office of the National Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice... Health Information Technology (ONC). The meeting will be open to the public. Name of Committee:...

  4. 75 FR 51819 - Office of the National Coordinator for Health Information Technology; HIT Policy Committee's...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-23

    ... Information Technology; HIT Policy Committee's Workgroup Meetings; Notice of Meetings AGENCY: Office of the National Coordinator for Health Information Technology, HHS. ACTION: Notice of meetings. This notice... Coordinator for Health Information Technology (ONC). The meetings will be open to the public via...

  5. 75 FR 151 - Office of the National Coordinator for Health Information Technology; HIT Standards Committee...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-04

    ... Information Technology; HIT Standards Committee Advisory Meeting; Notice of Meeting AGENCY: Office of the National Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. This notice... Health Information Technology (ONC). The meeting will be open to the public. Name of Committee:...

  6. 75 FR 52711 - Notice of Request for Approval of an Information Collection; National Animal Health Monitoring...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-27

    ...; National Animal Health Monitoring System; Sheep 2011 Study AGENCY: Animal and Plant Health Inspection... Sheep 2011 Study. DATES: We will consider all comments that we receive on or before October 26, 2010... INFORMATION CONTACT: For information on the Sheep 2011 Study, contact Ms. Sandra Warnken, Management...

  7. Customer complaints in the National Health Service.

    PubMed

    Reid, N; Reid, R; Morris, D

    1995-11-01

    This paper addresses the role of consumer complaints in the flourishing quality assurance industry within the National Health Service (NHS), and considers the traditional ethos of complaints within the service. The advent of the internal market is considered as one of a range of factors which may change attitudes of NHS staff to complaints. In evaluating how complaints services might develop relevant literature is reviewed and recent national data on complaints procedures are cited.

  8. HNET - A National Computerized Health Network

    PubMed Central

    Casey, Mark; Hamilton, Richard

    1988-01-01

    The HNET system demonstrated conceptually and technically a national text (and limited bit mapped graphics) computer network for use between innovative members of the health care industry. The HNET configuration of a leased high speed national packet switching network connecting any number of mainframe, mini, and micro computers was unique in it's relatively low capital costs and freedom from obsolescence. With multiple simultaneous conferences, databases, bulletin boards, calendars, and advanced electronic mail and surveys, it is marketable to innovative hospitals, clinics, physicians, health care associations and societies, nurses, multisite research projects libraries, etc.. Electronic publishing and education capabilities along with integrated voice and video transmission are identified as future enhancements.

  9. Socialism and the British National Health Service.

    PubMed

    Powell, M

    1997-09-01

    This paper examines some of the key characteristics of a socialist health care system using the example of the British National Health Service (NHS). It has been claimed that the NHS has socialist principles, and represents an island of socialism in a capitalist sea. However, using historical analysis, this paper argues that while the NHS claims some socialist ends, they could never be fully achieved because of the lack of socialist means. The socialist mechanisms which were associated with earlier plans for a national health service such as salaried service, health centres, elected health authorities and divorcing private practice from the public service were discarded in negotiation. Moreover, even these would have achieved socialism merely in the sense of distributing health care, without any deeper transformation associated with doctor-patient relationships and prevention. In short, the NHS is more correctly seen as nationalised rather than socialised medicine, achieving the first three levels of a socialist health service identified here. It can be said to have socialist principles in the limited distributional sense and has some socialist means to achieve these. However, it lacks the stronger means to fully achieve its distributional goals, and is very distant from the third level of a radical transformation of health care.

  10. Health-Care Provider Preferences for Time-Sensitive Communications from Public Health Agencies

    PubMed Central

    Revere, Debra; Painter, Ian; Oberle, Mark

    2014-01-01

    Objective The Rapid Emergency Alert Communication in Health (REACH) Trial was a randomized control trial to systematically compare and evaluate the effectiveness of traditional and mobile communication modalities for public health agencies to disseminate time-sensitive information to health-care providers (HCPs). We conducted a sub-study to identify the communication channels by which HCPs preferred receiving public health alerts and advisories. Methods Enrolled HCPs were blindly randomized into four message delivery groups to receive time-sensitive public health messages by e-mail, fax, or short message service (SMS) or to a no-message control group. Follow-up interviews were conducted 5–10 days after the message. In the final interview, additional questions were asked regarding HCP preferences for receiving public health alerts and advisories. We examined the relationship between key covariates and preferred method of receiving public health alert and advisory messages. Results Gender, age, provider type, and study site showed statistically significant associations with delivery method preference. Older providers were more likely than younger providers to prefer e-mail or fax, while younger providers were more likely than older providers to prefer receiving messages via SMS. Conclusions There is currently no evidence-based research to guide or improve communication between public health agencies and HCPs. Understanding the preferences of providers for receiving alerts and advisories may improve the effectiveness of vital public health communications systems and, in turn, may enhance disease surveillance, aid in early detection, and improve case finding and situational awareness for public health emergencies. PMID:25355977

  11. The Impact of Nursing and Allied Health Professional Organizations and Accrediting Agencies on Community College Curricula. Proceedings of the Annual Conference of the National Council of Instructional Administrators (St. Louis, Missouri, April 4-7, 1982).

    ERIC Educational Resources Information Center

    American Association of Community and Junior Colleges, Washington, DC. National Council of Instructional Administrators.

    The influence of professional accreditation on community college nursing and allied health curricula is discussed in these five papers. First, Robert Evans presents the community college viewpoint, distinguishing between general/institutional and programmatic accreditation, outlining the growth of programmatic accreditation, and citing as concerns…

  12. 32 CFR Attachment A to Subpart B... - Standard A-National Agency Check With Local Agency Checks and Credit Check (NACLC)

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Agency Checks and Credit Check (NACLC) A Attachment A to Subpart B of Part 147 National Defense..., Subpt. B, Att. A Attachment A to Subpart B of Part 147—Standard A—National Agency Check With Local...) from the date of, the previous investigation or reinvestigation. (Attachment D to this subpart, Table...

  13. 76 FR 59379 - Agency Information Collection Activities: Proposed Collection; Comment Request-National Universal...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-26

    ... Request--National Universal Product Code (UPC) Database AGENCY: Food and Nutrition Service (FNS), USDA... to Patricia Davis at 703-305-2746. SUPPLEMENTARY INFORMATION: Title: National Universal Product Code... of sale systems to identify WIC approved foods and their associated Universal Product Code (UPC)...

  14. 77 FR 64382 - Agency Information Collection (Nation-Wide Customer Satisfaction Surveys) Activities Under OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Agency Information Collection (Nation-Wide Customer Satisfaction Surveys) Activities Under OMB....'' SUPPLEMENTARY INFORMATION: Title: Nation-wide Customer Satisfaction Surveys, VA Forms 10-1465- 2 through...

  15. 77 FR 51577 - Agency Information Collection Activities; Proposed Collection; Comments Requested: National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-24

    ... Collection; Comments Requested: National Response Team Customer Satisfaction Survey ACTION: 30-Day notice of...: National Response Team Customer Satisfaction Survey. (3) Agency form number, if any, and the applicable... distributes a program- specific customer satisfaction survey to more effectively capture customer...

  16. 75 FR 25320 - Agency Information Collection (Nation-wide Customer Satisfaction Surveys) Activities Under OMB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF VETERANS AFFAIRS Agency Information Collection (Nation-wide Customer Satisfaction Surveys) Activities Under OMB... INFORMATION: Title: Nation-wide Customer Satisfaction Surveys, VA Forms 1465-2 through 1465-4. OMB...

  17. 77 FR 37919 - Agency Information Collection Activities: Proposed Collection; Comments Requested: National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    ... Collection; Comments Requested: National Response Team Customer Satisfaction Survey ACTION: 60-Day Notice of... collection. (2) Title of the Form/Collection: National Response Team Customer Satisfaction Survey. (3) Agency... Explosives distributes a program- specific customer satisfaction survey to more effectively capture...

  18. 77 FR 7171 - Agency Information Collection Activities: Proposed Collection; Comment Request, National Fire...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-10

    ...; Comment Request, National Fire Incident Reporting System (NFIRS) v5.0 AGENCY: Federal Emergency Management... National Fire Incident Reporting System (NFIRS) v5.0. The program provides a well established mechanism, using standardized reporting methods, to collect and analyze fire incident data at the Federal,...

  19. Forging University-Community Collaboration: The Agency Perspective on National Service.

    ERIC Educational Resources Information Center

    Tice, Carol H.

    1994-01-01

    With passage of the National and Community Service Trust Act of 1993, national service volunteers will be joining forces with community-based organizations to work with underserved populations, creating many challenges. The community agency perspective on some anticipated challenges, possible responses, and application of principles of good…

  20. 76 FR 31618 - National Center on Minority Health and Health Disparities; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-01

    ... HUMAN SERVICES National Institutes of Health National Center on Minority Health and Health Disparities.... App.), notice is hereby given of a meeting of the National Advisory Council on Minority Health and... personal privacy. Name of Committee: National Advisory Council on Minority Health and Health...

  1. Colombia: reasons to create a national space agency

    NASA Astrophysics Data System (ADS)

    Arenales-Vergara, Oscar A.

    2004-01-01

    All modern nations are concerned with their independence, whether political, economic, or intellectual. That is why we support countries which are in the process of development becoming actively involved in the international space scene. Indeed, having limitations in industrial and technological exchange, we feel excluded today from key fields which hold promise for our future. The present moment is one of serious crises in Colombia's history. This paper thus proposes to demonstrate how the nation could, in an atmosphere free from fratricidal conflicts, exploit its space capabilities. We do not limit our focus to the scientific field, but also consider the social, economic and cultural aspects. The results of this research delineate how Colombia could start a new optimistic phase of its development, joining the international space programs within the framework of agreements among the regional governments in Latin America.

  2. 75 FR 26759 - Health Care Integrity and Protection Data Bank (HIPDB) and National Practitioner Data Bank (NPDB...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-12

    ...] [FR Doc No: 2010-11368] DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Health Care Integrity and Protection Data Bank (HIPDB) and National Practitioner Data Bank (NPDB... 1996. Government agencies that license or certify health care practitioners, providers or...

  3. Identifying the key performance improvement domains for home health agencies

    PubMed Central

    Koru, Güneş; Alhuwail, Dari; Rosati, Robert J.

    2015-01-01

    Objective: The objective of this study was to support home health agencies (HHAs) in the United States (US) in their individualized quality assessment and performance improvement (QAPI) initiatives by identifying their key performance improvement domains (KPIDs). Methods: Qualitative research was conducted by following the Framework method. Rich contextual data were obtained through focus group meetings participated by domain experts. The analysis results were further refined in an online forum and validated at a final meeting. Results: Four focus groups involving a total of 20 participants resulted in useful discussions during which various perspectives were expressed by the expert participants. A well-defined set of 17 KPIDs emerged under four categories, namely, economical value, sociocultural sensitivity, interpersonal relationships, and clinical capabilities. Conclusions: The feedback we received from the focus groups indicates that performance improvement in HHAs is a lot more complicated than simply assessing whether certain clinical tasks are performed. The KPIDs identified in this study can help HHAs in their focused and individualized QAPI initiatives. Therefore, the results should be immediately relevant, interesting, and useful to the home care industry and policy makers in the US. PMID:27092266

  4. Guided reflection: a participatory evaluation and planning process to promote recovery in mental health services agencies.

    PubMed

    Jacobson, Nora; Greenley, Dianne; Breedlove, Lynn; Roschke, Ruth; Koberstein, Jen

    2003-01-01

    This brief report describes a participatory evaluation and planning process--a "guided reflection"--that mental health services agencies can use to examine the state of recovery awareness and implementation in their organizations. The process revolves around structured small group discussions, identification of agency strengths and weaknesses, and the formation of an agency "recovery action team" to set priorities and plan for change.

  5. Loving and Leaving Public Health: Predictors of Intentions to Quit Among State Health Agency Workers

    PubMed Central

    Liss-Levinson, Rivka; Bharthapudi, Kiran; Leider, Jonathon P.; Sellers, Katie

    2015-01-01

    Context: State health agencies play a critical role in protecting and promoting the health and well-being of the people they serve. To be effective, they must maintain a highly skilled, diverse workforce of sufficient size and with proper training. Objective: The goal of this study was to examine demographics, job and workplace environment characteristics, job satisfaction, and reasons for initially joining the public health workforce as predictors of an employee's intentions to leave an organization within the next year. Design: This study used a cross-sectional design. Respondents were selected on the basis of a stratified sampling approach, with 5 geographic (paired Health and Human Services [HHS] regions) as the primary strata. Balanced repeated replication was used as a resampling method for variance estimation. A logistic regression model was used to examine the correlates of intentions to leave one's organization within the next year. The independent variables included several measures of satisfaction, perceptions about the workplace environment, initial reasons for joining public health, gender, age, education, salary, supervisory status, program area, and paired HHS region. Setting and Participants: The sample for this study consisted of 10 246 permanently employed state health agency central office employees who responded to the Public Health Workforce Interests and Needs Survey (PH WINS). Main Outcome Measure: Considering leaving one's organization within the next year. Results: Being a person of color, living in the West (HHS regions 9 and 10), and shorter tenure in one's current position were all associated with higher odds of intentions to leave an organization within the next year. Conversely, greater employee engagement, organizational support, job satisfaction, organization satisfaction, and pay satisfaction were all significant predictors of lower intentions to leave one's organization within the next year. Conclusions: Results from this study

  6. Health and the National Information Infrastructure

    PubMed Central

    Detmer, Don E.

    1998-01-01

    Only information technology offers society the opportunity to reinvent health care into a more value-driven, knowledge-based, cost-effective industry. The author urges the health informatics community to assume greater leadership for defining and securing a robust health information infrastructure (HII). A blueprint for the future tied to a coalition of advocates pushing for change would enable the step-interval improvements in health care needed by the nation. Our nation and its people are fortunate. We are blessed with a system of government that offers ordinary citizens the opportunity to shape the future, leadership that seeks to anticipate and create a better society, and at present a robust economy. Moreover, like many other countries, we are benefiting from astounding advances in medical knowledge and technologies. Finally, the increasing power and affordability of information technology is transforming the work of many industries and incrementally changing the lives of many citizens. At the same time this is true, there is much about which to be concerned with respect to health care. Tens of millions lack financial access to care; quality is very uneven and not receiving serious attention from health professionals; and costs are once again rising. Our people are unhappy with their care; providers are unhappy with the system; payers will soon become more unhappy about costs; and government reacts by enacting regulations that will fail to create substantial change. There will never be sufficient funds to do all we would like to do. Better knowledge and treatments will come from biomedical research, but the progress will be gradual and likely offset by increased demand by an aging society. While improved health care system management will result from health services research, only the information technology revolution and better policy offer promise of dramatic help. Yet there is little evidence of movement to harness this opportunity. One of the great

  7. Social surveys and health policy implications for national health insurance.

    PubMed Central

    Aday, L A; Andersen, R; Anderson, O W

    1977-01-01

    The authors explore the utility of applying social survey data (a) to evaluate the impact of existing health programs and (b) to rank-order priorities concerning future health care policies. Based on national survey data from 1963, 1970, and 1976, they concluded that although Medicare and Medicaid have enabled more people to see a physician than ever before, a large proportion of the population still registers dissatisfaction with the health care they received--particularly with respect to their out-of-pocket costs for obtaining it. However, national health insurance options favored by the majority of the population--particularly those who can best afford the cost of care--suggest preferences for programs that incorporate some mix of existing modes of financing rather than those that provide for substantial restructuring of the current system. PMID:337340

  8. Who killed the English National Health Service?

    PubMed Central

    Powell, Martin

    2015-01-01

    The death of the English National Health Service (NHS) has been pronounced many times over the years, but the time and cause of death and the murder weapon remains to be fully established. This article reviews some of these claims, and asks for clearer criteria and evidence to be presented. PMID:25905477

  9. Health policy evolution in Lao People's Democratic Republic: context, processes and agency.

    PubMed

    Jönsson, Kristina; Phoummalaysith, Bounfeng; Wahlström, Rolf; Tomson, Göran

    2015-05-01

    During the last 20 years Lao People's Democratic Republic has successfully developed and adopted some 30 health policies, strategies, decrees and laws in the field of health. Still, the implementation process remains arduous. This article aims at discussing challenges of health policy development and effective implementation by contextualizing the policy evolution over time and by focusing particularly on the National Drug Policy and the Health Care Law. Special attention is given to the role of research in policymaking. The analysis was guided by the conceptual framework of policy context, process, content and actors, combined with an institutional perspective, and showed that effective implementation of a health policy is highly dependent on both structures and agency of those involved in the policy process. The National Drug Policy was formulated and adopted in a short period of time in a resource-scarce setting, but with dedicated policy entrepreneurs and support of concerned international collaborators. Timely introduction of operational health systems research played a crucial role to support the implementation, as well as the subsequent revision of the policy. The development of the Health Care Law took several years and once adopted, the implementation was delayed by institutional legacies and issues concerning the choice of institutional design and financing, despite strong support of the law among the policymakers. Among many factors, timing of the implementation appeared to be of crucial importance, in combination with strong leadership. These two examples show that more research, that problematizes the complex policy environment in combination with improved communication between researchers and policymakers, is necessary to inform about measures for effective implementation. A way forward can be to strengthen the domestic research capacity and the international research collaboration regionally as well as globally.

  10. Health policy evolution in Lao People’s Democratic Republic: context, processes and agency

    PubMed Central

    Jönsson, Kristina; Phoummalaysith, Bounfeng; Wahlström, Rolf; Tomson, Göran

    2015-01-01

    During the last 20 years Lao People’s Democratic Republic has successfully developed and adopted some 30 health policies, strategies, decrees and laws in the field of health. Still, the implementation process remains arduous. This article aims at discussing challenges of health policy development and effective implementation by contextualizing the policy evolution over time and by focusing particularly on the National Drug Policy and the Health Care Law. Special attention is given to the role of research in policymaking. The analysis was guided by the conceptual framework of policy context, process, content and actors, combined with an institutional perspective, and showed that effective implementation of a health policy is highly dependent on both structures and agency of those involved in the policy process. The National Drug Policy was formulated and adopted in a short period of time in a resource-scarce setting, but with dedicated policy entrepreneurs and support of concerned international collaborators. Timely introduction of operational health systems research played a crucial role to support the implementation, as well as the subsequent revision of the policy. The development of the Health Care Law took several years and once adopted, the implementation was delayed by institutional legacies and issues concerning the choice of institutional design and financing, despite strong support of the law among the policymakers. Among many factors, timing of the implementation appeared to be of crucial importance, in combination with strong leadership. These two examples show that more research, that problematizes the complex policy environment in combination with improved communication between researchers and policymakers, is necessary to inform about measures for effective implementation. A way forward can be to strengthen the domestic research capacity and the international research collaboration regionally as well as globally. PMID:24740710

  11. Correlates of consumer trust in online health information: findings from the health information national trends survey.

    PubMed

    Ye, Yinjiao

    2011-01-01

    The past few decades have witnessed a dramatic increase in consumers seeking health information online. However, the quality of such information remains questionable, and the trustworthiness of online health information has become a hot topic, whereas little attention has been paid to how consumers evaluate online health information credibility. This study builds on theoretical perspectives of trust such as personal-capital-based, social-capital-based, and transfer-based, and it examines various correlates of consumer trust in online health information. The author analyzed the 2007 Health Information National Trends Survey data (N = 7,674). Results showed that consumer trust in online health information did not correlate with personal capital such as income, education, and health status. Social capital indicated by visiting social networking Web sites was not associated with trust in online health information either. Nevertheless, trust in online health information transferred from traditional mass media and government health agencies to the Internet, and it varied by such information features as easiness to locate and to understand. Age appeared to be a key factor in understanding the correlates of trust in online health information. Theoretical and empirical implications of the results are discussed.

  12. Nutrition labelling: perspectives of a bi-national agency for Australia and New Zealand.

    PubMed

    Curran, Margaret A

    2002-01-01

    Australia New Zealand Food Authority (ANZFA) is a bi-national government agency forming a partnership between all of Australia's States and Territories and the New Zealand government. Australia New Zealand Food Authority employs scientific, legal policy, communication and administrative staff in our Australia and New Zealand offices. Prior to 1991 each of Australia's States and Territories had their own food standards; however, in 1991 Commonwealth legislation was introduced to consolidate responsibility for developing food standards in one specialist agency and to ensure the uniformity of Standards across all States and Territories in Australia. This was extended to New Zealand in 1995 when we became a bi-national agency following the signing of a Treaty between Australia and New Zealand to develop joint food standards for both countries. Australia New Zealand Food Authority's objectives in setting food standards are to: protect public health and safety; provide adequate information to enable consumers to make informed choices; and prevent misleading or deceptive conduct. Health Ministers have recently approved a new Joint Food Standards Code for Australia and New Zealand. This is the result of over 6 year's work and many rounds of public consultation. The new Code has had extensive input from government agencies, industry and consumers. In drafting the new code our emphasis has been on making decisions based on sound science and the most up-to-date information available. We also recognized the need for Standards to be practical in not imposing unnecessary costs on food manufacturers with an inevitable flow on effect to consumer prices. The Joint Code will replace both the existing Australian Food Standards Code and the New Zealand Food Regulations after a 2-year transition period. During the development of the Joint Code a wide range of matters were considered in relation to labelling. Amongst these were consumer needs, costs to industry, voluntary versus

  13. Congenital anomalies in Canada 2013: a perinatal health surveillance report by the Public Health Agency of Canada's Canadian Perinatal Surveillance System.

    PubMed

    Irvine, B; Luo, W; León, J A

    2015-03-01

    Congenital Anomalies in Canada 2013: A Perinatal Health Surveillance Report is the second national surveillance report from the Public Health Agency of Canada dedicated to congenital anomalies. It provides comprehensive data on congenital anomalies in Canada, focussing on 6 categories of congenital anomalies: Down syndrome, neural tube defects, congenital heart defects, orofacial clefts, limb deficiency defects and gastroschisis. The report presents national-level birth prevalence data and temporal trends, provincial and territorial estimates, and international comparisons. Known risk factors, prevalence-related impacts of prenatal diagnosis and preventative measures are also discussed.

  14. The effect of health payment reforms on cost containment in Taiwan hospitals: the agency theory perspective.

    PubMed

    Chang, Li

    2011-01-01

    This study aims to determine whether the Taiwanese government's implementation of new health care payment reforms (the National Health Insurance with fee-for-service (NHI-FFS) and global budget (NHI-GB)) has resulted in better cost containment. Also, the question arises under the agency theory whether the monitoring system is effective in reducing the risk of information asymmetry. This study uses panel data analysis with fixed effects model to investigate changes in cost containment at Taipei municipal hospitals before and after adopting reforms from 1989 to 2004. The results show that the monitoring system does not reduce information asymmetry to improve cost containment under the NHI-FFS. In addition, after adopting the NHI-GB system, health care costs are controlled based on an improved monitoring system in the policymaker's point of view. This may suggest that the NHI's fee-for-services system actually causes health care resource waste. The GB may solve the problems of controlling health care costs only on the macro side.

  15. Assessing overall, technical, and scale efficiency among home health care agencies.

    PubMed

    Valdmanis, Vivian G; Rosko, Michael D; Leleu, Hervé; Mukamel, Dana B

    2016-01-04

    While home health care agencies (HHAs) play a vital role in the production of health, little research has been performed gauging their efficiency. Employing a robust approach to data envelopment analysis (DEA) we assessed overall, technical, and scale efficiency on a nationwide sample of HHAs. After deriving the three efficiency measures, we regressed these scores on a variety of environmental factors. We found that HHAs, on average, could proportionally reduce inputs by 28 % (overall efficiency), 23 % (technical efficiency) and 6 % (scale efficiency). For-profit ownership was positively associated with improvements in overall efficiency and technical efficiency and chain ownership was positively associated with global efficiency. There were also state-by-state variations on all the efficiency measures. As home health becomes an increasingly important player in the health care system, and its share of national health expenditures increases, it has become important to understand the cost structure of the industry and the potential for efficiencies. Therefore, further research is recommended as this sector continues to grow.

  16. Strategic philanthropy: an opportunity for partnership between corporations and health/human service agencies.

    PubMed

    Marx, J D

    1996-01-01

    The study is a national survey of corporate philanthropy programs. The original problem underlying the study is the long-term decline in the percentage of total corporate contributions to health and human services. A questionnaire, mailed in May of 1993, was used to investigate the impact of strategic philanthropy on the relationship between corporations and health/human service organizations. Corporations strategically prioritizing their philanthropic support were expected to create new opportunities for partnerships between business and health/human service agencies. The survey resulted in a sample of 226 corporations. The results showed statistically significant support for the hypothesis that highly strategic philanthropy programs will be more likely to enter into a health/human service partnership than less strategic programs. The multiple regression analysis method was used to control for the effects of corporate size, industry type, the (corporate) contributions management organization, and United Way credibility. Based upon the results of the study, United Way is recommended to consider new roles for itself as a facilitator of partnerships between business and health/human service organizations.

  17. Service Learning in Public Health: Exploring the Benefit to Host Agencies in CDC's Public Health Associate Program.

    PubMed

    Wigington, Corinne J; Sobelson, Robyn K; Duncan, Heather L; Young, Andrea C

    2017-02-08

    The "learn by doing" approach to training is common in the public health field and is a core component of service-learning programs. Trainee satisfaction, learning, and application of learning have been studied. What is less understood is the perspective of the agencies that host trainees. This study aimed to identify whether and how the Centers for Disease Control and Prevention's Public Health Associate Program (PHAP) adds value to the agencies that host trainees during 2-year field assignments. An exploratory, qualitative study design consisting of 9 semistructured telephone interviews with PHAP host agency supervisors was used. Results suggested that PHAP increased host agencies' capacity by assigning capable trainees to host agencies. Trainees made quality contributions that led to agency- and/or community-wide improvements and positively affected the agencies' culture. Further evaluation of the host perspective is necessary; as coupled with the trainee's perspective, it will provide a more holistic understanding of program value.

  18. 78 FR 45542 - Request for Information: The National Institute of Environmental Health Sciences/National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-29

    ... strengthening the science base in toxicology and providing information about potentially toxic chemicals to... HUMAN SERVICES National Institutes of Health Request for Information: The National Institute of Environmental Health Sciences/National Toxicology Program Requests the Nomination and Prioritization...

  19. Coordination between Child Welfare Agencies and Mental Health Service Providers, Children's Service Use, and Outcomes

    ERIC Educational Resources Information Center

    Bai, Yu; Wells, Rebecca; Hillemeier, Marianne M.

    2009-01-01

    Objective: Interorganizational relationships (IORs) between child welfare agencies and mental health service providers may facilitate mental health treatment access for vulnerable children. This study investigates whether IORs are associated with greater use of mental health services and improvement in mental health status for children served by…

  20. Advisory Committee on HEW Relationships with State Health Agencies Report to the Secretary, December 30, 1966.

    ERIC Educational Resources Information Center

    Corson, John J.; And Others

    Commissioned to explore the relations between the Department of Health, Education, and Welfare (HEW) and state and local agencies in the field of health, the committee interviewed key HEW administrators, met with state and selected local health officials in nine states and officials of health associations, and invited comments from more than 50…

  1. Colombia an approach to create a national space agency

    NASA Astrophysics Data System (ADS)

    Arenales, O.

    Space exploration is a great human adventure: culturally, scientifically, technologically and industrially. Since the earliest of times, civilizations have been united in their awe of, and inspiration by, the cosmos, as testified in particularly by the peoples and cultures of the Central and South American continent in pre- Columbian times. Today, space systems have become an essential tool for the scientific disciplines related to the knowledge of the universe, including our own planet and its close or its remote environment. The main objective of this research is to explain the way in which Colombia, rich in myths and secular legends connecting mankind to the universe, must in the present tackle the issue of its development of space activities. The context in which it could be carried out is also described, along with a perspective of the current state of science and technology in the space sector on a global scale. Any modern nation is concerned with its independence, whether political, economic, or intellectual. That is why we support the concept of countries in the process of development becoming actively involved in the international space scene. Indeed, having limitations in industrial and technological exchange, we feel excluded today from key fields for our tomorrow. This paper thus proposes to demonstrate how in a time that can be regarded as one of the most serious crises in its history, Colombia could, in an atmosphere free from fratricidal conflicts, exploit its space matter capabilities. We do not limit our focus to the scientific field, but also consider the social, economic and cultural aspects. The results of this research delineate how Colombia could start a new optimistic phas e of its development, joining the international space programs within the framework of agreements among the regional governments in Latin America.

  2. 76 FR 27597 - National Women's Health Week, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-11

    ... May 11, 2011 Part V The President Proclamation 8670--National Women's Health Week, 2011 Proclamation... ] Proclamation 8670 of May 6, 2011 National Women's Health Week, 2011 By the President of the United States of..., happy lives. During National Women's Health Week, we reaffirm our commitment to making women's health...

  3. National health expenditures projections through 2030.

    PubMed

    Burner, S T; Waldo, D R; McKusick, D R

    1992-01-01

    If current laws and practices continue, health expenditures in the United States will reach $1.7 trillion by the year 2000, an amount equal to 18.1 percent of the Nation's gross domestic product (GDP). By the year 2030, as America's baby boomers enter their seventies and eighties, health spending will top $16 trillion, or 32 percent of GDP. The projections presented here incorporate the assumptions and conclusions of the Medicare trustees in their 1992 report to Congress on the status of Medicare, and the 1992 President's budget estimates of Medicaid outlays.

  4. National health expenditures projections through 2030

    PubMed Central

    Burner, Sally T.; Waldo, Daniel R.; McKusick, David R.

    1992-01-01

    If current laws and practices continue, health expenditures in the United States will reach $1.7 trillion by the year 2000, an amount equal to 18.1 percent of the Nation's gross domestic product (GDP). By the year 2030, as America's baby boomers enter their seventies and eighties, health spending will top $16 trillion, or 32 percent of GDP. The projections presented here incorporate the assumptions and conclusions of the Medicare trustees in their 1992 report to Congress on the status of Medicare, and the 1992 President's budget estimates of Medicaid outlays. PMID:10124432

  5. Contribution of the Japan International Cooperation Agency health-related projects to health system strengthening

    PubMed Central

    2013-01-01

    Background The Japan International Cooperation Agency (JICA) has focused its attention on appraising health development assistance projects and redirecting efforts towards health system strengthening. This study aimed to describe the type of project and targets of interest, and assess the contribution of JICA health-related projects to strengthening health systems worldwide. Methods We collected a web-based Project Design Matrix (PDM) of 105 JICA projects implemented between January 2005 and December 2009. We developed an analytical matrix based on the World Health Organization (WHO) health system framework to examine the PDM data and thereby assess the projects’ contributions to health system strengthening. Results The majority of JICA projects had prioritized workforce development, and improvements in governance and service delivery. Conversely, there was little assistance for finance or medical product development. The vast majority (87.6%) of JICA projects addressed public health issues, for example programs to improve maternal and child health, and the prevention and treatment of infectious diseases such as AIDS, tuberculosis and malaria. Nearly 90% of JICA technical healthcare assistance directly focused on improving governance as the most critical means of accomplishing its goals. Conclusions Our study confirmed that JICA projects met the goals of bilateral cooperation by developing workforce capacity and governance. Nevertheless, our findings suggest that JICA assistance could be used to support financial aspects of healthcare systems, which is an area of increasing concern. We also showed that the analytical matrix methodology is an effective means of examining the component of health system strengthening to which the activity and output of a project contributes. This may help policy makers and practitioners focus future projects on priority areas. PMID:24053583

  6. Impacts of psychological science on national security agencies post-9/11.

    PubMed

    Brandon, Susan E

    2011-09-01

    Psychologists have been an integral part of national security agencies since World War I, when psychological science helped in personnel selection. A robust infrastructure supporting wider applications of psychology to military and intelligence problems developed further during World War II and the years following, primarily in the areas of testing, human factors, perception, and the decision sciences. Although the nature of the attacks on 9/11 raised the level of perceived need for increased human-based intelligence, the impacts of psychologists on the policies and practices of national security agencies in the decade since have not increased significantly.

  7. Stewardship of the Spanish national health system.

    PubMed

    Bankauskaite, Vaida; Novinskey, Christina M

    2010-01-01

    Along with resource generation, financing, and health service delivery, stewardship is a key health system function. However, very little empirical analysis has been carried out on it. This paper aims to fill this gap in the literature by assessing the Ministry of Health's (MoHs) role as a steward of the Spanish National Health System (NHS) after the 2001 decentralization reform of health care management to the Autonomous Communities. We use the following stewardship framework with six sub-functions for the analysis, looking at the MoH's ability to: (1) formulate strategic policy framework; 2) ensure a fit between policy objectives and organizational structure and culture; (3) ensure tools for implementation; (4) build coalitions and partnerships; (5) generate intelligence, and (6) ensure accountability. We describe the stewardship function, identify existing challenges and issues in the Spanish case, and reflect upon methodological aspects of this exercise. We use reports, documents, articles, and official statistics to complete the analysis. Overall, we find the MoH to give an average performance in its role as the steward of the health system. The MoH has progressed particularly well in generating intelligence as well as formulating a strategic policy framework over recent years. However, it lacks the appropriate authority to efficiently coordinate the health system and to ensure that the Autonomous Communities implement policies that are in-line with overall NHS objectives.

  8. 75 FR 9421 - National Center on Minority Health and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-02

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Center on Minority Health and Health Disparities... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities...

  9. Research Collaboration with State Environment and Public Health Agencies

    EPA Pesticide Factsheets

    EPA Reseach staff holds Tools Cafes for specific Agency partners and stakeholders. At these Tools Cafes, we share and demonstrate tools, talk with users and potential users, and solicit feedback to continually improve and update our resources.

  10. 78 FR 38067 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-25

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Therapeutic Gaming. Date... Extramural Activities, National Institute of Mental Health, National Institutes of Health, 6001...

  11. 78 FR 54477 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-04

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Initial Review Group Interventions Committee for... Extramural Activities, National Institute of Mental Health National Institutes of Health, 6001 Executive...

  12. The Importance of Public Health Agency Independence: Marcellus Shale Gas Drilling in Pennsylvania

    PubMed Central

    2014-01-01

    Public health often deals with inconvenient truths. These are best communicated and acted on when public health agencies are independent of the organizations or individuals for whom the truths are inconvenient. The importance of public health independence is exemplified by the lack of involvement of the Pennsylvania Department of Health in responding to health concerns about shale gas drilling. Pennsylvania Department of Health involvement has been forestalled by the state governor, who has intensely supported shale gas development. PMID:24328620

  13. The importance of public health agency independence: Marcellus shale gas drilling in Pennsylvania.

    PubMed

    Goldstein, Bernard D

    2014-02-01

    Public health often deals with inconvenient truths. These are best communicated and acted on when public health agencies are independent of the organizations or individuals for whom the truths are inconvenient. The importance of public health independence is exemplified by the lack of involvement of the Pennsylvania Department of Health in responding to health concerns about shale gas drilling. Pennsylvania Department of Health involvement has been forestalled by the state governor, who has intensely supported shale gas development.

  14. National nutrition surveys in Asian countries: surveillance and monitoring efforts to improve global health.

    PubMed

    Song, SuJin; Song, Won O

    2014-01-01

    Asian regions have been suffering from growing double burden of nutritional health problems, such as undernutrition and chronic diseases. National nutrition survey plays an essential role in helping to improve both national and global health and reduce health disparities. The aim of this review was to compile and present the information on current national nutrition surveys conducted in Asian countries and suggest relevant issues in implementation of national nutrition surveys. Fifteen countries in Asia have conducted national nutrition surveys to collect data on nutrition and health status of the population. The information on national nutrition survey of each country was obtained from government documents, international organizations, survey website of governmental agencies, and publications, including journal articles, books, reports, and brochures. The national nutrition survey of each country has different variables and procedures. Variables of the surveys include sociodemographic and lifestyle variables; foods and beverages intake, dietary habits, and food security of individual or household; and health indicators, such as anthropometric and biochemical variables. The surveys have focused on collecting data about nutritional health status in children aged under five years and women of reproductive ages, nutrition intake adequacy and prevalence of obesity and chronic diseases for all individuals. To measure nutrition and health status of Asian populations accurately, improvement of current dietary assessment methods with various diet evaluation tools is necessary. The information organized in this review is important for researchers, policy makers, public health program developers, educators, and consumers in improving national and global health.

  15. [Vinyl chloride and 1,2-dichloroethane: classification and assessment of carcinogenicity, guidelines, threshold values, and standards developed by national and international entities, organizations, and agencies].

    PubMed

    Binetti, R; Costamagna, F M; Marcello, I

    2001-01-01

    International, national and regulatory classification, evaluation, guidelines and occupational exposure values regarding vinyl chloride and 1,2-dichloroethane, carried out by European Union (EU). Environmental Protection Agency (US EPA), International Agency for Research on Cancer (IARC), Italian National Advisory Toxicological Committee (CCTN), Occupational Safety and Health Administration (OSHA), World Health Organization (WHO), National Institute for Occupational Safety and Health (NIOSH), American Conference of Governmental Industrial Hygienists (ACGIH) and other institutions, have been considered with particular reference to the carcinogenic effects. Moreover information is reported in support of classification and evaluation and a short historical review since early 1970s, when first evidence that occupational exposure to VC could lead to angiosarcoma was published.

  16. A life course perspective on migration and mental health among Asian immigrants: the role of human agency.

    PubMed

    Gong, Fang; Xu, Jun; Fujishiro, Kaori; Takeuchi, David T

    2011-12-01

    The relationship between human agency and health is an important yet under-researched topic. This study uses a life course perspective to examine how human agency (measured by voluntariness, migratory reasons, and planning) and timing (measured by age at immigration) affect mental health outcomes among Asian immigrants in the United States. Data from the National Latino and Asian American Study showed that Asian immigrants (n=1491) with multiple strong reasons to migrate were less likely to suffer from mental health problems (i.e., psychological distress and psychiatric disorders in the past 12 months) than those without clear goals. Moreover, Asian immigrants with adequate migratory planning had lower levels of distress and lower rates of 12-month psychiatric disorders than those with poorly planned migration. Compared with migrants of the youngest age category (six or younger), those who migrated during preteen and adolescent years without clear goals had higher levels of psychological distress, and those who migrated during adulthood (25 years or older) were less likely to suffer from recent depressive disorders (with the exception of those migrating for life-improving goals). Furthermore, we found that well-planned migration lowered acculturative stress, and multiple strong reasons for migration buffered the negative effect of acculturative stress upon mental health. Findings from this study advance research on immigrant health from the life course perspective by highlighting the effects of exercising human agency during the pre-migration stage upon post-migration mental health.

  17. [Linkage Between Promotion of Employment and Promotion of Health in the Community Setting - Results of the Pilot Project of the Federal Employment Agency and the Statutory Health Insurance].

    PubMed

    Bellwinkel, Michael; Schreiner-Kürten, Karin; Melzer, Kathrin

    2017-04-03

    The Federal Employment Agency and the Statutory Health Insurance (GKV) have put the link between the promotion of employment and of health to the test by making a joint approach aiming to reach unemployed persons with preventive health services and to maintain or improve their employability. Specialist case workers (Integrationsfachkräfte) of the job centres conducted health consultations, motivating unemployed persons and raising their awareness of their own health as well as enabling them to access health promotion services of health insurance funds on a voluntary basis. Three different approaches were tested: consultations either being offered by specialist case workers of the job centres, by contracted educational institutions or by the federal employment agency's own special services (Fachdienste). The pilot project was implemented locally in the community setting. The steering groups set up in the 6 pilot locations, consisting of representatives of the job centres and the health insurance funds as well as of further local players, were the key element of this project. The offers implemented were a success: The unemployed persons welcomed the consultations offered by job centres; the preventive health services specifically directed at unemployed persons that were provided by health insurance funds have proven successful, especially in terms of reducing stress and maintaining employability. Inclusion of the key points of this approach into the basic recommendations at federal level (Bundesrahmenempfehlungen) of the National Conference on Prevention of 19 February 2016 has created a basis for further advances and dissemination.

  18. National health expenditures, 1986-2000

    PubMed Central

    1987-01-01

    Patterns of spending for health during 1986 and beyond reflect a mixture of adherence to and change from historical trends. From a level of $458 billion in 1986—10.9 percent of the GNP—national health expenditures are projected to reach $1.5 trillion by the year 2000—15.0 percent of the GNP. This article presents a provisional estimate of spending in 1986 and projections of spending (under the assumption of current law) through the year 2000. Also discussed are the effects of the demographic composition of the population on spending for health, and how spending would increase in the future simply as a result of the evolution of that composition. PMID:10312184

  19. 75 FR 67950 - National Institutes of Health, et al.;

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-04

    ... Health, et al.; Notice of Consolidated Decision on Applications for Duty-Free Entry of Electron...: National Institutes of Health, Bethesda, MD 20892. Instrument: Electron Microscope. Manufacturer:...

  20. National Maternal and Child Oral Health Resource Center

    MedlinePlus

    ... Care Institute and the National Oral Health Conference. Resource Highlights: Nutrition and Oral Health This collection of selected resources offers key facts and high-quality information about ...

  1. Maternal immunization efforts of the National Institutes of Health.

    PubMed

    Rubin, Fran A; Koso-Thomas, Marion; Isaacs, Maggie Brewinski; Piper, Jeanna; Read, Jennifer; Nesin, Mirjana

    2015-11-25

    Over the last 35 years, efforts at the National Institutes of Health (NIH) to protect mothers and their infants against infectious diseases have involved a bench-to-bedside approach. Basic and translational research that provided a foundation for clinical trials of vaccines in pregnancy include natural history and vaccine antigen identification studies. Development of laboratory assays and reagents have been funded by NIAID; these are critical for the advancement of vaccine candidates through the preclinical and clinical steps along the maternal immunization research pathway to support vaccine efficacy. Animal models of maternal immunization have been developed to evaluate efficacy of vaccine candidates. Clinical studies required development of maternal immunization protocols to address specific pregnancy related issues, for enrollment and safety assessment of mothers and their infants. NIH has organized and participated in meetings, workshops and other collaborative efforts with partners have advanced maternal immunization efforts. Partners have included many institutes and offices at NIH as well as other Department of Health and Human Services agencies and offices (Food and Drug Administration, Centers for Disease Control and Prevention, National Vaccine Program Office), World Health Organization, academic investigators, Biotech and pharmaceutical companies, and nonprofit organizations such as the Bill and Melinda Gates Foundation. These research and development partnership are essential for advancing maternal immunization. Continued efforts are needed to promote maternal immunization to protect pregnant women and their infants against vaccine-preventable infectious disease, especially in resource-limited settings where the burden of infections is high.

  2. 77 FR 61611 - National Institute on Minority Health and Health Disparities; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-10

    ... Disparities Special Emphasis Panel; NIMHD Social, Behavioral, Health Services, and Policy Research on Minority... Minority Health and Health ] Disparities, National Institutes of Health, 6707 Democracy Blvd., Suite 800... Institute on Minority Health, and Health Disparities, National Institutes of Health, 6707 Democracy...

  3. EPA Administrator and San Francisco Bay Area government agencies celebrate nations largest solar energy partnership

    EPA Pesticide Factsheets

    SAN FRANCISCO - Today, U.S. EPA Administrator Gina McCarthy joined Bay Area agencies to celebrate the Regional Renewable Energy Procurement Project (R-REP), the nation's largest solar energy government collaboration and the launch of the Federal Agg

  4. 76 FR 39900 - Agency Information Collection Activities: A National Repository for the Collection and Inventory...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-07

    ... of Alcohol, Tobacco, Firearms and Explosives Agency Information Collection Activities: A National... Explosives ACTION: 60-Day Notice. The Department of Justice (DOJ), Bureau of Alcohol, Tobacco, Firearms and... Number: None. Bureau of Alcohol, Tobacco, Firearms and Explosives. (4) Affected public who will be...

  5. Comparative Study on the Handling of Serials by ISDS Centres and National Bibliographic Agencies.

    ERIC Educational Resources Information Center

    Bouffez, Francoise; Grousseaud, Annette

    A survey was conducted in July 1977 of 38 Centers of International Serials Data System (ISDS) and of national bibliographic agencies or comparable bodies in the same countries to study the various aspects of the identification and description of standardized bibliographic data by the ISDS and the International Standard Bibliographic Description…

  6. 78 FR 45565 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-29

    ... 31, 2013, the Department of Labor (DOL) will submit the Employment and Training Administration (ETA... Regulatory Affairs, Attn: OMB Desk Officer for DOL-ETA, Office of Management and Budget, Room 10235, 725 17th... submission of responses. Agency: DOL-ETA. Title of Collection: National Emergency Grant...

  7. 77 FR 69814 - Agency Information Collection Activities; Comment Request; National Assessment of Educational...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-21

    ... Agency Information Collection Activities; Comment Request; National Assessment of Educational Progress... Assessment of Educational Progress (NAEP) 2014-16 System Clearance. OMB Control Number: 1850-0790. Type of... Educational Progress Authorization Act (Pub. L. 107-279 Title III, section 303) requires the assessment...

  8. 76 FR 18797 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; National...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-05

    ... submitting the revised Bureau of Labor Statistics (BLS) sponsored information collection request (ICR) titled..., Attn: OMB Desk Officer for the Department of Labor, Bureau of Labor Statistics (BLS), Office of... submission of responses. Agency: Bureau of Labor Statistics (BLS). Title of Collection: National...

  9. 5 CFR 230.401 - Agency authority to take personnel actions in a national emergency disaster.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 5 Administrative Personnel 1 2013-01-01 2013-01-01 false Agency authority to take personnel actions in a national emergency disaster. 230.401 Section 230.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS ORGANIZATION OF THE GOVERNMENT FOR PERSONNEL...

  10. 5 CFR 230.401 - Agency authority to take personnel actions in a national emergency disaster.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Agency authority to take personnel actions in a national emergency disaster. 230.401 Section 230.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS ORGANIZATION OF THE GOVERNMENT FOR PERSONNEL...

  11. 5 CFR 230.401 - Agency authority to take personnel actions in a national emergency disaster.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Agency authority to take personnel actions in a national emergency disaster. 230.401 Section 230.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS ORGANIZATION OF THE GOVERNMENT FOR PERSONNEL...

  12. 5 CFR 230.401 - Agency authority to take personnel actions in a national emergency disaster.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 5 Administrative Personnel 1 2012-01-01 2012-01-01 false Agency authority to take personnel actions in a national emergency disaster. 230.401 Section 230.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS ORGANIZATION OF THE GOVERNMENT FOR PERSONNEL...

  13. 5 CFR 230.401 - Agency authority to take personnel actions in a national emergency disaster.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Agency authority to take personnel actions in a national emergency disaster. 230.401 Section 230.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT CIVIL SERVICE REGULATIONS ORGANIZATION OF THE GOVERNMENT FOR PERSONNEL...

  14. Impacts of Psychological Science on National Security Agencies Post-9/11

    ERIC Educational Resources Information Center

    Brandon, Susan E.

    2011-01-01

    Psychologists have been an integral part of national security agencies since World War I, when psychological science helped in personnel selection. A robust infrastructure supporting wider applications of psychology to military and intelligence problems developed further during World War II and the years following, primarily in the areas of…

  15. Making the Case for Using Financial Indicators in Local Public Health Agencies

    PubMed Central

    Suarez, Virginia; Denison, Dwight

    2011-01-01

    The strength of the public health infrastructure determines the ability of local public health agencies to respond to emergencies and provide essential services. Organizational and systems capacity measures and assessments are important components of the public health infrastructure. Hospitals and governments have a long tradition of using financial indicators to assess fiscal and operational activities. We reviewed the literature on how hospitals use financial indicators to monitor financial risk, promote organizational sustainability, and improve organizational capacity. Given that financial indicators have not generally been employed by public health practitioners, we discuss how these measures can be applied to local public health agencies to improve their organizational capacity. PMID:21233438

  16. Mental Health Worker Training. A State-of-the-Art Reference on Statewide Mental Health Agency Training Programs.

    ERIC Educational Resources Information Center

    Southern Regional Education Board, Atlanta, GA.

    A study examined the statewide mental health agency training programs for paraprofessional mental health workers that exist throughout the United States. During the study, researchers contacted all 50 state mental health manpower development offices and requested copies of statewide training programs, instructional materials, training needs…

  17. The case of national health promotion policy in Australia: where to now?

    PubMed

    Smith, James A; Crawford, Gemma; Signal, Louise

    2016-04-01

    Issue addressed Over the last three decades there has been an incremental investment in health promotion and prevention across Australia; yet, the Commonwealth Government and some state/territory governments have more recently instigated funding cuts in health promotion and prevention. This paper argues that the role of health promotion is critical in contemporary Australia and discusses strategies needed to move forward within the context of recent disinvestments. Discussion Key areas of concern relating to recent health promotion and prevention disinvestment in Australia include the abolishment of the Australian National Preventive Health Agency, the cessation of the National Partnership Agreement on Preventive Health and significant cuts to Indigenous programs. These changes pose a significant threat to the health, economic and social well being of Australians and the region, particularly those that are most vulnerable. Conclusions Future health promotion and prevention efforts will require strategic leadership and action to enhance the promotion of health equity in Australia over the coming decades. We call on governments to (re)invest in health promotion and prevention both in and outside the health sector so that health promotion professionals can continue their advocacy efforts aimed at articulating their professional place in improving population health. So what? Recent changes to national health promotion and prevention policy are detrimental to the health and well being of the Australian population, particularly those most vulnerable. Sound planning to revitalise and refocus health promotion action in Australia is urgently required.

  18. 77 FR 51805 - Office of the National Coordinator for Health Information Technology; Announcement of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-27

    ... Requirements and Registration for Reducing Cancer Among Women of Color Challenge AGENCY: Office of the National... treatment, and final outcomes exist across the spectrum of cancer types and are often amplified in women's health when we look at breast cancer and gynecologic cancers-- primarily cervical, uterine, and...

  19. ENVIRONMENTAL PUBLIC HEALTH INDICATORS AT UNITED STATES ENVIRONMENTAL PROTECTION AGENCY

    EPA Science Inventory

    The U.S. Environmental Protection Agency (USEPA) has recently published two different indicators reports, America's Children and the Environment (ACE) and the Draft Report on the Environment (see: http://www.epa.gov/indicators/ and http://www.epa.gov/envirohealth/children/). ACE...

  20. 75 FR 53975 - National Center on Minority Health and Health Disparities; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-02

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Center on Minority Health and Health Disparities.... App.), notice is hereby given of a meeting of the National Advisory Council on Minority Health...

  1. 77 FR 43850 - National Institute on Minority Health and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-26

    ... From the Federal Register Online via the Government Publishing Office ] DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute on Minority Health and Health... unwarranted invasion of personal privacy. Name of Committee: National Institute on Minority Health and...

  2. 77 FR 36564 - National Institute on Minority Health and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-19

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute on Minority Health and Health... unwarranted invasion of personal privacy. Name of Committee: National Institute on Minority Health and...

  3. 75 FR 28262 - National Center on Minority Health and Health Disparities; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-20

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Center on Minority Health and Health Disparities.... App.), notice is hereby given of a meeting of the National Advisory Council on Minority Health...

  4. 78 FR 65345 - National Institute on Minority Health and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-31

    ... HUMAN SERVICES National Institutes of Health National Institute on Minority Health and Health... unwarranted invasion of personal privacy. Name of Committee: National Institute on Minority Health and Health Disparities Special Emphasis Panel; NIMHD Research Center in Minority Institution Program (G12)....

  5. 29 CFR 1960.19 - Other Federal agency standards affecting occupational safety and health.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... safety and health. 1960.19 Section 1960.19 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL... EMPLOYEE OCCUPATIONAL SAFETY AND HEALTH PROGRAMS AND RELATED MATTERS Standards § 1960.19 Other Federal agency standards affecting occupational safety and health. (a) Where employees of different...

  6. 76 FR 78738 - Agency Information Collection (Locality Pay System for Nurses and Other Health Care Personnel...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-19

    ... AFFAIRS Agency Information Collection (Locality Pay System for Nurses and Other Health Care Personnel... INFORMATION: Title: Locality Pay System for Nurses and Other Health Care Personnel. OMB Control Number: 2900... determine locality pay system for certain health care personnel. VA medical facility Directors will use...

  7. 75 FR 48853 - National Health Center Week, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-11

    ... Proclamation 8545--National Health Center Week, 2010 #0; #0; #0; Presidential Documents #0; #0; #0;#0;Federal...;The President ] Proclamation 8545 of August 5, 2010 National Health Center Week, 2010 By the President... preventive care. During National Health Center Week, we recognize the important work of community...

  8. 76 FR 57615 - National Health Information Technology Week, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-15

    ... September 15, 2011 Part IV The President Proclamation 8711--National Health Information Technology Week... September 12, 2011 National Health Information Technology Week, 2011 By the President of the United States... systems. During National Health Information Technology Week, we highlight the critical importance...

  9. 29 CFR 1960.80 - Secretary's evaluations of agency occupational safety and health programs.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... distribute to Federal agencies detailed information on the Department of Labor's evaluation program. The... 29 Labor 9 2010-07-01 2010-07-01 false Secretary's evaluations of agency occupational safety and... EMPLOYEE OCCUPATIONAL SAFETY AND HEALTH PROGRAMS AND RELATED MATTERS Evaluation of Federal...

  10. Sustainability of Korean National Health Insurance.

    PubMed

    Kang, Myoung Sheen; Jang, Hoo Sun; Lee, Minjee; Park, Eun-Cheol

    2012-05-01

    Korean National Health Insurance (NHI) was established during only 12 yr from its inception (1977-1989), providing universal medical coverage to the entire nation and making a huge contribution to medical security. However, the program now faces many challenges in terms of sustainability. The low birth rates, aging population, low economic growth, and escalating demands for welfare, as well as unification issues, all add pressure to the sustainability of NHI. The old paradigm of low contribution--low benefits coverage--low NHI's fee schedule needs to be replaced by a new paradigm of proper contribution--adequate benefit coverage--fair NHI's fee schedule. This new paradigm will require reform of NHI's operating system, funding, and spending.

  11. Preparedness and Emergency Response Learning Centers: supporting the workforce for national health security.

    PubMed

    Richmond, Alyson L; Sobelson, Robyn K; Cioffi, Joan P

    2014-01-01

    The importance of a competent and prepared national public health workforce, ready to respond to threats to the public's health, has been acknowledged in numerous publications since the 1980s. The Preparedness and Emergency Response Learning Centers (PERLCs) were funded by the Centers for Disease Control and Prevention in 2010 to continue to build upon a decade of focused activities in public health workforce preparedness development initiated under the Centers for Public Health Preparedness program (http://www.cdc.gov/phpr/cphp/). All 14 PERLCs were located within Council on Education for Public Health (CEPH) accredited schools of public health. These centers aimed to improve workforce readiness and competence through the development, delivery, and evaluation of targeted learning programs designed to meet specific requirements of state, local, and tribal partners. The PERLCs supported organizational and community readiness locally, regionally, or nationally through the provision of technical consultation and dissemination of specific, practical tools aligned with national preparedness competency frameworks and public health preparedness capabilities. Public health agencies strive to address growing public needs and a continuous stream of current and emerging public health threats. The PERLC network represented a flexible, scalable, and experienced national learning system linking academia with practice. This system improved national health security by enhancing individual, organizational, and community performance through the application of public health science and learning technologies to frontline practice.

  12. Providing reproductive health care to internally displaced persons: barriers experienced by humanitarian agencies.

    PubMed

    Hakamies, Nina; Geissler, Paul Wenzel; Borchert, Matthias

    2008-05-01

    Reproductive health care for internally displaced persons (IDPs) is recognised by the Inter-Agency Working Group on Reproductive Health in Refugee Situations and the Reproductive Health Response in Conflict Consortium as a neglected area in humanitarian relief operations. To identify barriers to agencies providing reproductive health care to IDPs, and their strategies for overcoming these barriers, we interviewed representatives of 12 relief and development agencies providing health care to conflict-affected populations. Although material and human resources are significant constraints on agencies, the main challenge is to tackle ideological, managerial and policy barriers, and those related to donor influence. The absence of a legal instrument that recognises IDPs internationally has contributed to the difficulties agencies face in systematically reaching IDPs. Our findings suggest that considerable efforts are needed to close the gap between international commitments and the provision of services at field level. We recommend that agencies carry out awareness-raising activities internally and among partner organisations and donors, strengthen internal organisation and inter-agency collaboration and share expertise in order to maximise benefits and save resources at the local level. We also recommend exploring the possibility of an international convention to protect the rights of internally displaced persons.

  13. Refining estimates of public health spending as measured in national health expenditures accounts: the United States experience.

    PubMed

    Sensenig, Arthur L

    2007-01-01

    Providing for the delivery of public health services and understanding the funding mechanisms for these services are topics of great currency in the United States. In 2002, the Department of Homeland Security was created and the responsibility for providing public health services was realigned among federal agencies. State and local public health agencies are under increased financial pressures even as they shoulder more responsibilities as the vital first link in the provision of public health services. Recent events, such as hurricanes Katrina and Rita, served to highlight the need to accurately access the public health delivery system at all levels of government. The National Health Expenditure Accounts (NHEA), prepared by the National Health Statistics Group, measure expenditures on healthcare goods and services in the United States. Government public health activity constitutes an important service category in the NHEA. In the most recent set of estimates, Government Public Health Activity expenditures totaled $56.1 billion in 2004, or 3.0 percent of total US health spending. Accurately measuring expenditures for public health services in the United States presents many challenges. Among these challenges is the difficult task of defining what types of government activity constitute public health services. There is no clear-cut, universally accepted definition of government public health care services, and the definitions in the proposed International Classification for Health Accounts are difficult to apply to an individual country's unique delivery systems. Other challenges include the definitional issues associated with the boundaries of healthcare as well as the requirement that census and survey data collected from government(s) be compliant with the Classification of Functions of Government (COFOG), an internationally recognized classification system developed by the United Nations.

  14. Integrating Local Public Health Agencies into the Homeland Security Community

    DTIC Science & Technology

    2007-03-01

    public health needs that require attention (such as poor prenatal health, teen pregnancy , and sexually transmitted diseases) it is not difficult to...such as maternal and child health care or family planning education. One primary educational responsibility best accomplished with state and local...transformation in law enforcement is the concept of community policing. Community policing broadens the nature of police functions and makes better use

  15. 76 FR 34717 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-14

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, National Cooperative Drug... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience...

  16. 78 FR 70312 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-25

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel National Cooperative Drug... Review Officer, Division of Extramural Activities, National Institute of Mental Health, NIH,...

  17. 75 FR 53320 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-31

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Initial Review Group; Interventions Committee for... Officer, Division of Extramural Activities, National Institute of Mental Health, National Institutes...

  18. 76 FR 82313 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-12-30

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Initial Review Group Interventions Committee for... Officer, Division of Extramural Activities, National Institute of Mental Health, National Institutes...

  19. 75 FR 6675 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-10

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, National Cooperative Drug... Activities, National Institute of ] Mental Health, NIH, Neuroscience Center, 6001 Executive Blvd., Room...

  20. 78 FR 54478 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-04

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Innovative Treatment... Officer, Division of Extramural Activities, National Institute of Mental Health, National Institutes...

  1. 76 FR 51380 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-18

    ....282, Mental Health National Research Service Awards for Research Training, National Institutes of... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Initial Review Group, Interventions Committee...

  2. The National Adolescent Student Health Survey: Survey Replication Booklet.

    ERIC Educational Resources Information Center

    American School Health Association, Kent, OH.

    The National Adolescent Student Health Survey (NASHS), initiated in 1985, is conducted to examine the health-related knowledge, practices, and attitudes of the nation's youth in the following health areas: AIDS; Nutrition; Consumer Health; Sexually Transmitted Disease; Drug and Alcohol Use; Suicide; Injury Prevention; and Violence. Findings…

  3. 78 FR 6124 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-29

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel ] Mental Health Services...., Scientific Review Officer, Division of Extramural Activities, National Institute of Mental Health,...

  4. 77 FR 12603 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-01

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Mental Health Services in...., Scientific Review Officer, Division of Extramural Activities, National Institute of Mental Health,...

  5. 77 FR 38847 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-29

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... privacy. Name of Committee: National Institute of Mental Health Special Emphasis Panel; State ] Health...., Scientific Review Officer, Division of Extramural Activities, National Institute of Mental Health,...

  6. 76 FR 67468 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, Mental Health Services... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience...

  7. 75 FR 32959 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-10

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... Committee: National Institute of Mental Health Special Emphasis Panel, Mental Health Services--Member... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  8. [The strategic purchasing of health services: a big opportunity for the National Universal Health System].

    PubMed

    González-Block, Miguel Ángel; Alarcón Irigoyen, José; Figueroa Lara, Alejandro; Ibarra Espinosa, Ignacio; Cortés Llamas, Noemí

    2015-01-01

    proposed to establish a service packages, whether through a single obligatory list or through the definition of a flexible, high priority set to be offered to specific populations according to their economic possibilities. For the strategic purchasing of services, two alternatives are proposed: to assign the fund either to a single national manager or to each of the existing public provider institutions, with the expectation that they would contract across each other and with private providers to fulfill their complementary needs.The proposal does not consider the risks and alternatives to a single tax contribution fund, which could have been suggested given that it is not an essential part of a National Universal Health System. However, it is necessary to discuss in more detail the roles and strategies for a national single-payer, especially for the strategic purchasing of high-cost and specialized interventions in the context of public and private providers. The alternative of allocating funds directly to providers would undermine the incentives for competition and collaboration and the capacity to steer providers towards the provision of high quality health services.It is proposed to focus the discussion of the reform of the national health system around strategic purchasing and the functions and structure of a single-payer as well as of agencies to articulate integrated health service networks as tools to promote quality and efficiency of the National Universal Health System. The inclusion of economic incentives to providers will be vital for competition, but also for the cooperation of providers within integrated, multi-institutional health service networks.Health professionals and sector policy specialists coordinated by the Centro de Estudios Espinosa Yglesi as in Mexico propose a policy to anchor the health system in primary care centered on the individual. The vision includes effective stewardship,solid financing, and the provision of services by a

  9. Reviewing Health Manpower Development. A Method of Improving National Health Systems. Public Health Papers No. 83.

    ERIC Educational Resources Information Center

    Fulop, Tamas; Roemer, Milton I.

    This guide is intended to assist countries contemplating a comprehensive, action-oriented review of health labor force development to improve their national health systems. Various aspects of the health system infrastructure are examined (major components, organizational structure, coordinating mechanisms, sources of information, and…

  10. Ecological health in the Nation's streams

    USGS Publications Warehouse

    Carlisle, Daren M.; Woodside, Michael D.

    2013-01-01

    Aquatic biological communities, which are collections of organisms, are a direct measure of stream health because they indicate the ability of a stream to support life. This fact sheet highlights selected findings of a national assessment of stream health by the National Water-Quality Assessment (NAWQA) Program of the U.S. Geological Survey (USGS). The assessment was unique in that it integrated the condition of three biological communities—algae, macroinvertebrates, and fish—as well as measures of streamflow modification, pesticides, nutrients, and other factors. At least one biological community was altered at 83 percent of assessed streams, and the occurrence of altered communities was highest in urban streams. Streamflows were modified at 86 percent of assessed streams, and increasing severity of streamflow modification was associated with increased occurrence of altered biological communities. Agricultural and urban land use in watersheds may contribute pesticides and nutrients to stream waters, and increasing concentrations of these chemicals were associated with increased occurrence of altered biological communities.

  11. A Needs-Assessment of Agencies Serving Individuals with Deaf-Blindness: A National Profile of Transitional Services.

    ERIC Educational Resources Information Center

    Seiler, Lauren H.; And Others

    A national needs assessment of 719 educational and adult service agencies providing or proposing to provide transitional services to individuals with deaf-blindness was conducted to determine national and regional technical assistance needs. On average, each agency expressed a need for technical assistance in 20 separate areas. In the area of…

  12. Announcement: National Public Health Week - April 3-9, 2017.

    PubMed

    2017-03-31

    CDC joins the American Public Health Association (APHA) in celebration of National Public Health Week, April 3-9, 2017. Since 1995, APHA has led the observance of National Public Health Week during the first full week of April. The week recognizes the impact of public health on the health of the nation. The 2017 observance focuses on making the United States the Healthiest Nation in One Generation by 2030 by spotlighting the importance of prevention, employing successful strategies for collaboration, and promoting the critical role of a strong public health system.

  13. Basic patterns in national health expenditure.

    PubMed Central

    Musgrove, Philip; Zeramdini, Riadh; Carrin, Guy

    2002-01-01

    Analysed in this paper are national health accounts estimates for 191 WHO Member States for 1997, using simple comparisons and linear regressions to describe spending on health and how it is financed. The data cover all sources - out-of-pocket spending, social insurance contributions, financing from government general revenues and voluntary and employment-related private insurance - classified according to their completeness and reliability. Total health spending rises from around 2-3% of gross domestic product (GDP) at low incomes (< 1000 US dollars per capita) to typically 8-9% at high incomes (> 7000 US dollars). Surprisingly, there is as much relative variation in the share for poor countries as for rich ones, and even more relative variation in amounts in US dollars. Poor countries and poor people that most need protection from financial catastrophe are the least protected by any form of prepayment or risk-sharing. At low incomes, out-of-pocket spending is high on average and varies from 20-80% of the total; at high incomes that share drops sharply and the variation narrows. Absolute out-of-pocket expenditure nonetheless increases with income. Public financing increases faster, and as a share of GDP, and converges at high incomes. Health takes an increasing share of total public expenditure as income rises, from 5-6% to around 10%. This is arguably the opposite of the relation between total health needs and need for public spending, for any given combination of services. Within public spending, there is no convergence in the type of finance - general revenue versus social insurance. Private insurance is usually insignificant except in some rich countries. PMID:11953792

  14. ERISA, agency costs, and the future of health care in the United States.

    PubMed

    Bronsteen, John; Maher, Brendan S; Stris, Peter K

    2008-04-01

    Because so many Americans receive health insurance through their employers, the Employee Retirement Income Security Act (ERISA) of 1974 plays a dominant role in the delivery of health care in the United States. The ERISA system enables employers and insurers to save money by providing inadequate health care to employees, thereby creating incentives for these agents to act contrary to the interests of their principals. Such agency costs play a significant role in the current health care crisis and require attention when considering reform. We evaluate the two major health care reform movements by exploring the extent to which each reduces agency costs. We find that agency cost analysis clarifies the benefits, limits, and uncertainties of each approach.

  15. Sharing Overdose Data Across State Agencies to Inform Public Health Strategies: A Case Study

    PubMed Central

    Bankoski, Andrea; Singal, Pooja; Horon, Isabelle; Beane, Eric; Casey, Meghan; Rebbert-Franklin, Kathleen; Sharfstein, Joshua

    2016-01-01

    Data sharing and analysis are important components of coordinated and cost-effective public health strategies. However, legal and policy barriers have made data from different agencies difficult to share and analyze for policy development. To address a rise in overdose deaths, Maryland used an innovative and focused approach to bring together data on overdose decedents across multiple agencies. The effort was focused on developing discrete intervention points based on information yielded on decedents' lives, such as vulnerability upon release from incarceration. Key aspects of this approach included gubernatorial leadership, a unified commitment to data sharing across agencies with memoranda of understanding, and designation of a data management team. Preliminary results have yielded valuable insights and have helped inform policy. This process of navigating legal and privacy concerns in data sharing across multiple agencies may be applied to a variety of public health problems challenging health departments across the country. PMID:26957660

  16. A relational approach to health practices: towards transcending the agency-structure divide.

    PubMed

    Veenstra, Gerry; Burnett, Patrick John

    2014-02-01

    Many health scholars find that Pierre Bourdieu's theory of practice leaves too little room for individual agency. We contend that, by virtue of its relational, field-theoretic underpinnings, the idea of leaving room for agency in Bourdieu's theory of practice is misguided. With agency manifested in interactions and social structures consisting of relations built upon relations, the stark distinction between agency and structure inherent to substantialist thinking is undermined, even dissolved, in a relational field-theoretic context. We also contend that, when treated as relationally bound phenomena, Bourdieu's notions of habitus, doxa, capital and field illuminate creative, adaptive and future-looking practices. We conclude by discussing difficulties inherent to implementing a relational theory of practice in health promotion and public health.

  17. Transitioning to a national health system in Cyprus: a stakeholder analysis of pharmaceutical policy reform

    PubMed Central

    Kanavos, Panos G

    2015-01-01

    Abstract Objective To review the pharmaceutical sector in Cyprus in terms of the availability and affordability of medicines and to explore pharmaceutical policy options for the national health system finance reform expected to be introduced in 2016. Methods We conducted semi-structured interviews in April 2014 with senior representatives from seven key national organizations involved in pharmaceutical care. The captured data were coded and analysed using the predetermined themes of pricing, reimbursement, prescribing, dispensing and cost sharing. We also examined secondary data provided by the Cypriot Ministry of Health; these data included the prices and volumes of prescription medicines in 2013. Findings We identified several key issues, including high medicine prices, underuse of generic medicines and high out-of-pocket drug spending. Most stakeholders recommended that the national government review existing pricing policies to ensure medicines within the forthcoming national health system are affordable and available, introduce a national reimbursement system and incentivize the prescribing and dispensing of generic medicines. There were disagreements over how to (i) allocate responsibilities to governmental agencies in the national health system, (ii) reconcile differences in opinion between stakeholders and (iii) raise awareness among patients, physicians and pharmacists about the benefits of greater generic drug use. Conclusion In Cyprus, if the national health system is going to provide universal health coverage in a sustainable fashion, then the national government must address the current issues in the pharmaceutical sector. Importantly, the country will need to increase the market share of generic medicines to contain drug spending. PMID:26478624

  18. Recovery stories: An anthropological exploration of moral agency in stories of mental health recovery.

    PubMed

    Myers, Neely Anne Laurenzo

    2016-08-01

    Moral agency has been loosely defined as the freedom to aspire to a "good life" that makes possible intimate relationships with others. This article uses ethnographic research to further the discussion of the role of moral agency in mental health recovery. This article attends to the ebb and flow of moral agency in the life stories of three people diagnosed with a serious psychiatric disability at different stages in their individual recoveries to illustrate particular aspects of moral agency relevant for recovery. From these, a more complex notion of moral agency emerges as the freedom not only to aspire to a "good life," but also to achieve a "good" life through having both the intention to aspire and access to resources that help bring one's life plans to fruition. Each storyteller describes an initial Aristotelian peripeteia, or "breach" of life plan, followed by an erosion of moral agency and sense of connection to others. The stories then diverge: some have the resources needed to preserve moral agency, and others attempt to replenish moral agency that has been eroded. In these stories, the resources for preserving and nourishing moral agency include the ability to cultivate the social bases of self-respect, autobiographical power, and peopled opportunities. These stories cumulatively suggest that without such resources one's attempts to preserve or nourish the moral agency needed for recovery after the peripeteia, which is often perpetuated by the onset and experience of serious mental illness, may fall short.

  19. National marine pollution program: agency program summaries FY 1984 update. Appendix No. 1

    SciTech Connect

    Not Available

    1985-07-01

    The National Ocean Pollution Planning Act, P.L. 95-273 (as amended), calls for the establishment of a comprehensive, coordinated, and effective Federal program for ocean pollution research, development, and monitoring. The Agency Program Summaries is one of a series of documents published by NMPPO to meet the mandates of the National Ocean Pollution Planning Act. The Act calls for a detailed listing of all existing Federal programs related to ocean pollution research, development, and monitoring. Two reports are published on an annual basis to meet this requirement. One of these contains summaries of the major programs conducted by the Federal agencies, the second is a catalog of the specific projects that comprise these programs.

  20. 78 FR 20646 - National Committee on Vital and Health Statistics, Population Health Subcommittee: Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-05

    ... HUMAN SERVICES National Committee on Vital and Health Statistics, Population Health Subcommittee... Statistics (NCVHS), Subcommittees on Population Health and Privacy, Confidentiality & Security. Time and Date... meeting is to provide an opportunity for the Population Health and Privacy, Confidentiality and...

  1. Persistence of Mental Health Problems in Very Young Children Investigated by US Child Welfare Agencies

    PubMed Central

    Horwitz, Sarah McCue; Hurlburt, Michael S.; Heneghan, Amy; Zhang, Jinjin; Rolls-Reutz, Jennifer; Landsverk, John; Stein, Ruth E.K.

    2013-01-01

    Objective To document the persistence and predictors of mental health problems in children 12-18 months investigated for alleged maltreatment. Methods Data came from the second National Survey of Child and Adolescent Well-being (NSCAW II), a longitudinal study of youth 0 to 17.5 years referred to U.S. child welfare agencies. These analyses involved children 12 to 18 months. Baseline sociodemographic, social services, developmental and health data were collected on children and caregivers. Potential social-emotional problems at baseline were assessed with the Brief Infant Toddler Social and Emotional (BITSEA) scales. Outcomes were scores over the clinical cutoff on the Child Behavior Checklist (BCBL) 1.5-5 assessed at 18 months post study entry. Results The multivariable analyses showed that an elevated BITSEA score at baseline (OR=9.18, 95%CI 1.49, 56.64; p=.018) and living with a depressed caregiver (OR=13.54, 95%CI 2.50, 73.46; p=.003) were associated with CBCL scores in the clinical range at the 18 month follow-up. For children who scored both positive on the BITSEA and lived with a depressed caregiver, 62.5% scored positive on the CBCL as compared to 10.7% of the children with one risk factor and 3.8% of the children with neither risk factor. Only 23.9% of children and/or their caregivers received any service. Conclusions Data show considerable persistence of mental health problems in very young children that two factors could identify. Lack of services to these children is a tremendous missed opportunity for identification and treatment that could, potentially, prevent more serious mental health problems. PMID:24238678

  2. Impact of the Freedom of Information Act on the National Intelligence Agencies.

    DTIC Science & Technology

    1982-04-16

    virtually all confidential information of the United States, whether military, diplomatic or economic, is transmitted at some time by secure communications ...in 1974, there was no major impact upon the day to day functioning of the Intelligence Community .1 Then, in 1974, during the post-Watergate period of...concern, however, in assessing the negative impact of FOIA on the national intel- ligence agencies. The Intelligence Community faces other problems

  3. Implementing the National Integrated Ocean Observing System (IOOS): from the federal agency perspective

    USGS Publications Warehouse

    Bassett, R.; Beard, R.; Burnett, W.; Crout, R.; Griffith, B.; Jensen, R.; Signell, R.

    2010-01-01

    The national Integrated Ocean Observing System (IOOS??) is responsible for coordinating a network of people, resources, and technology to disseminate continuous data, information, models, products, and services made throughout our coastal waters, Great Lakes, and the oceans. There are many components of the IOOS-including government, academic, and private entities. This article will focus on some of the federal contributions to IOOS and describe the capabilities of several agency partners.

  4. Mental Health Center Services for the Elderly: The Impact of Coordination with Area Agencies on Aging.

    ERIC Educational Resources Information Center

    Lebowitz, Barry D.; And Others

    1987-01-01

    Examined coordination between community mental health centers (CMHCs) and Area Agencies on Aging (AAAs) through survey of 281 CMHCs. Found affiliation with AAA associated with more indirect services of all types; more sites where mental health programs were offered to elderly; and more provision of direct services, such as Alzheimer's disease…

  5. 77 FR 64387 - Agency Information Collection (Request for and Authorization To Release Medical Records or Health...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-19

    ... AFFAIRS Agency Information Collection (Request for and Authorization To Release Medical Records or Health... Release Medical Records or Health Information, VA Form 10-5345. b. Individual's Request for a Copy of... Rennie, Enterprise Records Service (005R1B), Department of Veterans Affairs, 810 Vermont Avenue...

  6. Vocational Instructional Materials for Health Occupations Education Available from Federal Agencies.

    ERIC Educational Resources Information Center

    Northwest Regional Educational Lab., Portland, OR.

    This annotated bibliography lists curriculum materials for health occupations education which were produced by Federal agencies and are appropriate for these subject matter areas: (1) dentistry, (2) medical laboratory technology, (3) nursing, (4) rehabilitation, (5) radiology, (6) opthalmology, (7) environmental health, and (8) mental health…

  7. Testing the relationship between self-agency and enactment of health behaviors.

    PubMed

    DeSocio, Janiece; Kitzman, Harriet; Cole, Robert

    2003-02-01

    A theoretical review provides a rationale for examining self-agency as a developmental foundation underlying processes of self-regulated change and a potential moderator of intervention effectiveness among participants in a nurse home-visitation program. Self-agency is defined as the conceptual understanding of self as an agent capable of shaping motives, behavior, and future possibilities (Damon & Hart, 1991). Availability of a sample of 186 mothers who received nurse home visitation provided an opportunity to test the relationship between participant self-agency and enactment of targeted health behaviors. Self-agency items from the Pearlin Mastery Scale (1978) were used to differentiate mothers who endorsed self-agency from those who did not. Consistent with the theoretical premise, mothers who endorsed self-agency at an established threshold were significantly more likely to enact health behaviors promoted during nurse visitation. Results provide support for the relationship between the development of self-agency and enactment of health behaviors targeted by a nurse home-visitation program.

  8. Organizational Factors Influencing Implementation of Evidence-Based Practices for Integrated Treatment in Behavioral Health Agencies

    PubMed Central

    Bonham, Caroline A.; Sommerfeld, David; Willging, Cathleen; Aarons, Gregory A.

    2014-01-01

    Objective. In recent years, New Mexico has prioritized integrated treatment for cooccurring mental health and substance use disorders within its public behavioral health system. This report describes factors likely to be important when implementing evidence-based practices (EBPs) in community agencies. Methods. Our mixed-method research design consisted of observations, semistructured interviews, and surveys undertaken with employees at 14 agencies at baseline and after 18 months. We developed four-agency typologies based on iterative coding and analysis of observations and interviews. We then examined survey data from employees at the four exemplar agencies to validate qualitative findings. Results. Financial resources and strong leadership impacted agency capacity to train providers and implement EBPs. Quantitative analysis of service provider survey responses from these agencies (N = 38) supported qualitative findings and demonstrated significant mean score differences in leadership, organizational climate, and attitudes toward EBPs in anticipated directions. Conclusion. The availability of strong leadership and financial resources were key components to initial implementation success in this study of community agencies in New Mexico. Reliance only on external funding poses risks for sustainment when demoralizing work climates precipitate employee turnover. Strong agency leadership does not always compensate for deficient financial resources in vulnerable communities. PMID:24772411

  9. National Institute of Child Health and Human Development

    MedlinePlus

    ... by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), a component of the National Institutes of ... of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) has been awarded the St. Patrick’s Day ...

  10. Origins and Elaboration of the National Health Accounts, 1926-2006

    PubMed Central

    Fetter, Bruce

    2006-01-01

    The National Health Statistics Group (NHSG) has managed to keep the national health accounts (NHA) apolitical and highly respected. NHSG strategies have included the careful acquisition and presentation of statistics relating to health costs and payers; the use of scholarly journals to disseminate ideas to other government offices and, beyond them, to industry, labor, the professions, and universities; and the promotion of cooperation with related U.S., statistical agencies, provider groups, contractors, and international organizations. Responding to an increasingly complex system of third-party payers in the U.S. health system and controversies over methods, the NHA has continually evolved to meet the demands of health care decisionmakers. Historically, these dialogues have forced health accountants to refine their methods to ensure that their portrayal of spending and financing trends presents information that can inform the decisionmaking process in a non-partisan way. PMID:17290668

  11. Information sharing between the National Health Service and criminal justice system in the United Kingdom.

    PubMed

    Lennox, Charlotte; Mason, Julie; McDonnell, Sharon; Shaw, Jenny; Senior, Jane

    2012-09-01

    Offenders with mental health problems often have complex and interrelated needs which separately challenge the criminal justice system (CJS) and National Health Service (NHS) in the United Kingdom (U.K.). Consequently, interagency collaboration and timely information sharing are essential. This study focused on the sharing of information about people with mental health problems in contact with the CJS. Questionnaires were distributed to a range of health and criminal justice personnel. The results showed that there was a mismatch between what service user information criminal justice agencies felt they needed and what was routinely received. Prison Service staff received more information (between 15% and 37%) from health agencies than the police (between 6% and 22%). Health professionals received most of the information they needed from criminal justice agencies (between 55% and 85%). Sharing service user information was impeded by incompatible computer systems and restrictions due to data protection/confidentiality requirements. In the U.K., recent governmental publications have highlighted the importance of information sharing; however there remains a clear mismatch between what health related information about service users criminal justice agencies need, and what is actually received. Better guidance is required to encourage and empower people to share.

  12. CGH observes National Women’s Health Week

    Cancer.gov

    This week, the U.S. Department of Health and Human Services is observing the 17th annual National Women’s Health Week. The goal of the National Women's Health Week is to empower women to make their health a priority. In celebration, the NCI Center for Global Health held a seminar on the Knowledge Summaries for Comprehensive Breast Cancer Control: Pathways for Advanced Cancer Planning.

  13. Evaluating healthcare information technology outside of academia: observations from the national resource center for healthcare information technology at the Agency for Healthcare Research and Quality.

    PubMed

    Poon, Eric G; Cusack, Caitlin M; McGowan, Julie J

    2009-01-01

    The National Resource Center for Health Information Technology (NRC) was formed in the fall of 2004 as part of the Agency for Healthcare Research and Quality (AHRQ) health IT portfolio to support its grantees. One of the core functions of the NRC was to assist grantees in their evaluation efforts of Health IT. This manuscript highlights some common challenges experienced by health IT project teams at nonacademic institutions, including inappropriately scoped and resourced evaluation efforts, inappropriate choice of metrics, inadequate planning for data collection and analysis, and lack of consideration of qualitative methodologies. Many of these challenges can be avoided or overcome. The strategies adopted by various AHRQ grantees and the lessons learned from their projects should become part of the toolset for current and future implementers of health IT as the nation moves rapidly towards its widespread adoption.

  14. Evaluating Healthcare Information Technology Outside of Academia: Observations from the National Resource Center for Healthcare Information Technology at the Agency for Healthcare Research and Quality

    PubMed Central

    Poon, Eric G.; Cusack, Caitlin M.; McGowan, Julie J.

    2009-01-01

    The National Resource Center for Health Information Technology (NRC) was formed in the fall of 2004 as part of the Agency for Healthcare Research and Quality (AHRQ) health IT portfolio to support its grantees. One of the core functions of the NRC was to assist grantees in their evaluation efforts of Health IT. This manuscript highlights some common challenges experienced by health IT project teams at nonacademic institutions, including inappropriately scoped and resourced evaluation efforts, inappropriate choice of metrics, inadequate planning for data collection and analysis, and lack of consideration of qualitative methodologies. Many of these challenges can be avoided or overcome. The strategies adopted by various AHRQ grantees and the lessons learned from their projects should become part of the toolset for current and future implementers of health IT as the nation moves rapidly towards its widespread adoption. PMID:19567800

  15. Recreation and Health Agencies: Working Together to Promote Physical Activity.

    ERIC Educational Resources Information Center

    Phillipp, JoAnn; Dusenbury, Linda J.

    1994-01-01

    The Colorado Department of Health formed the Cardiovascular Disease (CVD) Prevention Coalition to address Colorado's problem with CVD. The article describes the work of the Coalition's Physical Activity Subcommittee, the Subcommittee's Exer-Deck tool to promote increased physical activity, and the training of professionals to work collaboratively…

  16. 75 FR 33983 - Establishing the National Prevention, Health Promotion, and Public Health Council

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-16

    ... National Prevention, Health Promotion, and Public Health Council By the authority vested in me as President... 1. Establishment. There is established within the Department of Health and Human Services, the National Prevention, Health Promotion, and Public Health Council (Council). Sec. 2. Membership. (a)...

  17. 76 FR 49645 - National Health Center Week, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-10

    ... August 10, 2011 Part IV The President Proclamation 8698--National Health Center Week, 2011 #0; #0; #0... Health Center Week, 2011 By the President of the United States of America A Proclamation Across our..., advice, and critical services that keep them healthy. Throughout National Health Center Week, we...

  18. [The Brazilian National Health Conference: challenges for the country].

    PubMed

    Gadelha, Paulo

    2015-10-01

    This article was published in the context of the upcoming 15th Brazilian National Health Conference and addresses the country's health challenges based on the history of previous conferences. The authors analyze the evolution of health as a public policy agenda, highlighting the role of such institutions as the Brazilian Center for Health Studies (CEBES), the Brazilian Association of Collective Health (Abrasco), and the National Health Council in advocating and establishing the Brazilian Unified National Health System (SUS). The article also focuses on expectations concerning the 15th National Health Conference within a political and economic scenario that raises questions and challenges both for the future of health policy, exemplified by SUS, and the current capacity to mobilize stakeholders.

  19. 78 FR 18359 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-26

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis....nih.gov . Name of Committee: National Institute of Environmental Health Sciences Special...

  20. 78 FR 32672 - National Institute of Environmental Health Sciences (NIEHS); Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-31

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences (NIEHS... that the National Institute of Environmental Health Sciences (NIEHS) Division of Extramural Research... Division. Organizing Institute: National Institute of Environmental Health Sciences. Dates and Times:...

  1. 76 FR 39884 - National Institute of Mental Health Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-07

    ... of Committee: National Institute of Mental Health Special Emphasis Panel; Fellowships and... HUMAN SERVICES National Institutes of Health National Institute of Mental Health Notice of Closed..., Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center,...

  2. 78 FR 34662 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-10

    ... of Committee: National Institute of Mental Health Special Emphasis Panel Fellowships and... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH Neuroscience...

  3. 78 FR 68461 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-14

    ... of Committee: National Institute of Mental Health Special Emphasis Panel; Fellowships and... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH Neuroscience...

  4. 75 FR 31799 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-04

    ... of Committee: National Institute of Mental Health Special Emphasis Panel; Fellowships and... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  5. 76 FR 6487 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-04

    ... of Committee: National Institute of Mental Health Special Emphasis Panel; Fellowships and... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed..., Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center,...

  6. 76 FR 60508 - National Institute of Mental Health Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-29

    ....gov . Name of Committee: National Institute of Mental Health Special Emphasis Panel; Fellowships and... HUMAN SERVICES National Institutes of Health National Institute of Mental Health Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; NIH Summer...

  7. 75 FR 68612 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-08

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Dissertations. Date... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001...

  8. 75 FR 57044 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-17

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel Fellowships and..., Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center,...

  9. 77 FR 8890 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-15

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Conflicts and Eating... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience...

  10. 78 FR 9404 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-08

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Fellowships and... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience...

  11. 75 FR 10492 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-03-08

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; HIV/AIDS Interventions... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001...

  12. 77 FR 64527 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-22

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, NIH Summer Research... Review Officer, Division of Extramural Activities, National Institute of Mental Health, NIH,...

  13. 77 FR 55854 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-11

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Initial Review Group; Interventions Committee for...., Scientific Review Officer, Division of Extramural Activities, National Institute of Mental Health,...

  14. 76 FR 11799 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-03

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Services Conflict. Date... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  15. 76 FR 55928 - National Institute of Mental Health Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-09

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Conflicts and Eating... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  16. 75 FR 8373 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-24

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, Child Trials Network Member..., Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center,...

  17. 75 FR 17150 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-05

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... Committee: National Institute of Mental Health Special Emphasis Panel; Child Interventions Review. Date... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  18. 77 FR 64119 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-18

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; NIH Summer Research... Review Officer, Division of Extramural Activities, National Institute of Mental Health, NIH,...

  19. 75 FR 2550 - National Institute of Mental Health: Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-15

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health: Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; ITVA Conflicts. Date... ] Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  20. 77 FR 11139 - National Institute of Mental Health Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-24

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Fellowships and..., Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center,...

  1. 78 FR 68075 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-13

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel Review of Eating Disorders...., Scientific Review Officer, Division of Extramural Activities, National Institute of Mental Health,...

  2. 78 FR 45933 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-30

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, ITVC Conflicts. Date... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  3. 75 FR 40844 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-14

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... Committee: National Institute of Mental Health Special Emphasis Panel, HIV/AIDS Intervention Development... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  4. 75 FR 8372 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-24

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, HIV AIDS Training. Date... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001...

  5. 77 FR 38847 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-29

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Fellowships and... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience...

  6. 76 FR 34717 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-14

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel, NIH Pathway to Independence..., Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center,...

  7. 76 FR 4122 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-24

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Adolescent OCD Treatment... Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center, 6001 Executive...

  8. 77 FR 47082 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-07

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Interventions Conflicts and... Officer, Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience...

  9. 76 FR 11801 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-03

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Behavioral Mechanisms In..., Division of Extramural Activities, National Institute of Mental Health, NIH, Neuroscience Center,...

  10. 76 FR 58285 - National Institute of Mental Health Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-20

    ... Mental Health Special Emphasis Panel; National Research Service Award Institutional Research Training... HUMAN SERVICES National Institutes of Health National Institute of Mental Health Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Conte Centers for Basic...

  11. National Institutes of Health State-of-the-Science Conference Statement: Family History and Improving Health.

    PubMed

    Berg, Alfred O; Baird, Macaran A; Botkin, Jeffrey R; Driscoll, Deborah A; Fishman, Paul A; Guarino, Peter D; Hiatt, Robert A; Jarvik, Gail P; Millon-Underwood, Sandra; Morgan, Thomas M; Mulvihill, John J; Pollin, Toni I; Schimmel, Selma R; Stefanek, Michael Edward; Vollmer, William M; Williams, Janet K

    2009-12-15

    National Institutes of Health consensus and state-of-the science statements are prepared by independent panels of health professionals and public representatives on the basis of 1) the results of a systematic literature review prepared under contract with the Agency for Healthcare Research and Quality (AHRQ); 2) presentations by investigators working in areas relevant to the conference questions during a 2-day public session; 3) questions and statements from conference attendees during open discussion periods that are part of the public session; and 4) closed deliberations by the panel during the remainder of the second day and morning of the third. This statement is an independent report of the panel and is not a policy statement of the National Institutes of Health or the U.S. government. The statement reflects the panel's assessment of medical knowledge available at the time the statement was written. Thus, it provides a "snapshot in time" of the state of knowledge on the conference topic. When reading the statement, keep in mind that new knowledge is inevitably accumulating through medical research.

  12. Managing competition in public and private mental health agencies: implications for services and policy.

    PubMed

    Clark, R E; Dorwart, R A; Epstein, S S

    1994-01-01

    There were clear differences in our study between the management strategies employed by public agencies and those favored by private agencies. These differences, however, appeared to reflect the realities of financing rather than any fundamental differences in their orientation toward public service. There was no clear evidence that particular management practices affected an agency's performance on measures of financial access or acceptance of referrals from public hospitals. Government regulation and pressure from advocacy groups probably helped to maintain private agencies' focus on these and other public goals. From a public policy perspective, choosing a provider solely on the basis of ownership status is, at best, a naive approach to providing public mental health treatment. Not only is there great variation in process and practices within both private and public groups, but external factors such as competition from private practitioners may also exert a stronger influence on agency behavior than does ownership status. Because most current proposals for health care reform rely heavily on increased competition among providers to achieve their goals, the importance of ownership status as a predictor of conduct or performance may be further diminished. The emphasis on competition could increase differences between urban agencies and those in rural areas where there is less competition and, therefore, require different contracting approaches. As we move toward a health care system based on competition, administrators and policy makers will be forced to abandon their reliance on stereotypical public/private agency behavior as guides for policy decisions. Instead, they will have to consider more carefully the effects of political and market influences as well as agency characteristics when choosing community mental health providers.

  13. Eliminating Health Disparities Through Transdisciplinary Research, Cross-Agency Collaboration, and Public Participation

    PubMed Central

    Spengler, Robert F.; Wagner, Robin M.; Melanson, Cindi; Skillen, Elizabeth L.; Mays, Robert A.; Heurtin-Roberts, Suzanne; Long, Judith A.

    2009-01-01

    Despite efforts to the contrary, disparities in health and health care persist in the United States. To solve this problem, federal agencies representing different disciplines and perspectives are collaborating on a variety of transdisciplinary research initiatives. The most recent of these initiatives was launched in 2006 when the Centers for Disease Control and Prevention's Office of Public Health Research and the Department of Health and Human Services’ Office of Minority Health brought together federal partners representing a variety of disciplines to form the Federal Collaboration on Health Disparities Research (FCHDR). FCHDR collaborates with a wide variety of federal and nonfederal partners to support and disseminate research that aims to reduce or eliminate disparities in health and health care. Given the complexity involved in eliminating health disparities, there is a need for more transdisciplinary, collaborative research, and facilitating that research is FCHDR's mission. PMID:19762652

  14. 17 CFR 240.19c-1 - Governing certain off-board agency transactions by members of national securities exchanges.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 17 Commodity and Securities Exchanges 4 2014-04-01 2014-04-01 false Governing certain off-board agency transactions by members of national securities exchanges. 240.19c-1 Section 240.19c-1 Commodity... members of national securities exchanges. The rules of each national securities exchange shall provide...

  15. 17 CFR 240.19c-1 - Governing certain off-board agency transactions by members of national securities exchanges.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 17 Commodity and Securities Exchanges 3 2011-04-01 2011-04-01 false Governing certain off-board agency transactions by members of national securities exchanges. 240.19c-1 Section 240.19c-1 Commodity... members of national securities exchanges. The rules of each national securities exchange shall provide...

  16. 17 CFR 240.19c-1 - Governing certain off-board agency transactions by members of national securities exchanges.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Governing certain off-board agency transactions by members of national securities exchanges. 240.19c-1 Section 240.19c-1 Commodity... members of national securities exchanges. The rules of each national securities exchange shall provide...

  17. 17 CFR 240.19c-1 - Governing certain off-board agency transactions by members of national securities exchanges.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 17 Commodity and Securities Exchanges 3 2013-04-01 2013-04-01 false Governing certain off-board agency transactions by members of national securities exchanges. 240.19c-1 Section 240.19c-1 Commodity... members of national securities exchanges. The rules of each national securities exchange shall provide...

  18. 17 CFR 240.19c-1 - Governing certain off-board agency transactions by members of national securities exchanges.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 17 Commodity and Securities Exchanges 3 2012-04-01 2012-04-01 false Governing certain off-board agency transactions by members of national securities exchanges. 240.19c-1 Section 240.19c-1 Commodity... members of national securities exchanges. The rules of each national securities exchange shall provide...

  19. National Maternal and Child Oral Health Resource Center

    MedlinePlus

    ... of fluoride varnish, including materials and organizations. Promoting Oral Health During Pregnancy The latest update on programs, policy, ... the release of the national consensus statement on oral health care during pregnancy . Fluoride Vanish Resource Highlights A ...

  20. The effects on population health status of using dedicated property taxes to fund local public health agencies

    PubMed Central

    2011-01-01

    Background In the United States, a dedicated property tax describes the legal authority given to a local jurisdiction to levy and collect a tax for a specific purpose. We investigated for an association of locally dedicated property taxes to fund local public health agencies and improved health status in the eight states designated as the Mississippi Delta Region. Methods We analyzed the difference in health outcomes of counties with and without a dedicated public health tax after adjusting for a set of control variables using regression models for county level data from 720 counties of the Mississippi Delta Region. Results Levying a dedicated public health tax for counties with per capita income above $28,000 is associated with improved health outcomes of those counties when compared to counties without a dedicated property tax for public health. Alternatively, levying a dedicated property tax in counties with lower per capita income is associated with poor health outcomes. Conclusions There are both positive and negative consequences of using dedicated property taxes to fund public health. Policymakers should carefully examine both the positive association of improved health outcomes and negative impact of taxation on poor populations before authorizing the use of dedicated local property tax levies to fund public health agencies. PMID:21672231

  1. Lessons learned from the september 11th disaster: a state health agency perspective.

    PubMed

    Lin, Shao; Mauer, Matthew P; Jones, Rena; Herdt-Losavio, Michele L; Hwang, Syni-An A; Fitzgerald, Edward F

    2012-01-01

    The New York State Department of Health has conducted a number of studies over the past 10 years investigating health impacts related to the September 11, 2001 (9/11) disaster among New York City residents and New York State World Trade Center (WTC) responders. Efforts to evaluate the health effects of WTC exposures in these cohorts presented numerous challenges, including study design and associated concerns about bias, identifying the affected populations, gaining community support and participation, and determining the most appropriate clinical testing and follow-up approaches. The unique position of a state public health agency provided multiple points of support for these efforts. An overview of what was found and the lessons learned during the response to the 9/11 disaster is presented, from the viewpoint of a state public health agency.

  2. Population and public health ethics in Canada: a snapshot of current national initiatives and future issues.

    PubMed

    Viehbeck, Sarah M; Melnychuk, Ryan; McDougall, Christopher W; Greenwood, Heather; Edwards, Nancy C

    2011-01-01

    To date, some work has been undertaken to define a code and stewardship framework for public health ethics. However, gaps in our understanding and application of ethics to the field of population and public health (PPH) remain. This paper presents the approach to building capacity for PPH ethics by three national-level organizations: the Canadian Institutes of Health Research-Institute of Population and Public Health, the National Collaborating Centre for Healthy Public Policy, and the Public Health Agency of Canada. By first looking at each of the organizations' respective activities and then across organizations, we synthesize our common approaches, highlight future directions and pose questions aimed at stimulating dialogue about the role of, and challenges confronting, the emerging field of PPH ethics in Canada.

  3. The 2009 National Environmental Public Health Conference: one model for planning green and healthy conferences.

    PubMed

    Ruckart, Perri Zeitz; Moore, Cory; Burgin, Deborah; Byrne, Maggie Kelly

    2011-01-01

    The Centers for Disease Control and Prevention's National Center for Environmental Health and the Agency for Toxic Substances and Disease Registry committed to making their 2009 National Environmental Public Health Conference a model for green and healthy conferences. The conference included increased opportunities for physical activity, both as part of conference events and for transportation to the conference. In addition, conference meals were healthy and sustainably sourced. The conference also implemented intuitive, accessible recycling; online scheduling and evaluation to minimize hard-copy materials; and the purchase of carbon offsets to reduce the unwanted environmental impact of the conference. Public health professionals have an opportunity and obligation to support healthy behaviors at their events and to serve as leaders in this area. Facilitating healthy and sustainable choices is in alignment with goals for both public health and broader social issues-such as environmental quality-that have a direct bearing on public health.

  4. National environmental public health tracking program: bridging the information gap.

    PubMed

    McGeehin, Michael A; Qualters, Judith R; Niskar, Amanda Sue

    2004-10-01

    In January 2001 the Pew Environmental Health Commission called for the creation of a coordinated public health system to prevent disease in the United States by tracking and combating environmental health threats. In response, the Centers for Disease Control and Prevention initiated the Environmental Public Health Tracking (EPHT) Program to integrate three distinct components of hazard monitoring and exposure and health effects surveillance into a cohesive tracking network. Uniform and acceptable data standards, easily understood case definitions, and improved communication between health and environmental agencies are just a few of the challenges that must be addressed for this network to be effective. The nascent EPHT program is attempting to respond to these challenges by drawing on a wide range of expertise from federal agencies, state health and environmental agencies, nongovernmental organizations, and the program's academic Centers of Excellence. In this mini-monograph, we present innovative strategies and methods that are being applied to the broad scope of important and complex environmental public health problems by developing EPHT programs. The data resulting from this program can be used to identify areas and populations most likely to be affected by environmental contamination and to provide important information on the health and environmental status of communities. EPHT will develop valuable data on possible associations between the environment and the risk of noninfectious health effects. These data can be used to reduce the burden of adverse health effects on the American public.

  5. Recognizing Excellence in Maternal and Child Health (MCH) Epidemiology: The 2014 National MCH Epidemiology Awards

    PubMed Central

    Vladutiu, Catherine J.; Jones, Jessica R.

    2016-01-01

    Purpose The impact of programs, policies, and practices developed by professionals in the field of maternal and child health (MCH) epidemiology is highlighted biennially by 16 national MCH agencies and organizations, or the Coalition for Excellence in MCH Epidemiology. Description In September 2014, multiple leading agencies in the field of MCH partnered to host the national CityMatCH Leadership and MCH Epidemiology Conference in Phoenix, Arizona. The conference offered opportunities for peer exchange; presentation of new scientific methodologies, programs, and policies; dialogue on changes in the MCH field; and discussion of emerging MCH issues relevant to the work of local, state, and national MCH professionals. During the conference, the National MCH Epidemiology Awards were presented to individuals, teams, institutions, and leaders for significantly contributing to the improved health of women, children, and families. Assessment During the conference, the Coalition presented seven deserving health researchers and research groups with national awards in the areas of advancing knowledge, effective practice, outstanding leadership, young professional achievement, and lifetime achievement. The article highlights the accomplishments of these national-level awardees. Conclusion Recognition of deserving professionals strengthens the field of MCH epidemiology, and sets the standard for exceptional research, mentoring, and practice. PMID:26723200

  6. Recommendations of the National Advisory Council on Migrant Health, 1993.

    ERIC Educational Resources Information Center

    National Migrant Resource Program, Inc., Austin, TX.

    The 1993 recommendations to the Secretary of Health and Human Services on migrant health emphasize that all available federal and state public service programs be mobilized to also serve farmworkers, and that coordination of efforts among federal agencies and departments take place. The following recommendations offer approaches to secure…

  7. 42 CFR Appendix to Subpart G of... - Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 1 2012-10-01 2012-10-01 false Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under Section 1625 of the Public Health Service Act Appendix to Subpart G of Part 124 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  8. 42 CFR Appendix to Subpart G of... - Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 1 2014-10-01 2014-10-01 false Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under Section 1625 of the Public Health Service Act Appendix to Subpart G of Part 124 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  9. 42 CFR Appendix to Subpart G of... - Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under Section 1625 of the Public Health Service Act Appendix to Subpart G of Part 124 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  10. 42 CFR Appendix to Subpart G of... - Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under Section 1625 of the Public Health Service Act Appendix to Subpart G of Part 124 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  11. 42 CFR Appendix to Subpart G of... - Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 1 2013-10-01 2013-10-01 false Interim Procedures and Criteria for Review by Health Systems Agencies of Applications Under Section 1625 of the Public Health Service Act Appendix to Subpart G of Part 124 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  12. Design of the national health security preparedness index.

    PubMed

    Uzun Jacobson, Evin; Inglesby, Tom; Khan, Ali S; Rajotte, James C; Burhans, Robert L; Slemp, Catherine C; Links, Jonathan M

    2014-01-01

    The importance of health security in the United States has been highlighted by recent emergencies such as the H1N1 influenza pandemic, Superstorm Sandy, and the Boston Marathon bombing. The nation's health security remains a high priority today, with federal, state, territorial, tribal, and local governments, as well as nongovernment organizations and the private sector, engaging in activities that prevent, protect, mitigate, respond to, and recover from health threats. The Association of State and Territorial Health Officials (ASTHO), through a cooperative agreement with the Centers for Disease Control and Prevention (CDC) Office of Public Health Preparedness and Response (OPHPR), led an effort to create an annual measure of health security preparedness at the national level. The collaborative released the National Health Security Preparedness Index (NHSPI(™)) in December 2013 and provided composite results for the 50 states and for the nation as a whole. The Index results represent current levels of health security preparedness in a consistent format and provide actionable information to drive decision making for continuous improvement of the nation's health security. The overall 2013 National Index result was 7.2 on the reported base-10 scale, with areas of greater strength in the domains of health surveillance, incident and information management, and countermeasure management. The strength of the Index relies on the interdependencies of the many elements in health security preparedness, making the sum greater than its parts. Moving forward, additional health security-related disciplines and measures will be included alongside continued validation efforts.

  13. 78 FR 9402 - National Institute on Minority Health and Health; Disparities Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-08

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institute on Minority Health and Health; Disparities Notice of Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended (5 U.S.C. App.), notice is ] hereby given of...

  14. 76 FR 40733 - National Institute for Occupational Safety and Health, (NIOSH), World Trade Center Health Program...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-11

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Institute for Occupational Safety and Health, (NIOSH), World Trade Center Health Program Science/Technical Advisory Committee...

  15. 75 FR 76986 - Office of the National Coordinator for Health Information Technology; Health Information...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-10

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; Health Information Technology; Request for Information Regarding the President's Council of Advisors on Science and Technology (PCAST) Report Entitled ``Realizing the Full Potential of Health Information Technology To...

  16. BEYOND REGULATION TO PROTECTION. THE APPLICATION OF NATIONAL RECONNAISSANCE SYSTEMS IN THE SCIENCE MISSION OF THE ENVIRONMENTAL PROTECTION AGENCY

    EPA Science Inventory

    The use of National Technical Means (NTM) data and advanced geospatial technologies has an important role in supporting the mission of the Environmental Protection Agency (EPA). EPA's responsibilities have grown beyond pollution compliance monitoring and enforcement to include t...

  17. Aid Agency Influence in National Education Policy-Making: A Case from Nepal's "Education for All" Movement

    ERIC Educational Resources Information Center

    Bhatta, Pramod

    2011-01-01

    This article explores the nexus between foreign aid and Nepal's primary education in order to understand how aid agencies affect national educational development. It argues that after 1990, when global education targets provided the basic framework for all donor agency funding to primary education and the subsequent use of a sector-wide approach…

  18. Priorities in national space strategies and governance of the member states of the European Space Agency

    NASA Astrophysics Data System (ADS)

    Adriaensen, Maarten; Giannopapa, Christina; Sagath, Daniel; Papastefanou, Anastasia

    2015-12-01

    The European Space Agency (ESA) has twenty Member States with a variety of strategic priorities and governance structures regarding their space activities. A number of countries engage in space activities exclusively though ESA, while others have also their own national space programme. Some consider ESA as their prime space agency and others have additionally their own national agency with respective programmes. The main objective of this paper is to provide an up-to date overview and a holistic assessment of strategic priorities and the national space governance structures in 20 ESA Member States. This analysis and assessment has been conducted by analysing the Member States public documents, information provided at ESA workshop on this topic and though unstructured interviews. The paper is structured to include two main elements: priorities and trends in national space strategies and space governance in ESA Member States. The first part of this paper focuses on the content and analysis of the national space strategies and indicates the main priorities and trends in Member States. The priorities are categorised with regards to technology domains, the role of space in the areas of sustainability and the motivators that boost engagement in space. These vary from one Member State to another and include with different levels of engagement in technology domains amongst others: science and exploration, navigation, Earth observation, human space flight, launchers, telecommunications, and integrated applications. Member States allocate a different role of space as enabling tool adding to the advancement of sustainability areas including: security, resources, environment and climate change, transport and communication, energy, and knowledge and education. The motivators motivating reasoning which enhances or hinders space engagement also differs. The motivators identified are industrial competitiveness, job creation, technology development and transfer, social benefits

  19. A multi-agency investigation of Heat and human Health relationships in the state of Vermont: Towards actionable science.

    NASA Astrophysics Data System (ADS)

    Oswald, E.

    2015-12-01

    This talk focuses on an assemblage of work conducted primarily between the Vermont State Climate Office and the Vermont Department of Health for better understanding, communicating, and anticipating the impact which elevated air temperatures have, and my have in the future, on public health. This is an example in how several agencies, spanning scientific fields and levels, can all play roles in in producing important understanding and actionable consequences in the face of health risk. This talk starts with an investigation of the relationships between Vermont health statistics and daily maximum air temperature with a focus on the temperatures where the health statistics changed most rapidly with temperature changes, or "changepoints". The results of this investigation suggested that meaningful temperature changepoints exist below 90F. The local WFO considered a day as "hot" when it reached or exceeded 90F unless the day was particularly sunny and humid. Discussions with the local National Weather Service Forecast Office were productive and led to some rethinking of how they consider a "Hot" day. The changepoints information was also incorporated into a health impacts report prepared by the Vermont Department of Health for the CDC's Building Resilience Against Climate Effects, by utilizing climate indices tailored to a temperature less than 90F. This work stands as a demonstration that the co-production of knowledge can produce actionable science.

  20. Health-hazard evaluation report HETA 86-224-1732, Colorado River, Agency, Parker, Arizona

    SciTech Connect

    Belanger, P.L.; Thoburn, T.W.

    1986-09-01

    A representative of the National Federation of Federal Employees, Local 422, requested a study be made of skin problems being experienced by several employees of the Colorado River Agency that might be linked to transformer oil or polychlorinated biphenyl (PCB) exposures.

  1. Global, national, and local approaches to mental health: examples from India.

    PubMed

    Weiss, M G; Isaac, M; Parkar, S R; Chowdhury, A N; Raguram, R

    2001-01-01

    Neuropsychiatric disorders and suicide amount to 12.7% of the global burden of disease and related conditions (GBD) according to World Health Organization (WHO) estimates for 1999, and recognition of the enormous component of mental illness in the GBD has attracted unprecedented attention in the field of international health. Focusing on low- and middle-income countries with high adult mortality, this article discusses essential functions of international agencies concerned with mental health. A review of the history and development of national mental health policy in India follows, and local case studies consider the approach to planning in a rural mental health programme in West Bengal and the experience in an established urban mental health programme in a low-income community of Mumbai. Local programmes must be attentive to the needs of the communities they serve, and they require the support of global and national policy for resources and the conceptual tools to formulate strategies to meet those needs. National programmes retain major responsibilities for the health of their country's population: they are the portals through which global and local interests, ideas, and policies formally interact. International priorities should be responsive to a wide range of national interests, which in turn should be sensitive to diverse local experiences. Mental health actions thereby benefit from the synergy of informed and effective policy at each level.

  2. UK Food Standards Agency Optimal Nutrition Status Workshop: environmental factors that affect bone health throughout life.

    PubMed

    Burns, Lynn; Ashwell, Margaret; Berry, Jacqueline; Bolton-Smith, Caroline; Cassidy, Aedin; Dunnigan, Matthew; Khaw, Kay Tee; Macdonald, Helen; New, Susan; Prentice, Ann; Powell, Jonathan; Reeve, Jonathan; Robins, Simon; Teucher, Birgit

    2003-06-01

    The UK Food Standards Agency (FSA) convened a group of expert scientists to discuss and review UK FSA- and Department of Health-funded research on diet and bone health. This research focused on the lifestyle factors that are amenable to change and may significantly affect bone health and the risk of osteoporotic fracture. The potential benefits of fruits and vegetables, meat, Ca, vitamins D and K and phyto-oestrogens were presented and discussed. Other lifestyle factors were also discussed, particularly the effect of physical activity and possible gene-nutrient interactions affecting bone health.

  3. 77 FR 47765 - National Health Center Week, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-09

    ... Documents#0;#0; ] Proclamation 8847 of August 6, 2012 National Health Center Week, 2012 By the President of... emphasizing preventive care that helps people lead healthier lives. During National Health Center Week, we... our communities and our country. This week, we celebrate their many contributions to our public...

  4. 77 FR 58297 - National Farm Safety and Health Week, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... Documents#0;#0; ] Proclamation 8865 of September 14, 2012 National Farm Safety and Health Week, 2012 By the.... During National Farm Safety and Health Week, we celebrate agricultural workers' vital contributions and... American dream with their bare hands. This week, we honor their tireless efforts and rededicate...

  5. 78 FR 57463 - National Farm Safety and Health Week, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-18

    ... Documents#0;#0; ] Proclamation 9017 of September 13, 2013 National Farm Safety and Health Week, 2013 By the.... During National Farm Safety and Health Week, we celebrate our agricultural producers' values, experiences, and contributions, and we recommit to secure work environments on all our country's farms. For...

  6. Agency, access, and Anopheles: neighborhood health perceptions and the implications for community health interventions in Accra, Ghana

    PubMed Central

    Jankowska, Marta M.; Stoler, Justin; Ofiesh, Caetlin; Rain, David; Weeks, John R.

    2015-01-01

    Background Social and environmental factors are increasingly recognized for their ability to influence health outcomes at both individual and neighborhood scales in the developing urban world. Yet issues of spatial heterogeneity in these complex environments may obscure unique elements of neighborhood life that may be protective or harmful to human health. Resident perceptions of neighborhood effects on health may help to fill gaps in our interpretation of household survey results and better inform how to plan and execute neighborhood-level health interventions. Objective We evaluate differences in housing and socioeconomic indicators and health, environment, and neighborhood perceptions derived from the analysis of a household survey and a series of focus groups in Accra, Ghana. We then explore how neighborhood perceptions can inform survey results and ultimately neighborhood-level health interventions. Design Eleven focus groups were conducted across a socioeconomically stratified sample of neighborhoods in Accra, Ghana. General inductive themes from the focus groups were analyzed in tandem with data collected in a 2009 household survey of 2,814 women. In-depth vignettes expand upon the three most salient emergent themes. Results Household and socioeconomic characteristics derived from the focus groups corroborated findings from the survey data. Focus group and survey results diverged for three complex health issues: malaria, health-care access, and sense of personal agency in promoting good health. Conclusion Three vignettes reflecting community views about malaria, health-care access, and sense of personal agency in promoting good health highlight the challenges facing community health interventions in Accra and exemplify how qualitatively derived neighborhood-level health effects can help shape health interventions. PMID:25997424

  7. [Establishment and development of National Institutes of Health of the United States].

    PubMed

    Yang, Wei; Ji, Yan

    2015-03-01

    National Institutes of Health traces its root to a one-room laboratory created in 1887. Now it has become a federal agency including 27 institutes and centers, also one of the world biggest centers of biomedical research.Throughout the history of NIH, much experience is worth learning, for example: allocating persistent and sufficient funds, basing on basic research and adjusting its focus duly, expanding the scope of subsidizing and stressing talent cultivation.

  8. Global Health: The Fogarty International Center, National Institutes of Health: Vision and Mission, Programs, and Accomplishments

    PubMed Central

    Breman, Joel G.; Bridbord, Kenneth; Kupfer, Linda E.; Glass, Roger I.

    2011-01-01

    Summary The Fogarty International Center (FIC) of the U.S. National Institutes of Health has supported long-term (>6 months) basic, clinical and applied research training and research for over 3,600 future leaders in science and public health from low- and middle-income countries (LMICs); tens of thousands more persons have received short-term training. FIC started these programs in 1988 with the flagship HIV/AIDS International Training and Research Program (AITRP) in response to the global pandemic. More than 23 extramural training and research programs plus an intramural program are now operating – all in collaboration with other Institutes and Centers at NIH, U.S. government agencies, foundations, and partner institutions in LMICs and the U.S. While infectious diseases still reign mightily in Sub-Saharan African and South East Asian countries, non-communicable diseases are emerging globally, including in LMICs. Newer FIC training programs are addressing chronic, non-communicable diseases and strengthening the quality of medical schools and health care provider training, in addition to expanding expertise in infectious diseases. The model for successful training is based on long-term commitments, institutional strengthening, “twinning” of research centers, focus on local problems, and active mentoring. Trainees from Africa, Asia, and Latin America have made notable scientific contributions to global health, attained leadership positions, and received special recognition nationally and internationally. As the FIC programs are institutional-strengthening partnerships and candidates are carefully selected and mentored, close to 90% of FIC trainees return to their countries of origin. After returning home the FIC-trained leaders have continued to mentor and train thousands of individuals in their home countries. PMID:21896356

  9. Four health data networks illustrate the potential for a shared national multipurpose big-data network.

    PubMed

    Curtis, Lesley H; Brown, Jeffrey; Platt, Richard

    2014-07-01

    Information in electronic health data that are drawn from large populations of patients is transforming health care, public health practice, and clinical research. This article describes our experience in developing data networks that repurpose electronic health records and administrative data. The four programs we feature are the Food and Drug Administration's Mini-Sentinel program (which focuses on medical product safety), the National Patient-Centered Clinical Research Network (PCORnet, comparative effectiveness research), the National Institutes of Health's Health Care Systems Research Collaboratory Distributed Research Network (biomedical research), and ESPnet (public health surveillance). Challenges to these uses of electronic health data include understanding the factors driving the collection, coding, and preservation of the data; the extensive customization of different systems that collect similar data; the fragmentation of the US health care delivery system and its records; and privacy and proprietary considerations. We view these four programs as examples of the first stage in the development of a shared national big-data resource that leverages the investments of many agencies and organizations for the benefit of multiple networks and users.

  10. Polity and health care expenditures: the association among 159 nations.

    PubMed

    Gregorio, Leah E; Gregorio, David I

    2013-03-01

    This paper hypothesized that democratic nations, as characterized by Polity IV Project regime scores, spend more on health care than autocratic nations and that the association reported here is independent of other demographic, health system or economic characteristics of nations. WHO Global Observatory data on 159 nations with roughly 98% of the world's population were examined. Regime scores had significant, direct and independent associations with each of four measures of health care expenditure. For every unit increment in a nation's regime score toward a more democratic authority structure of governance, we estimated significant (p<0.05) increments in the percent of GDP expended on health care (+0.14%), percent of general government expenditures targeted to health care (+0.25%), total per capita expenditures on health (+34.4Int$) and per capita general government expenditures (+22.4Int$), while controlling for a population's age distribution, life expectancy, health care workforce and system effectiveness and gross national income. Moreover, these relationships were found to persist across socio-economic development levels. The finding that practices of health care expenditure and authority structures of government co-vary is instructive about the politics of health and the challenges of advancing global health objectives.

  11. Using Appreciative Inquiry to Facilitate Implementation of the Recovery Model in Mental Health Agencies

    ERIC Educational Resources Information Center

    Clossey, Laurene; Mehnert, Kevin; Silva, Sara

    2011-01-01

    This article describes an organizational development tool called appreciative inquiry (AI) and its use in mental health to aid agencies implementing recovery model services. AI is a discursive tool with the power to shift dominant organizational cultures. Its philosophical underpinnings emphasize values consistent with recovery: community,…

  12. Mental Health Agency Directors' Acceptance and Perceptions of Licensed Professional Counselors.

    ERIC Educational Resources Information Center

    Ritchie, Martin; Partin, Ron; Trivette, Paul

    1998-01-01

    Directors (N=203) of mental-health agencies responded to a survey designed to examine their level of acceptance and satisfaction with licensed professional counselors (LPC) in Ohio. Responses suggest a preference for hiring social workers over counselors; starting salaries were similar for both groups with comparable educational levels.…

  13. [Health agencies and biomedicine: a new technocratic legitimity and a strategy to share power].

    PubMed

    Byk, Christian

    2014-06-01

    The role of health agencies in the field of biomedicine does not appear today anymore as a question of systemic approach but much more as a question of implementing the bioethical principles acknowledged in the legislation and by the different stake-holders of the biomedical techniques.

  14. Three methods of interfacing with the private sector by mental health agencies.

    PubMed

    McRae, J A

    1989-01-01

    This article outlines three methods of mental health marketing--formal, intermediary, and interactive. It discusses advantages and disadvantages of each method. These approaches are particularly good for public, non-profit agencies and individuals in contacting the private sector. The need for flexibility and marketing mix is emphasized.

  15. The interplay between structure and agency in shaping the mental health consequences of job loss

    PubMed Central

    2013-01-01

    Background Job loss is a discrete life event, with multiple adverse consequences for physical and mental health and implications for agency. Our research explores the consequences of job loss for retrenched workers’ mental health by examining the interplay between their agency and the structures shaping their job loss experiences. Methods We conducted two waves of in-depth, semi-structured interviews with a sample of 33 of the more than 1000 workers who lost their jobs at Mitsubishi Motors in South Australia during 2004 and 2005 as a result of industry restructuring. Interviews capturing the mental health consequences of job loss were recorded and transcribed verbatim. Thematic analysis was employed to determine the health consequences of the job loss and the impact of structural factors. Results Main themes that emerged from the qualitative exploration of the psychological distress of job loss included stress, changes to perceived control, loss of self-esteem, shame and loss of status, experiencing a grieving process, and financial strain. Drawing on two models of agency we identified the different ways workers employed their agency, and how their agency was enabled, but mainly constrained, when dealing with job loss consequences. Conclusions Respondents’ accounts support the literature on the moderating effects of economic resources such as redundancy packages. The results suggest the need for policies to put more focus on social, emotional and financial investment to mediate the structural constraints of job loss. Our study also suggests that human agency must be understood within an individual’s whole of life circumstances, including structural and material constraints, and the personal or interior factors that shape these circumstances. PMID:23384322

  16. Investigating the Role of State Permitting and Agriculture Agencies in Addressing Public Health Concerns Related to Industrial Food Animal Production

    PubMed Central

    Fry, Jillian P.; Laestadius, Linnea I.; Grechis, Clare; Nachman, Keeve E.; Neff, Roni A.

    2014-01-01

    Objectives Industrial food animal production (IFAP) operations adversely impact environmental public health through air, water, and soil contamination. We sought to determine how state permitting and agriculture agencies respond to these public health concerns. Methods We conducted semi-structured qualitative interviews with staff at 12 state agencies in seven states, which were chosen based on high numbers or rapid increase of IFAP operations. The interviews served to gather information regarding agency involvement in regulating IFAP operations, the frequency and type of contacts received about public health concerns, how the agency responds to such contacts, and barriers to additional involvement. Results Permitting and agriculture agencies’ responses to health-based IFAP concerns are constrained by significant barriers including narrow regulations, a lack of public health expertise within the agencies, and limited resources. Conclusions State agencies with jurisdiction over IFAP operations are unable to adequately address relevant public health concerns due to multiple factors. Combining these results with previously published findings on barriers facing local and state health departments in the same states reveals significant gaps between these agencies regarding public health and IFAP. There is a clear need for regulations to protect public health and for public health professionals to provide complementary expertise to agencies responsible for regulating IFAP operations. PMID:24587087

  17. Midterm review of national health plans: an example from the United Republic of Tanzania.

    PubMed

    Mboera, Leonard E G; Ipuge, Yahya; Kumalija, Claud J; Rubona, Josbert; Perera, Sriyant; Masanja, Honorati; Boerma, Ties

    2015-04-01

    In the health sector, planning and resource allocation at country level are mainly guided by national plans. For each such plan, a midterm review of progress is important for policy-makers since the review can inform the second half of the plan's implementation and provide a situation analysis on which the subsequent plan can be based. The review should include a comprehensive analysis using recent data - from surveys, facility and administrative databases - and global health estimates. Any midterm analysis of progress is best conducted by a team comprising representatives of government agencies, independent national institutions and global health organizations. Here we present an example of such a review, done in 2013 in the United Republic of Tanzania. Compared to similar countries, the results of this midterm review showed good progress in all health indicators except skilled birth attendance.

  18. Mental Health under National Health Care Reform: The Empirical Foundations.

    ERIC Educational Resources Information Center

    Hudson, Christopher G.; DeVito, Jo Anne

    1994-01-01

    Reviews research pertinent to mental health services under health care reform proposals. Examines redistributional impact of inclusion of outpatient mental health benefits, optimal benefit packages, and findings that mental health services lower medical utilization costs. Argues that extending minimalist model of time-limited benefits to national…

  19. National Institute of Environmental Health Sciences

    MedlinePlus

    ... Environmental Health: Learning From Fish Populations in Polluted Habitats Dr. Jayasundara November 29, 2016, 2:00 - 3: ... Environmental Health: Learning From Fish Populations in Polluted Habitats Dr. Jayasundara Live Webcast November 29, 2016, 2: ...

  20. The Cambodian National Oral Health Plan 1992-2000.

    PubMed

    Durward, C S; Todd, R V

    1993-06-01

    The reconstruction of dental services and training in Cambodia following the devastation of the country during the reign of the Khmer Rouge has been limited by minimal help from other countries for political reasons. Following the recent signing of a peace treaty, a National Conference on Oral Health has been held, and a National Oral Health Plan formulated, outlining goals for the year 2000, and strategies to improve the oral health status in the country.

  1. 75 FR 27562 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-17

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis..., Scientific Review Officer, Nat. Institute of Environmental Health Sciences, Office of Program...

  2. 76 FR 52672 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-23

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis.... Agenda: To review and evaluate contract proposals. Place: Nat. Inst. of Environmental Health...

  3. 76 FR 5184 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-28

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis.... Agenda: To review and evaluate grant applications. Place: Nat. Inst. of Environmental Health...

  4. 75 FR 45133 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-02

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... from Environmental Exposures; 93.142, NIEHS Hazardous Waste Worker Health and Safety Training;...

  5. 77 FR 22793 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-17

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Branch, Division of Extramural Research and Training, Nat. Institute of Environmental Health Sciences,...

  6. 77 FR 12602 - National Institute of Environmental Health Sciences; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-01

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... and evaluate grant applications. Place: Nat. Inst. of Environmental Health Sciences, Building...

  7. 76 FR 27653 - National Institute of Environmental Health Sciences; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-12

    ... HUMAN SERVICES National Institutes of Health National Institute of Environmental Health Sciences; Notice... personal privacy. Name of Committee: National Institute of Environmental Health Sciences Special Emphasis... Review Branch, Division of Extramural Research and Training, Nat. Institute Environmental Health...

  8. 75 FR 71133 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-22

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Competitive Revision for..., Mental Health Research Grants; 93.281, Scientist Development Award, Scientist Development Award...

  9. ADHD and Health Services Utilization in the National Health Interview Survey

    ERIC Educational Resources Information Center

    Cuffe, Steven P.; Moore, Charity G.; McKeown, Robert

    2009-01-01

    Objective: Describe the general health, comorbidities and health service use among U.S. children with ADHD. Method: The 2001 National Health Interview Survey (NHIS) contained the Strengths and Difficulties Questionnaire (SDQ; used to determine probable ADHD), data on medical problems, overall health, and health care utilization. Results: Asthma…

  10. The importance of establishing a national health security preparedness index.

    PubMed

    Lumpkin, John R; Miller, Yoon K; Inglesby, Tom; Links, Jonathan M; Schwartz, Angela T; Slemp, Catherine C; Burhans, Robert L; Blumenstock, James; Khan, Ali S

    2013-03-01

    Natural disasters, infectious disease epidemics, terrorism, and major events like the nuclear incident at Fukushima all pose major potential challenges to public health and security. Events such as the anthrax letters of 2001, Hurricanes Katrina, Irene, and Sandy, severe acute respiratory syndrome (SARS) and West Nile virus outbreaks, and the 2009 H1N1 influenza pandemic have demonstrated that public health, emergency management, and national security efforts are interconnected. These and other events have increased the national resolve and the resources committed to improving the national health security infrastructure. However, as fiscal pressures force federal, state, and local governments to examine spending, there is a growing need to demonstrate both what the investment in public health preparedness has bought and where gaps remain in our nation's health security. To address these needs, the Association of State and Territorial Health Officials (ASTHO), through a cooperative agreement with the Centers for Disease Control and Prevention (CDC) Office of Public Health Preparedness and Response (PHPR), is creating an annual measure of health security and preparedness at the national and state levels: the National Health Security Preparedness Index (NHSPI).

  11. Building national public health capacity for managing chemical events: A case study of the development of health protection services in the United Kingdom

    PubMed Central

    Palmer, Stephen; Coleman, Gary

    2013-01-01

    The revised International Health Regulations (2005) require that countries develop plans for chemical threats. In 2012, the World Health Assembly reported that most countries had not yet achieved ‘adequate capacity'. We review the evolution of chemical hazards services in the United Kingdom, the result of 15 years of grass-roots pressure and an accumulating weight of chemical incidents that eventually convinced the UK Department of Health of the need for a new national public health function, culminating, in 2003, in the creation of the Chemical Hazards Division of the new Health Protection Agency. Ten years later, public health services are again being radically reorganized with the creation of Public Health England, potentially destabilizing health protection arrangements and creating confusion among roles in managing chemical emergencies. Incorporating health protection into a broader public health organization, however, offers a new opportunity to broaden the scope of health protection services to embrace prevention of non-infectious environmental diseases. PMID:23447032

  12. Environmental Health in the 21st Century: A Role for the National Environmental Health Association.

    ERIC Educational Resources Information Center

    Walker, Bailus, Jr.

    1992-01-01

    Discusses the public health ramifications of environmental management and how the National Environmental Health Association should play a role in addressing the issues on the Earth Summit agenda and the National Agenda for Environmental Quality. Explores the link between ecological ills, national and international trade, and related consumption of…

  13. Organisation for Change: The British National Health Service.

    ERIC Educational Resources Information Center

    Chester, T. E.

    Begun in 1948, The National Health Service was organized in a "functional" pattern of three main groups: hospital service, primary health care, and community health services and personal social services. Dissatisfaction led to a reorganization in 1974 along geographical divisions for region, area, and district levels, necessitating a…

  14. The National Health Educator Job Analysis 2010: Process and Outcomes

    ERIC Educational Resources Information Center

    Doyle, Eva I.; Caro, Carla M.; Lysoby, Linda; Auld, M. Elaine; Smith, Becky J.; Muenzen, Patricia M.

    2012-01-01

    The National Health Educator Job Analysis 2010 was conducted to update the competencies model for entry- and advanced-level health educators. Qualitative and quantitative methods were used. Structured interviews, focus groups, and a modified Delphi technique were implemented to engage 59 health educators from diverse work settings and experience…

  15. The health system consequences of agency nursing and moonlighting in South Africa.

    PubMed

    Rispel, Laetitia C; Blaauw, Duane

    2015-01-01

    Background Worldwide, there is an increased reliance on casual staff in the health sector. Recent policy attention in South Africa has focused on the interrelated challenges of agency nursing and moonlighting in the health sector. Objective This paper examines the potential health system consequences of agency nursing and moonlighting among South African nurses. Methods During 2010, a cluster random sample of 80 hospitals was selected in four South African provinces. On the survey day, all nurses providing clinical care completed a self-administered questionnaire after giving informed consent. The questionnaire obtained information on socio-demographics, involvement in agency nursing and moonlighting, and self-reported indicators of potential health system consequences of agency nursing and moonlighting. A weighted analysis was done using STATA(®) 13. Results In the survey, 40.7% of nurses reported moonlighting or working for an agency in the preceding year. Of all participants, 51.5% reported feeling too tired to work, 11.5% paid less attention to nursing work on duty, and 10.9% took sick leave when not actually sick in the preceding year. Among the moonlighters, 11.9% had taken vacation leave to do agency work or moonlighting, and 9.8% reported conflicting schedules between their primary and secondary jobs. In the bivariate analysis, moonlighting nurses were significantly more likely than non-moonlighters to take sick leave when not sick (p=0.011) and to pay less attention to nursing work on duty (p=0.035). However, in a multiple logistic regression analysis, the differences between moonlighters and non-moonlighters did not remain statistically significant after adjusting for other socio-demographic variables. Conclusion Although moonlighting did not emerge as a statistically significant predictor, the reported health system consequences are serious. A combination of strong nursing leadership, effective management, and consultation with and buy-in from front

  16. Health system strengthening in Myanmar during political reforms: perspectives from international agencies.

    PubMed

    Risso-Gill, Isabelle; McKee, Martin; Coker, Richard; Piot, Peter; Legido-Quigley, Helena

    2014-07-01

    Myanmar has undergone a remarkable political transformation in the last 2 years, with its leadership voluntarily transitioning from an isolated military regime to a quasi-civilian government intent on re-engaging with the international community. Decades of underinvestment have left the country underdeveloped with a fragile health system and poor health outcomes. International aid agencies have found engagement with the Myanmar government difficult but this is changing rapidly and it is opportune to consider how Myanmar can engage with the global health system strengthening (HSS) agenda. Nineteen semi-structured, face-to-face interviews were conducted with representatives from international agencies working in Myanmar to capture their perspectives on HSS following political reform. They explored their perceptions of HSS and the opportunities for implementation. Participants reported challenges in engaging with government, reflecting the disharmony between actors, economic sanctions and barriers to service delivery due to health system weaknesses and bureaucracy. Weaknesses included human resources, data and medical products/infrastructure and logistical challenges. Agencies had mixed views of health system finance and governance, identifying problems and also some positive aspects. There is little consensus on how HSS should be approached in Myanmar, but much interest in collaborating to achieve it. Despite myriad challenges and concerns, participants were generally positive about the recent political changes, and remain optimistic as they engage in HSS activities with the government.

  17. Interorganizational relationships among family support organizations and child mental health agencies.

    PubMed

    Acri, Mary C; Palinkas, Larry; Hoagwood, Kimberly E; Shen, Sa; Schoonover, Diana; Reutz, Jennifer Rolls; Landsverk, John

    2014-07-01

    This study examined: (1) qualitative aspects of close working relationships between family support organizations and child mental health agencies, including effective and ineffective characteristics of the relationship and aspects that they would change, and (2) the impact of the working relationship upon the family support organization. Semi-structured interviews were conducted with 40 directors of family support organizations characterized as having a close working relationship with a child mental health agency. Three main themes emerged regarding the quality of the working relationship: (a) interactional factors, including shared trust, communication, collaboration and service coordination; (b) aspects of the inner context of the family support organization, mental health agency, or both, including alignment of goals and values and perceptions of mental health services; and (c) outer contextual factors external to the organizations, such as financial and county regulations. Responses to the perceived impact of the relationship was divided into two themes: positive impacts (e.g. gained respect, influence and visibility), and negative impacts (e.g. lack of trust). This study lays the foundation for future research to better understand the mechanisms underlying interorganizational relationships in communities among different types of providers to create a more seamless continuum of services for families of children with mental health conditions.

  18. One National Response: Synergy Networks for Effective HIV Education among Government Agencies, Nongovernmental Organizations, and Development Partners

    ERIC Educational Resources Information Center

    Osewe, Patrick L.

    2009-01-01

    In 2004 UNAIDS and its development partners first introduced the Three-Ones Principles. Since then, many governments have developed national strategic frameworks and guiding policy documents to help coordinate more effective national responses in the battle to overcome AIDS. In this article, I outline how essential it is for government agencies,…

  19. 41 CFR 102-77.25 - Do Federal agencies have responsibilities to provide national visibility for Art-in-Architecture?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... responsibilities to provide national visibility for Art-in-Architecture? 102-77.25 Section 102-77.25 Public... MANAGEMENT REGULATION REAL PROPERTY 77-ART-IN-ARCHITECTURE Art-in-Architecture § 102-77.25 Do Federal agencies have responsibilities to provide national visibility for Art-in-Architecture? Yes,...

  20. 41 CFR 102-77.25 - Do Federal agencies have responsibilities to provide national visibility for Art-in-Architecture?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... responsibilities to provide national visibility for Art-in-Architecture? 102-77.25 Section 102-77.25 Public... MANAGEMENT REGULATION REAL PROPERTY 77-ART-IN-ARCHITECTURE Art-in-Architecture § 102-77.25 Do Federal agencies have responsibilities to provide national visibility for Art-in-Architecture? Yes,...

  1. 41 CFR 102-77.25 - Do Federal agencies have responsibilities to provide national visibility for Art-in-Architecture?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... responsibilities to provide national visibility for Art-in-Architecture? 102-77.25 Section 102-77.25 Public... MANAGEMENT REGULATION REAL PROPERTY 77-ART-IN-ARCHITECTURE Art-in-Architecture § 102-77.25 Do Federal agencies have responsibilities to provide national visibility for Art-in-Architecture? Yes,...

  2. 41 CFR 102-77.25 - Do Federal agencies have responsibilities to provide national visibility for Art-in-Architecture?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... responsibilities to provide national visibility for Art-in-Architecture? 102-77.25 Section 102-77.25 Public... MANAGEMENT REGULATION REAL PROPERTY 77-ART-IN-ARCHITECTURE Art-in-Architecture § 102-77.25 Do Federal agencies have responsibilities to provide national visibility for Art-in-Architecture? Yes,...

  3. 41 CFR 102-77.25 - Do Federal agencies have responsibilities to provide national visibility for Art-in-Architecture?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... responsibilities to provide national visibility for Art-in-Architecture? 102-77.25 Section 102-77.25 Public... MANAGEMENT REGULATION REAL PROPERTY 77-ART-IN-ARCHITECTURE Art-in-Architecture § 102-77.25 Do Federal agencies have responsibilities to provide national visibility for Art-in-Architecture? Yes,...

  4. Structural health monitoring activities at National Laboratories

    SciTech Connect

    Farrar, C.R.; Doebling, S.W.; James, G.H.; Simmermacher, T.

    1997-09-01

    Sandia National Laboratories and Los Alamos National Laboratory have on-going programs to assess damage in structures and mechanical systems from changes in their dynamic characteristics. This paper provides a summary of how both institutes became involved with this technology, their experience in this field and the directions that their research in this area will be taking in the future.

  5. National Institute on Minority Health and Health Disparities

    MedlinePlus

    ... rates. More The Center for Native and Pacific Health Disparities Research Walks Beside, Not In Front of, ... community partners. More NIMHD Insights Blog Addressing Mental Health in African Americans Through FAITH By Dr. Tiffany ...

  6. National health expenditures: a global analysis.

    PubMed Central

    Murray, C. J.; Govindaraj, R.; Musgrove, P.

    1994-01-01

    As part of the background research to the World development report 1993: investing in health, an effort was made to estimate public, private and total expenditures on health for all countries of the world. Estimates could be found for public spending for most countries, but for private expenditure in many fewer countries. Regressions were used to predict the missing values of regional and global estimates. These econometric exercises were also used to relate expenditure to measures of health status. In 1990 the world spent an estimated US$ 1.7 trillion (1.7 x 10(12) on health, or $1.9 trillion (1.9 x 10(12)) in dollars adjusted for higher purchasing power in poorer countries. This amount was about 60% public and 40% private in origin. However, as incomes rise, public health expenditure tends to displace private spending and to account for the increasing share of incomes devoted to health. PMID:7923542

  7. 78 FR 39738 - National Advisory Council on the National Health Service Corps; Notice of Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-02

    ... HUMAN SERVICES Health Resources and Services Administration National Advisory Council on the National... retention resources, and partnerships. The public can join the meeting via audio conference call on the date... INFORMATION CONTACT: Njeri Jones, Bureau of Clinician Recruitment and Service, Health Resources and...

  8. 32 CFR 621.1 - Loan of Army/Defense Logistics Agency (DLA) owned property for use at national and State...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 3 2010-07-01 2010-07-01 true Loan of Army/Defense Logistics Agency (DLA) owned property for use at national and State conventions. 621.1 Section 621.1 National Defense Department of... of Army/Defense Logistics Agency (DLA) owned property for use at national and State conventions....

  9. DataView: National Health Expenditures, 1995

    PubMed Central

    Levit, Katharine R.; Lazenby, Helen C.; Braden, Bradley R.; Cowan, Cathy A.; McDonnell, Patricia A.; Sivarajan, Lekha; Stiller, Jean M.; Won, Darleen K.; Donham, Carolyn S.; Long, Anna M.; Stewart, Madie W.

    1996-01-01

    This article presents data on health care spending for the United States, covering expenditures for various types of medical services and products and their sources of funding from 1960 to 1995. In 1995, $988.5 billion was spent to purchase health care in the United States, up 5.5 percent from 1994. Growth in spending between 1993 and 1995 was the slowest in more than three decades, primarily because of slow growth in private health insurance and out-of-pocket spending. As a result, the share of health spending funded by private sources fell, reflecting the influence of increased enrollment in managed care plans. PMID:10165031

  10. Afghanistan's national strategy for improving quality in health care

    PubMed Central

    Rahimzai, Mirwais; Amiri, Mirwais; Burhani, Nadera Hayat; Leatherman, Sheila; Hiltebeitel, Simon; Rahmanzai, Ahmed Javed

    2013-01-01

    Quality problem or issue When the Ministry of Public Health (MoPH) of the Islamic Republic of Afghanistan began reconstructing the health system in 2003, it faced serious challenges. Decades of war had severely damaged the health infrastructure and the country's ability to deliver health services. Initial assessment A national health resources assessment in 2002 revealed huge structural and resource disparities fundamental to improving health care. For example, only 9% of the population was able to access basic health services, and about 40% of health facilities had no female health providers, severely constraining access of women to health care. Multiple donor programs and the MoPH had some success in improving quality, but questions about sustainability, as well as fragmentation and poor coordination, existed. Plan of action In 2009, MoPH resolved to align and accelerate quality improvement efforts as well as build structural and skill capacity. Implementation The MoPH established a new quality unit within the ministry and undertook a year-long consultative process that drew on international evidence and inputs from all levels of the health system to developed a National Strategy for Improving Quality in Health Care consisting of a strategy implementation framework and a five-year operational plan. Lessons Learned Even in resource-restrained countries, under the most adverse circumstances, quality of health care can be improved at the front-lines and a consensual and coherent national quality strategy developed and implemented. PMID:23485422

  11. Ebola infection control in Sierra Leonean health clinics: A large cross-agency cooperative project.

    PubMed

    Levy, Benjamin; Rao, Carol Y; Miller, Laura; Kennedy, Ngozi; Adams, Monica; Davis, Rosemary; Hastings, Laura; Kabano, Augustin; Bennett, Sarah D; Sesay, Momodu

    2015-07-01

    The Ebola virus disease outbreak occurring in West Africa has resulted in at least 199 cases of Ebola in Sierra Leonean health care workers, many as a result of transmission occurring in health facilities. The Ministry of Health and Sanitation of Sierra Leone recognized that improvements in infection prevention and control (IPC) were necessary at all levels of health care delivery. To this end, the U.S. Centers for Disease Control and Prevention, United Nations Children's Fund, and multiple nongovernmental organizations implemented a national IPC training program in 1,200 peripheral health units (PHUs) in Sierra Leone. A tiered training of trainers program was used. Trainers conducted multiday trainings at PHUs and coordinated the delivery of personal protective equipment (gloves, gowns, masks, boots) and infection control supplies (chlorine, buckets, disposable rags, etc) to all PHU staff. Under the ongoing project, 4,264 health workers have already been trained, and 98% of PHUs have received their first shipment of supplies.

  12. Place-focused physical activity research, human agency, and social justice in public health: taking agency seriously in studies of the built environment.

    PubMed

    Blacksher, Erika; Lovasi, Gina S

    2012-03-01

    Built environment characteristics have been linked to health outcomes and health disparities. However, the effects of an environment on behavior may depend on human perception, interpretation, motivation, and other forms of human agency. We draw on epidemiological and ethical concepts to articulate a critique of research on the built environment and physical activity. We identify problematic assumptions and enumerate both scientific and ethical reasons to incorporate subjective perspectives and public engagement strategies into built environment research and interventions. We maintain that taking agency seriously is essential to the pursuit of health equity and the broader demands of social justice in public health, an important consideration as studies of the built environment and physical activity increasingly focus on socially disadvantaged communities. Attention to how people understand their environment and navigate competing demands can improve the scientific value of ongoing efforts to promote active living and health, while also better fulfilling our ethical obligations to the individuals and communities whose health we strive to protect.

  13. 76 FR 10598 - Office of the National Coordinator for Health Information Technology; Recommendations Received...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-25

    ... HUMAN SERVICES Office of the National Coordinator for Health Information Technology; Recommendations... the Public Health Service Act, as amended by the Health Information Technology for Economic and Clinical Health (HITECH) Act, requires the National Coordinator for Health Information Technology...

  14. 77 FR 61011 - National Institute of Mental Health; Notice of Closed Meetings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-05

    ... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... of Committee: National Institute of Mental Health Special Emphasis Panel; Translational Research For..., National Institute of Mental Health, National Institutes of Health, 6001 Executive Blvd., Room 6154,...

  15. 75 FR 32486 - National Institute of Mental Health; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-08

    ... Award; 93.282, Mental Health National Research Service Awards for Research Training, National Institutes... HUMAN SERVICES National Institutes of Health National Institute of Mental Health; Notice of Closed... Committee: National Institute of Mental Health Special Emphasis Panel; National Cooperative Drug...

  16. A 21st Century National Public Health System

    DTIC Science & Technology

    2008-09-01

    Likewise, the NACCHO survey showed that local public health agencies also perform a wide variety of activities such as, childhood immunizations...communicable disease epidemiology, and screening for infectious disease. In addition, a variety of prevention programs are offered, including obesity ...strong connections with each other and with hospitals. These linkages are constantly being nurtured . An area that could be improved is the direct

  17. National Built Environment Health Impact Assessment Model ...

    EPA Pesticide Factsheets

    Behavioral (activity, diet, social interaction) and exposure (air pollution, traffic injury, and noise) related health impacts of land use and transportation investment decisions are becoming better understood and quantified. Research has shown relationships between density, mix, street connectivity, access to parks, shops, transit, presence of sidewalks and bikeways, and healthy food with physical activity, obesity, cardiovascular disease, type II diabetes, and some mental health outcomes. This session demonstrates successful integration of health impact assessment into multiple scenario planning tool platforms. Detailed evidence on chronic disease and related costs associated with contrasting land use and transportation investments are built into a general-purpose module that can be accessed by multiple platforms. Funders, researchers, and end users of the tool will present a detailed description of the key elements of the approach, how it has been applied, and how will evolve. A critical focus will be placed on equity and social justice inherent within the assessment of health disparities that will be featured in the session. Health impacts of community design have significant cost benefit implications. Recent research is now extending relationships between community design features and chronic disease to health care costs. This session will demonstrate the recent application of this evidence on health impacts to the newly adopted Los Angeles Regional Transpo

  18. Organizational and Institutional Factors Associated with National Institutes of Health Research Grant Awards to Social Work Programs

    ERIC Educational Resources Information Center

    Corvo, Kenneth; Zlotnik, Joan; Chen, Wan-Yi

    2008-01-01

    This study examines the organizational and institutional factors that may be associated with the success of schools of social work (SOSWs) in securing research grant awards from the National Institutes of Health (NIH) and constituent agencies. Using data from the CRISP database on NIH grant funding, the Lombardi Program on Measuring University…

  19. National health expenditure projections, 1994-2005.

    PubMed

    Burner, S T; Waldo, D R

    1995-01-01

    Using 1993 as a baseline and assuming that current laws and practices continue, the authors project U.S. health expenditures through the year 2005. Annual spending growth has declined since 1990, and, in the scenario reported here, that trend continues in 1994. Growth of health spending increases thereafter, but remains below the average experience of the past decade. Even so, health expenditures grow faster than the gross domestic product (GDP), and by 2005, account for 17.9 percent of the GDP. Unless the system changes, Medicare and Medicaid are projected to pay for an increasing share of total spending during the next decade.

  20. 76 FR 18566 - National Center on Minority and Health Disparities; Notice of Closed Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... HUMAN SERVICES National Institutes of Health National Center on Minority and Health Disparities; Notice... personal privacy. Name of Committee: National Center on Minority Health and Health Disparities Special...-Sharp, PhD, Scientific Review Officer, National Institute on Minority Health and Health...

  1. Occupational Competency Profile for Health Occupations Education Program: Health Agency Assessment. Information Series: Report No. 10.

    ERIC Educational Resources Information Center

    Walters, Norma J.

    This assessment instrument is intended to provide health occupations teachers and state departments of education with information needed to revise and improve the curriculum used in training prospective health occupations teachers and in updating certification requirements for practicing health care professionals. The profile lists the…

  2. A resolution supporting National Men's Health Week.

    THOMAS, 111th Congress

    Sen. Crapo, Mike [R-ID

    2009-06-09

    06/09/2009 Referred to the Committee on Health, Education, Labor, and Pensions. (text of measure as introduced: CR S6385) (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  3. National electronic health record interoperability chronology.

    PubMed

    Hufnagel, Stephen P

    2009-05-01

    The federal initiative for electronic health record (EHR) interoperability began in 2000 and set the stage for the establishment of the 2004 Executive Order for EHR interoperability by 2014. This article discusses the chronology from the 2001 e-Government Consolidated Health Informatics (CHI) initiative through the current congressional mandates for an aligned, interoperable, and agile DoD AHLTA and VA VistA.

  4. National Public Opinion on School Health Education: Implications for the Health Care Reform Initiatives.

    ERIC Educational Resources Information Center

    Torabi, Mohammad R.; Crowe, James W.

    1995-01-01

    This study investigated national public opinion on school health education and the implications for health-care reform initiatives. Telephone surveys of 1,005 adults nationwide indicated that the public at large believes in the importance of health education to reduce health problems among children, considering it the responsibility of parents and…

  5. Summary Health Statistics for U.S. Children: National Health Interview Survey, 1999.

    ERIC Educational Resources Information Center

    Blackwell, Debra L.; Tonthat, Luong

    This report presents statistics from the 1999 National Health Interview Survey (NHIS) on selected health measures for children under 18 years of age, classified by sex, age, race/ethnicity, family structure, parent education, family income, poverty status, health insurance coverage, place of residence, region, and current health status. The NHIS…

  6. Resistance in Unjust Times: Archer, Structured Agency and the Sociology of Health Inequalities.

    PubMed

    Scambler, Graham

    2013-02-01

    Few sociologists dissent from the notion that the mid- to late 1970s witnessed a shift in capitalism's modus operandi. Its association with a rapid increase of social and material inequality is beyond dispute. This article opens with a brief summation of contemporary British trends in economic inequalities, and finds an echo of these trends in health inequalities. It is suggested that the sociology of health inequalities in Britain lacks an analysis of agency, and that such an analysis is crucial. A case is made that the recent critical realist contribution of Margaret Archer on 'internal conversations' lends itself to an understanding of agency that is salient here. The article develops her typology of internal conversations to present characterizations of the 'focused autonomous reflexives' whose mind-sets are causally efficacious for producing and reproducing inequalities, and the 'dedicated meta-reflexives' whose casts of mind might yet predispose them to mobilize resistance to inequalities.

  7. The Effect of Publicized Quality Information on Home Health Agency Choice.

    PubMed

    Jung, Jeah Kyoungrae; Wu, Bingxiao; Kim, Hyunjee; Polsky, Daniel

    2016-12-01

    We examine consumers' use of publicized quality information in Medicare home health care markets, where consumer cost sharing and travel costs are absent. We report two findings. First, agencies with high quality scores are more likely to be preferred by consumers after the introduction of a public reporting program than before. Second, consumers' use of publicized quality information differs by patient group. Community-based patients have slightly larger responses to public reporting than hospital-discharged patients. Patients with functional limitations at the start of their care, at least among hospital-discharged patients, have a larger response to the reported functional outcome measure than those without functional limitations. In all cases of significant marginal effects, magnitudes are small. We conclude that the current public reporting approach is unlikely to have critical impacts on home health agency choice. Identifying and releasing quality information that is meaningful to consumers may help increase consumers' use of public reports.

  8. What Yugoslavia means: progress, nationalism, and health.

    PubMed

    Kunitz, S J

    1996-01-01

    Theories of modernization have assumed that the creation of nation-states involved the breakdown of parochial ethnic boundaries and increasing secularism, all of which resulted in a demographic transition from high to low fertility and mortality. Recent experiences suggests, however, that in some circumstances nation-states may be highly unstable as ethnic minorities assert their rights to self-determination. Under such conditions, converging patterns of mortality may begin to diverge as growing inequalities appear between newly independent region of once unified states. The recent history of Yugoslavia is described to provide an example of how this process might occur and what the results might be.

  9. National mental health reform: less talk, more action.

    PubMed

    Rosenberg, Sebastian; Hickie, Ian B; Mendoza, John

    2009-02-16

    The Council of Australian Governments revitalised national mental health reform in 2006. Unfortunately, evidence-based models of collaborative care have not yet been supported. Previous attempts at national reform have lacked a strategic vision. We continue to rely on arrangements that are fragmented between different levels of government, poorly resourced community services, and an embattled public hospital sector. Our persisting unwillingness to record or publicly report key measures of health, social or economic outcomes undermines community confidence in the mental health system. Six priority areas for urgent national action are proposed and linked to key measures of improved health system performance. In Australia, we recognise special groups (such as war veterans) and organise and fund services to meet their specific health needs. Such systems could be readily adapted to meet the needs of people with psychosis.

  10. Starting a hospital-based home health agency: Part III--Marketing.

    PubMed

    Montgomery, P

    1993-10-01

    Successfully marketing home healthcare involves not only community awareness, but the system's support as well--nurses, physicians, administration, social services. Working together with common goals and commitments is essential to the program's success. Addressing questions and concerns ensures a successful business start-up and ongoing implementation. A service benefit profile, target markets, and a feasibility analysis are provided in this final section of a three-part series on establishing a home health agency.

  11. National Survey of State Children's Mental Health Directors: Current Status and Future Directions.

    PubMed

    Hernandez, Mario; Armstrong, Mary; Green, Amy L; Johnson, Melissa H

    2017-01-01

    State agencies play a critical role in addressing the mental health needs of children and youth. Significant changes underway throughout the nation at the federal and state levels have led to questions about the role of state children's mental health (CMH) agencies and the effects of these changes on children's services. The purpose of this study was to examine the current status of state offices for CMH with regard to structure and responsibilities and to identify what state CMH directors express as opportunities and challenges for CMH at the state level. CMH directors or their representatives from 46 states, 1 US territory, and D.C. completed an online survey developed to address the specific aims of this study. Findings highlight the importance of a strong state structure to support CMH and opportunities for reform and system change, particularly related to the Affordable Care Act and expansion of Systems of Care.

  12. Nursing and the national policy of education for health care professionals for the Brazilian national Health System.

    PubMed

    Haddad, Ana Estela

    2011-12-01

    The objective of the present article is to identify the aspects and characteristic of creating and implementing the national policy for the administration of health education, over the last six years, with particular emphasis on the central role of nursing undergraduate studied and the profession as a field of knowledge that structures the management of care and the working process in health. The advancements and the current challenges that are posed to implement the National Health System and the role of connecting health care and education administrators and establishing an interfederal network to assure the success of the ongoing initiatives.

  13. National newspaper coverage of minority health disparities.

    PubMed Central

    Amzel, Anouk; Ghosh, Chandak

    2007-01-01

    OBJECTIVES: To assess American newspaper coverage regarding racial and ethnic minority health disparities (MHDs). METHODS: LexisNexis was queried with specific word combinations to elicit all MHD articles printed in 257 newspapers from 2000-2004. The full texts were read and articles categorized by racial/ethnic group and specific MHD topics mentioned. RESULTS: In the five years from 2000-2004, 1188 MHD articles were published, representing 0.09% of all articles about health. Newspapers gave much attention to MHD when discussed in conferences and meetings and speeches by senior health officials and politicians. Cancer, cardiovascular disease and HIV/AIDS were most frequent among disease-specific mentions. Articles about African Americans comprised 60.4% of all race/ethnicity-mentioning articles. CONCLUSIONS: Despite the release of major organizational reports and the publication of many studies confirming the prevalence of MHD, few newspaper articles have been published explaining MHD to the public. Because of the general public's low rate of health literacy, the health world should collaborate with the media to present a consistent, simple message concerning gaps in care experienced by all racial/ethnic minority groups. In a time of consumer-directed healthcare, if Americans understand that MHDs exist, they may galvanize to advocate for disparity elimination and quality improvement. PMID:17987915

  14. Gross national happiness as a framework for health impact assessment

    SciTech Connect

    Pennock, Michael; Ura, Karma

    2011-01-15

    The incorporation of population health concepts and health determinants into Health Impact Assessments has created a number of challenges. The need for intersectoral collaboration has increased; the meaning of 'health' has become less clear; and the distinctions between health impacts, environmental impacts, social impacts and economic impacts have become increasingly blurred. The Bhutanese concept of Gross National Happiness may address these issues by providing an over-arching evidence-based framework which incorporates health, social, environmental and economic contributors as well as a number of other key contributors to wellbeing such as culture and governance. It has the potential to foster intersectoral collaboration by incorporating a more limited definition of health which places the health sector as one of a number of contributors to wellbeing. It also allows for the examination of the opportunity costs of health investments on wellbeing, is consistent with whole-of-government approaches to public policy and emerging models of social progress.

  15. The National Federation of Families for Children's Mental Health

    ERIC Educational Resources Information Center

    Brown, Corey

    2011-01-01

    This article outlines the mission and vision of the National Federation of Families for Children's Mental Health and its history and accomplishments in the family movement. It gives examples of how the National Federation is leading the way for positive, collaborative, and engaging training; as well as research and advocacy. Five core principles…

  16. Profit and non-profit home health care agency outcomes: a study of one state's experience.

    PubMed

    Ellenbecker, C H

    1995-01-01

    The home health care industry, traditionally an industry of non-profit organizations, has increasingly become, as has the rest of the health care industry, invaded by for-profit organizations. The impetus for this invasion was the Omnibus Reconciliation Act (OBRA) of 1980 which encouraged previously restricted for-profit organizations to participate in the Medicare and Medicaid home health care program. Following enactment of OBRA, the number of for-profit organizations grew rapidly and the advantages and disadvantages of their presence in the market has been widely debated. The purpose of this study was to describe differences in behaviors and industry outcomes generated by non-profit and for-profit organizations in Massachusetts. Data for the study was from the Massachusetts State Department of Public Health's Annual Reports of Home Health Agencies. Results suggest that while profit and non-profit agencies behave similarly in many areas, there are areas of difference, with significant differences found in the amount of service delivered and the rates charged.

  17. [Health promotion effectiveness: developing and testing a system for routine evaluation in health education, workplace health promotion and setting approach supplied by the German statutory health insurance agencies].

    PubMed

    Kliche, T; Riemann, K; Bockermann, C; Niederbühl, K; Wanek, V; Koch, U

    2011-04-01

    The aim of the study was to develop and test a routine evaluation system for all health promotion and education activities funded by the German statutory health insurance companies. The system aims at measuring both individual health effects and the complex organisational effects of setting projects. Measurement instruments were developed synoptically and tested in three field tests (2003-2008). In order to assess the impact of individual health training, 212 courses of the health insurance companies were evaluated. To assess the setting approach, 56 schools participating in a health-promotion project were included, and for workplace health-promotion 6 projects of different health insurance companies were included. The research design was an observational study. Instead of control groups, individual data were compared to reference values for gender- and age-matched groups from national health surveys. The studies consisted of baseline and final assessment (T1/T2), complemented by a follow-up (T3), all adapted to the time of intervention (i. e., 3-24 months for T1/T2 and 3-18 months for T2/T3). The evaluation system provides multilevel-measurement based upon validated questionnaires for health-related structures and processes in institutions, and for the participating individual's subjective health, health problems, health-related quality of life, workplace and institutional satisfaction. Controlling for central confounders is also possible (input and dosage, age, gender, educational background). Thus, short but valid measurement instruments of high usability are available to evaluate the effectiveness of prevention, health promotion and education.

  18. 78 FR 21382 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-10

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... secrets or commercial property such as patentable material, and personal information concerning... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  19. 78 FR 17419 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-21

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... secrets or commercial property such as patentable material, and personal information concerning... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  20. 77 FR 28888 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-16

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... secrets or commercial property such as patentable material, and personal information concerning... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...