Relevant bibliographies by topics / Harvard Community Health Plan

Academic literature on the topic 'Harvard Community Health Plan'

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Published: 27 July 2024
Last updated: 29 July 2024

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Journal articles on the topic "Harvard Community Health Plan"

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Schoenbaum, Stephen C., and G. Octo Barnett. "Automated Ambulatory Medical Records Systems: An Orphan Technology." International Journal of Technology Assessment in Health Care 8, no. 4 (1992): 598–609. http://dx.doi.org/10.1017/s0266462300002300.

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AbstractAutomated ambulatory medical records systems (AAMRSs) have been operational for over 20 years but have not been adopted by more than a small fraction of their potential users. This paper presents a detailed analysis of the uses and benefits of the COSTAR-based AAMRS at the Harvard Community Health Plan and of the factors which have inhibited the dissemination of COSTAR. We conclude that AAMRSs have been an orphan technology and cite trends in health care that favor the future development of AAMRSs.
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Stewart, Matthew, Bridget Grahmann, Ariel Fillmore, and L. Scott Benson. "Rural Community Disaster Preparedness and Risk Perception in Trujillo, Peru." Prehospital and Disaster Medicine 32, no. 4 (April 11, 2017): 387–92. http://dx.doi.org/10.1017/s1049023x17006380.

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AbstractIntroductionDisasters will continue to occur throughout the world and it is the responsibility of the government, health care systems, and communities to adequately prepare for potential catastrophic scenarios. Unfortunately, low-and-middle-income countries (LMICs) are especially vulnerable following a disaster. By understanding disaster preparedness and risk perception, interventions can be developed to improve community preparedness and avoid unnecessary mortality and morbidity following a natural disaster.ProblemThe purpose of this study was to assess disaster preparedness and risk perception in communities surrounding Trujillo, Peru.MethodsAfter designing a novel disaster preparedness and risk perception survey based on guidelines from the International Federation of Red Cross and Red Crescent Societies (IFRC; Geneva, Switzerland), investigators performed a cross-sectional survey of potentially vulnerable communities surrounding Trujillo, Peru. Data were entered and analyzed utilizing the Research Electronic Data Capture (REDCap; Harvard Catalyst; Boston, Massachusetts USA) database.ResultsA total of 230 study participants were surveyed, composed of 37% males, 63% females, with ages ranging from 18-85 years old. Those surveyed who had previously experienced a disaster (41%) had a higher perception of future disaster occurrence and potential disaster impact on their community. Overall, the study participants consistently perceived that earthquakes and infection had the highest potential impact of all disasters. Twenty-six percent of participants had an emergency supply of food, 24% had an emergency water plan, 24% had a first aid kit at home, and only 20% of the study participants had an established family evacuation plan.ConclusionNatural and man-made disasters will remain a threat to the safety and health of communities in all parts of the world, especially within vulnerable communities in LMICs; however, little research has been done to identify disaster perception, vulnerability, and preparedness in LMIC communities. The current study established that selected communities near Trujillo, Peru recognize a high disaster impact from earthquakes and infection, but are not adequately prepared for potential future disasters. By identifying high-risk demographics, targeted public health interventions are needed to prepare vulnerable communities in the following areas: emergency food supplies, emergency water plan, medical supplies at home, and establishing evacuation plans.StewartM, GrahmannB, FillmoreA, BensonLS. Rural community disaster preparedness and risk perception in Trujillo, Peru. Prehosp Disaster Med. 2017;32(4):387–392.
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MULLOOLY, J. P., K. RIEDLINGER, C. CHUN, S. WEINMANN, and H. HOUSTON. "Incidence of herpes zoster, 1997–2002." Epidemiology and Infection 133, no. 2 (March 2, 2005): 245–53. http://dx.doi.org/10.1017/s095026880400281x.

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We estimated age-specific herpes zoster (HZ) incidence rates in the Kaiser Permanente Northwest Health Plan (KPNW) during 1997–2002 and tested for secular trends and differences between residents of two states with different varicella vaccine coverage rates. The cumulative proportions of 2-year-olds vaccinated increased from 35% in 1997 to 85% in 2002 in Oregon, and from 25% in 1997 to 82% in 2002 in Washington. Age-specific HZ incidence rates in KPNW during 1997–2002 were compared with published rates in the Harvard Community Health Plan (HCHP) during 1990–1992. The overall HZ incidence rate in KPNW during 1997–2002 (369/100000 person-years) was slightly higher than HCHP's 1990–1992 rate when adjusted for age differences. For children 0–14 years old, KPNW's rates (182 for females, 123 for males) were more than three times HCHP's rates (54 for females, 39 for males). This increase appears to be associated with increased exposure of children to oral corticosteroids. The percentage of KPNW children exposed to oral corticosteroids increased from 2·2% in 1991 to 3·6% in 2002. Oregon residents had slightly higher steroid exposure rates during 1997–2002 than Washington residents. There were significant increases in HZ incidence rates in Oregon and Washington during 1997–2002 among children aged 10–17 years, associated with increased exposure to oral steroids.
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Mollica, Richard, Giovanni Muscettola, Eugene Augusterfer, Qiuyuan Qin, and Fanny Cai. "Harvard Medical School Global Mental Health: Trauma and Recovery Course: What is the Global Impact? Three Year’s Results." Mental Health: Global Challenges Journal 7, no. 1 (March 11, 2024): 27–40. http://dx.doi.org/10.56508/mhgcj.v7i1.186.

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Purpose: This paper describes and documents an innovative blended learning Global Mental Health: Trauma and Recovery certificate training course. This course combines a two-week face-to-face training in Orvieto, Italy with a five-month follow-up online virtual training as a learning experience for global health care practitioners. Continuing medical education (CME) accreditation is offered upon completion. This course utilized an innovative blended learning model with a community of practice approach, a combination of lectures and discussions, and online in-depth group case study discussions. Methodology: Data was collected by self-reported anonymous evaluation by participants of three continuous years of the CME Global Mental Health: Trauma and Recovery certificate training course sponsored by Harvard Medical School. One hundred fifty-five participants (n= 39 in 2011; n = 57 in 2012; n=59 in 2013) underwent a pre- and post-course evaluation to determine sustained confidence in performing medical and psychiatric care to traumatized patients and communities, as well as to determine their learning of the Global Mental Health Action Plan (GMHAP). Results: Over the course of three independent years, a total of 155 participants were evaluated. There was evidence for significant improvement in their confidence levels in all clinical areas (diagnosis; treatment of trauma; use of psychotropic medication) when comparing baseline to completion of the six-month course. All ten dimensions of the GMHAP and nine medical and psychiatric aspects of treatment revealed significant improvement in confidence levels. Regression analysis also indicated similar results after the adjustment of demographic covariates. Physicians and participants with mental health and social work background had significantly higher confidence. Participants who were MD’s or psychiatrists had higher confidence in most of the categories of confidence except for self-care, understanding culture, collaboration, and policy and financing. The model showed no difference in learning based upon gender and level of development of country of origin. Conclusion: The evaluation of this blended learning CME program provides evidence of significant enhancement of clinical practice and planning skills in health care practitioners working with highly traumatized patients and communities worldwide. This successful training over the past 18 years has gone far to achieve the health and mental health capacity building as requested by the Ministers of Health from post-conflict societies in the historic Rome meeting in 2004.
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Lee, Edmund WJ, Rachel F. McCloud, and Kasisomayajula Viswanath. "Designing Effective eHealth Interventions for Underserved Groups: Five Lessons From a Decade of eHealth Intervention Design and Deployment." Journal of Medical Internet Research 24, no. 1 (January 7, 2022): e25419. http://dx.doi.org/10.2196/25419.

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Despite the proliferation of eHealth interventions, such as web portals, for health information dissemination or the use of mobile apps and wearables for health monitoring, research has shown that underserved groups do not benefit proportionately from these eHealth interventions. This is largely because of usability issues and the lack of attention to the broader structural, physical, and psychosocial barriers to technology adoption and use. The objective of this paper is to draw lessons from a decade of experience in designing different user-centered eHealth interventions (eg, web portals and health apps) to inform future work in leveraging technology to address health disparities. We draw these lessons from a series of interventions from the work we have done over 15 years in the Viswanath laboratory at the Dana-Farber Cancer Institute and Harvard TH Chan School of Public Health, focusing on three projects that used web portals and health apps targeted toward underserved groups. The projects were the following: Click to Connect, which was a community-based eHealth intervention that aimed to improve internet skills and health literacy among underserved groups by providing home access to high-speed internet, computer, and internet training classes, as well as a dedicated health web portal with ongoing technical support; PLANET MassCONECT, which was a knowledge translation project that built capacity among community-based organizations in Boston, Lawrence, and Worcester in Massachusetts to adopt evidence-based health promotion programs; and Smartphone App for Public Health, which was a mobile health research that facilitated both participatory (eg, surveys) and passive data (eg, geolocations and web-browsing behaviors) collection for the purpose of understanding tobacco message exposure in individuals’ built environment. Through our work, we distilled five key principles for researchers aiming to design eHealth interventions for underserved groups. They are as follows: develop a strategic road map to address communication inequalities (ie, a concrete action plan to identify the barriers faced by underserved groups and customize specific solutions to each of them), engage multiple stakeholders from the beginning for the long haul, design with usability—readability and navigability—in mind, build privacy safeguards into eHealth interventions and communicate privacy–utility tradeoffs in simplicity, and strive for an optimal balance between open science aspirations and protection of underserved groups.
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Bastick, Emily, Suili Bot, Simone J. W. Verhagen, Gerhard Zarbock, Joan Farrell, Odette Brand-de Wilde, Arnoud Arntz, and Christopher William Lee. "The Development and Psychometric Evaluation of the Group Schema Therapy Rating Scale – Revised." Behavioural and Cognitive Psychotherapy 46, no. 5 (January 26, 2018): 601–18. http://dx.doi.org/10.1017/s1352465817000741.

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Background: Recent research has supported the efficacy of schema therapy as a treatment for personality disorders. A group format has been developed (group schema therapy; GST), which has been suggested to improve both the clinical and cost-effectiveness of the treatment. Aims: Efficacy studies of GST need to assess treatment fidelity. The aims of the present study were to improve, describe and evaluate a fidelity measure for GST, the Group Schema Therapy Rating Scale – Revised (GSTRS-R). Method: Following a pilot study on an initial version of the scale (GSTRS), items were revised and guidelines were modified in order to improve the reliability of the scale. Students highly experienced with the scale rated recorded GST therapy sessions using the GSTRS-R in addition to a group cohesion measure, the Harvard Community Health Plan Group Cohesiveness Scale – II (GCS-II). The scores were used to assess internal consistency and inter-rater reliability. Discriminant validity was assessed by comparing the scores on the GSTRS-R with the GCS-II. Results: The GSTRS-R displayed substantial internal consistency and inter-rater reliability, and adequate discriminate validity, evidenced by a weak positive correlation with the GCS-II. Conclusions: Overall, the GSTRS-R is a reliable tool that may be useful for evaluating therapist fidelity to GST model, and assisting GST training and supervision. Initial validity was supported by a weak association with GCS-II, indicating that although associated with cohesiveness, the instrument also assesses factors specific to GST. Limitations are discussed.
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Tran, Tuan. "The First Annual National Vietnam Medical Education Conference “Preparing the 21st Century Physician”." MedPharmRes 2, no. 1 (April 2, 2018): 1–2. http://dx.doi.org/10.32895/ump.mpr.2.1.1/suffix.

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President of University of Medicine and Pharmacy at Ho Chi Minh City, Department of Pediatrics - UMP We are delighted to introduce the Special Issue for the medical education derived from the 1st National Vietnam Medical Education Conference: “Preparing the 21st Century Physician”. The First Annual National Vietnam Medical Education Conference was held on 2-3 December, 2017, by the Vietnam Ministry of Health, University of Medicine and Pharmacy in Ho Chi Minh City, and the Improving Access, Curriculum and Teaching in Medical Education and Emerging Diseases (IMPACT-MED) Alliance, which is supported by United States Agency for International Development (USAID) and implemented by Partnership for Health Advancement Vietnam, a collaboration between Harvard Medical School, the Brigham & Women’s Hospital and the Beth Israel Deaconess Medical Center. It has attracted approximately 300 leaders in the medical education, faculties and students from Vietnam and around the world. This conference comes at an exciting time in the socio-economic development of Vietnam. The Vietnamese health sector has made enormous strides in the control of communicable diseases, increasing the life expectancy and increasing access to the health care for its population over the past 40 years since the reunification of the country. In July 2017, Vietnam became a middle-income country, and with this new status comes new health challenges, which if not addressed, will impede the continued development of the country. Non-communicable diseases, a rapidly aging population, emerge threats of pandemics, environmental pollution, and climate change are all at our doorstep. Additionally, an increasingly connected society that demands a high-quality healthcare, the government’s plan for Universal Health Care, and the desire for regional and an international integration all represent the challenges and opportunities that we must tackle. Addressing these challenges and opportunities starts with transforming the health workforce. There is an urgent need to update the country’s system of health education including university curricula and transforming approaches to teaching and learning to train health professionals who can adapt and react to the health challenges and realize the opportunities that are presented. A comprehensive curriculum reform is difficult. However, we can build upon the experience of previous, smaller-scale reform projects, and capitalize on the investments and support from the highest level of government to transform our health education system. We have built strong partnerships among the network of universities and colleges in Vietnam to support each other, and we also have support from international partners. Education reform is a necessity for Vietnam. The conversations and discussions that we have at this inaugural conference will pave the way towards the transformation of our health education system. The conference aims to provide a forum for sharing innovations and advances in the medical education, stimulate discussions among medical education leaders, inspire further innovations, and foster a community of medical educators invested in advancing medical education research and quality improvement. This entire volume is devoted to select the manuscripts, which was generated from the conference. We hope that it will be productive, and you will be inspired, energized and motivated to continue the efforts towards health education reform for your university/college, and for the country of Vietnam.
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Lewis, Barbara Edelman. "Research at Fallon Community Health Plan." Medical Care Research and Review 53, no. 1_suppl (March 1996): 92–103. http://dx.doi.org/10.1177/1077558796053001s08.

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Miller, Frances H., and Walter W. Miller. "Lessons to Be Learned from Harvard Pilgrim HMO's Fiscal Roller Coaster Ride." Journal of Law, Medicine & Ethics 28, no. 3 (2000): 287–304. http://dx.doi.org/10.1111/j.1748-720x.2000.tb00673.x.

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The recent high-profile financial difficulties of Harvard Pilgrim Health Care, the largest HMO in Massachusetts and consistently rated as one of the top ten HMOs in the nation, shed light on many problems common to health insurers throughout the country. This article explores those difficulties in the context of the short but complicated history of Harvard Pilgrim, and its regulatory and competitive environments. The state legislation which made a receivership proceeding possible for Harvard Pilgrim offered some protection for subscribers, but failed to provide the means for achieving a long term solution. The statute merely presented a method for staving off immediate collapse by temporarily protecting the plan from dissolution, and forcing the plan's contracting providers to continue delivering care even if owed money by the plan. The article concludes by drawing lessons for understanding and ideally avoiding similar managed care nearfatalities in the future.
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Abrams, Helen S. "Harvard community health plan's mental health redesign project: A managerial and clinical partnership." Psychiatric Quarterly 64, no. 1 (1993): 13–31. http://dx.doi.org/10.1007/bf01071836.

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Dissertations / Theses on the topic "Harvard Community Health Plan"

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Brennan, Eugene Phillip. "Oceano Community Health Plan." DigitalCommons@CalPoly, 2014. https://digitalcommons.calpoly.edu/theses/1276.

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ABSTRACT Oceano Community Health Plan Phillip Brennan Recent, mounting research shows that chronic disease, the leading causes of death and primary driver of health care costs, cannot be effectively addressed through education or preventative health alone. A physical environment that promotes health—through access to healthy food, opportunities for physical activity, quality housing, transportation options, and safe schools—is an integral part of making our communities healthier. This research and accompanying Healthy Community Plans will serve as a way for the County to begin looking in-depth at the ways the built environment (our streets, parks, and neighborhoods) contribute or detract from the health of the community. Though the creation of a healthy general plan may be unattainable for the County in the short term, a focus on a small yet cohesive part of the county presents an opportunity to affect these changes. Under the direction of the SLO County Health Agency and the Health Commission, we have written Healthy Community Plans for the unincorporated communities of Cayucos and Oceano, California. Both of these plans were greatly informed by their respective communities through input garnered through outreach, interviews, surveys and personal interactions with community members. This project examines the relationship between the built environment and public health, and explores ways planning professionals are beginning to address health issues through infrastructure, land use, creative zoning, and planning strategies that promote health and active living in policy. The planning documents, modeled after health elements currently being included in general plans throughout California, have integrated the fields of planning and public health to provide Cayucos and Oceano an assessment of its residents’ health, a description of the current built environment conditions that may be helping or hindering physical activity and access to nutritious food sources, as well as establish goals, policies and implementation strategies that will set a course of action toward healthier communities. Key Words: planning, public health, physical activity, built environment, community, active transportation
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Franich, Jennifer Joyce. "Cayucos Community Health Plan." DigitalCommons@CalPoly, 2014. https://digitalcommons.calpoly.edu/theses/1249.

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Recent, mounting research shows that chronic disease, the leading causes of death and primary driver of health care costs, cannot be effectively addressed through education or preventative health alone. A physical environment that promotes health—through access to healthy food, opportunities for physical activity, quality housing, transportation options, and safe schools—is an integral part of making our communities healthier. This research and accompanying Healthy Community Plans will serve as a way for the County to begin looking in-depth at the ways the built environment (our streets, parks, and neighborhoods) contribute or detract from the health of the community. Though the creation of a healthy general plan may be unattainable for the County in the short term, a focus on a small yet cohesive part of the county presents an opportunity to affect these changes. Under the direction of the SLO County Health Agency and the Health Commission, we have written Healthy Community Plans for the unincorporated communities of Cayucos and Oceano, California. Both of these plans were greatly informed by their respective communities through input garnered through outreach, interviews, surveys and personal interactions with community members. This project examines the relationship between the built environment and public health, and explores ways planning professionals are beginning to address health issues through infrastructure, land use, creative zoning, and planning strategies that promote health and active living in policy. The planning documents, modeled after health elements currently being included in general plans throughout California, have integrated the fields of planning and public health to provide Cayucos and Oceano an assessment of its residents’ health, a description of the current built environment conditions that may be helping or hindering physical activity and access to nutritious food sources, as well as establish goals, policies and implementation strategies that will set a course of action toward healthier communities.
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Flynn, Kathryn M. "College Health Clinic Population Health Improvement Plan Project." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3881.

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A college community health improvement plan (CHIP) focusing on the indicators of nutrition and weight status, and physical activity and fitness is designed with the goal of reducing obesity risk, improving health, and preventing chronic disease. The precede proceed model, logic model, innovative care for chronic conditions model, self-care theory, and Bandura's social cognitive learning theory were used as a research design framework for assessing, planning, and managing sustainability through a two-year college health clinic. The research questions were: what are the current health promotion inputs and activities in terms of environment, ecology, education, and policy and what could be supplemented to improve outputs and health outcomes? An integrated review of the literature, observation of the site, regulatory investigation, and focus group sessions were the methods of data collection. The precede-proceed model provided the analytical strategies to assess initiatives and resources, and to determine supplementary initiatives and resources. Results showed that environmental, educational, administrative, and policy resources were available but limited and not well promoted. Conclusions were that health promotion, wellness staffing, and education exist, but are underutilized, under promoted, and funding is necessary. Recommendations include a wellness program, increased activity initiatives, case management, grant funding, and increased community partnerships. The contribution to nursing is to fill a gap-in-practice for health planning in 2-year colleges. The implications for positive social change are improved knowledge, sustained health behaviors, decreased amount of obesity, improved health outcomes and quality of life, decreased chronic diseases, and lower healthcare costs.
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Ausbrooks, Dwight L. "Development of a comprehensive plan for the City of Indianopolis, Indiana /." This resource online, 1992. http://scholar.lib.vt.edu/theses/available/etd-12232009-020216/.

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Farrelly, Simone. "Therapeutic relationships in community mental health : the impact of the Joint Crisis Plan intervention." Thesis, King's College London (University of London), 2013. https://kclpure.kcl.ac.uk/portal/en/theses/therapeutic-relationships-in-community-mental-health(522a86f6-0fbd-463a-8b4f-cb706078f541).html.

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Policy and professional guidance in England have emphasised the importance of Therapeutic Relationships (TRs) in community mental health care, yet there is no comprehensive model to guide practice or understand the process through which stronger TRs are generated. This thesis investigated TRs in community mental health for individuals with psychotic disorders and was embedded within the CRIMSON trial: a randomised controlled trial of the Joint Crisis Plan (JCP) intervention. JCPs contain service users’ treatment preferences for future care, which are jointly decided with clinicians. Qualitative analyses addressed participants’ views of TRs and JCPs. Quantitative analyses addressed the predictive utility of TRs for outcomes, associations of TRs and the effect of JCPs on service user and clinician-rated TR. Results suggested that significant ambiguity persists regarding what can and should be provided in community mental health, resulting in unhelpful experiences for service users and clinicians. A new model of TRs - Consistent Respect - was developed; it presents TRs as bi¬directional processes, jointly affected by clinicians’ and service users’ experiences of interactions and their roles defined by the wider context; the latter often being a barrier to the development of strong TRs. JCPs significantly improved service users’ appraisals of TRs by providing a structured protocol through which routine role enactments were limited and clinicians could demonstrate Consistent Respect. Positive effects were lost when there were deficiencies in the implementation of JCPs and/or engagement of clinicians. In conclusion, improving TRs through JCPs could facilitate better outcomes and more satisfactory treatment experiences for service users and clinicians. Changes in policy and practice are indicated to facilitate transparent goals and roles for clinicians and respectful interactions with service users.
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Ausbrooks, Dwight L. "Development of a comprehensive plan for the City of Indianapolis, Indiana." Master's thesis, Virginia Tech, 1993. http://hdl.handle.net/10919/46364.

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The membership and participation within Indianapolis Challenge (I-Challenge) has increased significantly over the past year through diversification of both members and organizations. We have developed into a well balanced countywide-represented coalition. This local action plan for the Indianapolis Challenge represented a culmination of efforts and support of the group by major institutions within Marion County. Groups offering support include the following: the Mayor's Office, the State Prosecutor's Office, the Community Service council, the united Way of Central Indiana, Marion County Justice Agency, the Greater Indianapolis Council on Alcoholism and Fairbanks Hospital.

Through their research, the Funding Committee, in conjunction with the Planning and Development Committee, were able to make known the needs of the community.

One major finding is that there is a moderate effort of coordination taking place in Marion County. Many of the major institutions have acquiesced in the I-Challenge mission by necessity; I-Challenge reviews grants to ensure consistency with the local comprehensive plan for the Department of Mental Health and the Department of Justice substance abuse funds.

The data from Marion County is insufficient and agencies have trouble addressing the needs of the community. This is particularly true of those agencies depending on public monies and whose primary mission is to serve the poor. I-Challenge is developing a county-wide strategic plan which will determine the actions necessary to meet the needs of the city.


Master of Science in Education
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Capwell, Ellen M. "Local health department use of Ohio Department of Health Assistance to plan and implement community programs directed toward smoking control among women /." The Ohio State University, 1991. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487687115924146.

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Osedeme, Fenose, Mary Ann PhD Littleton, Hadii Mamudu, Crystal Robertson, Daniel Owusu, and Liang Wang. "Tobacco Policy Findings from a Community-Based Capacity Assessment Used to Develop a Population Health Improvement Plan for Tobacco Control in Appalachian Tennessee." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/18.

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Abstract Introduction: Tobacco use continues to be the leading preventable cause of morbidity and mortality in the Appalachian Tennessee despite the nationwide decline in tobacco use. The main reason contributing to this nationwide decline in tobacco use is tobacco control applied to prevention, cessation and protection efforts. Evidence indicates that regions with comprehensive tobacco control policies and programs have lower tobacco use prevalence than those with fewer policies and less comprehensive programs, which is characteristic of Tennessee. Therefore, this study examines the current capacity that exists around the tobacco control protection in Appalachian Tennessee. Methods: During 2015-2016, a Population Health Improvement Plan (PHIP) study involving 222 community stakeholders and 91 organizations was conducted in Appalachian Tennessee to assess the capacity of the region in addressing the high burden of tobacco use. First, twenty (20) key informant interviews were conducted with tobacco control professionals within the eight counties in Northeast Tennessee. Afterwards, two community meetings were held in the northern and southern areas of the region with additionally identified stakeholders (n = 36) to gather input on current efforts and methods to increase community capacity for tobacco control in the region. The interviews and discussions were audio-recorded, transcribed, and analyzed using a multifaceted framework approach to tobacco control that focuses on prevention, protection and cessation. This study focuses on important themes identified related to tobacco protection for the Northeast region of Tennessee. Results: The PHIP assessment process found that most current activities around protection for tobacco control were related to national tobacco control policies such as the Non-Smokers Protection Act (NSPA). Also, differences were found between rural and urban areas in the extent of policy efforts, with better enforcement of existing policies found in more metro areas. Rural counties expressed the need for better education and awareness of current policies to help with enforcement efforts. Assessment of findings for barriers to protection/policy for tobacco control resulted in two themes; the existence of state preemption on tobacco control policies, which limits what policies local governments can enact, and the need for higher tobacco taxes. An overall barrier found for tobacco protection was a cultural tolerance of tobacco use including an intergenerational culture of use in Appalachian Tennessee. Conclusion: The Appalachian region of the US suffers disproportionately in health risks and adverse health outcomes, including tobacco-related diseases. For this reason, there is the need for comprehensive culturally-tailored and region-specific protection policies that address existing urban-rural disparities including the removal of the state preemption and increase of tax for tobacco products to effectively address the high burden of tobacco use in Appalachian Tennessee.
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Kizer, Elizabeth A., and Elizabeth A. Kizer. "Using Social Theory to Guide Rural Public Health Policy and Environmental Change Initiatives." Diss., The University of Arizona, 2017. http://hdl.handle.net/10150/624313.

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The study of health disparities and the social determinants of health has resulted in the call for public health researchers to investigate the mid- and upstream factors that influence the incidence of chronic diseases (Adler & Rehkopf, 2008; Berkman, 2009; Braveman P. , 2006; Braveman & Gottlieb, 2014; Krieger, 2011; Rose, 1985). Social ecological models (SEMs) provide important conceptual tools to inform this research and practice (Krieger, 2011; Golden & Earp, 2012; Story, Kaphingst, Robinson O'Brien, & Glanz, 2008; Glanz, Rimer, & Lewis, 2002). These models can help us look at the social and physical environments in rural Arizona communities and consider how health policies and environmental interventions address mediating factors, such as disparities in access to fresh food, that contribute to ill health in marginalized, rural, populations. Rural residents are at greater risk for obesity than their urban counterparts (Jackson, Doescher, Jerant, & Hart, 2006; Story, Kaphingst, Robinson O'Brien, & Glanz, 2008). And while human life expectancy has steadily increased over the past thousand years, current projections indicate that the rise in obesity-related illnesses will soon result in its decline (Olshansky, et al., 2005). One reason for this decline, may be the reduced availability of healthy food – an important predictor of positive health outcomes including reduced obesity and chronic disease - in many parts of the United States (Brownson, Haire-Joshu, & Luke, 2006; Ahen, Brown, & Dukas, 2011; Braveman & Gottlieb, 2014; Braveman, Egerter, & Williams, 2011). The United States Department of Agriculture (USDA) defines food deserts as geographic areas in which there is limited access to grocery stores and whose populations have a high rate of poverty. In Arizona, 24% of the rural census tracts are considered food deserts; compared to an average of eight percent of rural census tracts across the nation (United States Department of Agriculture, 2013). Food deserts are one example of the upstream factors influencing the health of rural populations. Local health departments have been encouraged through the National Association for City and County Health Officials (NACCHO) and through the Public Health Accreditation Board (PHAB) to conduct community health assessments (CHAs) in order to identify unique contexts and community resources, health disparities, and the social determinants of health as well as potential areas for advocacy, policy change, environmental interventions, and health promotion interventions. Public health challenges like chronic diseases, which have multiple causes, can be explored in-depth through CHAs. CHAs often contain recommendations for action and/or are followed by community health improvement plans (CHIPs) which help local health departments prioritize resources and set measurable goals. In Florence, AZ recommendations made in a CHA are being acted upon by a non-profit agency, the Future Forward Foundation (3F). This investigation explores two interrelated issues regarding the use of CHAs and CHIPs as practical tools to set public health priorities. First, what makes a CHA useful to rural public health practitioners? What methods of conducting a CHA and subsequently analyzing the data results in actionable policy recommendations and/or environmental level interventions? Second, to what extent can public health agencies engage nontraditional partners to work in partnership to address the social determinants of health? As an example, I will look at the impact of a volunteer-based non-profit agency, located in a rural food desert on improving the social and physical nutrition environment as recommended by a local CHA. This inquiry will provide insights to public health practitioners seeking to identify and implement policy and environmental change addressing complex, multi-causal, public health issues, and provide insights regarding engaging nontraditional partners who may not self-identify as public health agencies.
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Necke, Shelly L. "The development of a viable business plan| Implementation of the geriatric resource nurse model and acute care unit for the elderly in a community-based hospital." Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1586875.

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The aging population coupled with the complexity of the older adult patient has presented a significant challenge for the healthcare industry. The literature has shown that the elderly are the major consumers of healthcare expenditures in the United States. Caring for this population in the realm of healthcare reform will require new strategies to improve the health status of the older adult patient. The objective of this study was to complete a comprehensive literature review of geriatric care models and create a business plan applying the Nurses Improving Care for Healthsystem Elders (NICHE) program.

NICHE is a national nurse-driven geriatric program that provides the necessary resources and tools to assist healthcare organizations in enacting system-level changes, which will impact the care of the older adult patient.

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Books on the topic "Harvard Community Health Plan"

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Plan, Harvard Community Health, ed. Harvard Community Health Plan clinical guidelines and algorithms. [Brookline, Mass: The Plan, 1994.

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Plan, Harvard Community Health, ed. Harvard Community Health Plan adult guidelines for clinical practice. Brookline, Mass. (10 Brookline Place West, Brookline 02146): Harvard Community Health Plan, 1993.

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Singh, Sada Prem, Chhetri Tika, and Bhutan Health Division, eds. Community health education lession [sic] plan. Thimphu: Health Division, Ministry of Health & Education, 1997.

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Maryland. Dept. of Health and Mental Hygiene. Comprehensive mental health services plan. [Annapolis, Md.]: The Department, 1989.

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Council, Cleveland (England), Hartlepool (England) Borough Council, Lanbaurgh on Tees (England). Borough Council., Middlesbrough (England) Borough Council, and Stockton on Tees (England). Borough Council., eds. Tees Health Joint Administration community care plan. Cleveland: County Council, 1993.

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Palfrey, Judith S. Community child health: An action plan for today. Westport, Conn: Praeger, 1994.

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Engleby, Christine. The Colorado three year community mental health plan. [Denver, Colo.?: Colorado Division of Mental Health, 1990.

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San Francisco (Calif.). Dept. of Public Health., ed. Community health assessment and local plan, 2000-2005. [San Francisco, CA?: Dept. of Public Health, 1999.

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Cornwall Social Services Department. Individual services (community care) service plan [2003/2004]. Truro: Cornwall County Council, 2003.

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Erickson, Harold M. Public health services for all: Revitalizing a shattered plan. [S.l.]: H.M. Erickson, 1993.

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Book chapters on the topic "Harvard Community Health Plan"

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Lytle, Leslie Ann. "The Plan Phase." In Designing interventions to promote community health: A multilevel, stepwise approach., 59–92. Washington: American Psychological Association, 2022. http://dx.doi.org/10.1037/0000292-004.

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Satin, David G. "Practicing Community Mental Health at Harvard." In The Challenge of Community Mental Health and Erich Lindemann, 300–373. New York, NY : Routledge, 2021.: Routledge, 2020. http://dx.doi.org/10.4324/9780429331374-7.

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Satin, David G. "Introducing Community Mental Health at Harvard University." In The Challenge of Community Mental Health and Erich Lindemann, 198–299. New York, NY : Routledge, 2021.: Routledge, 2020. http://dx.doi.org/10.4324/9780429331374-6.

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Dupont, Annalise. "To Plan and Manage Comprehensive Community Mental Health Services — Using Case Registers." In Epidemiology and Community Psychiatry, 321–29. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4684-4700-2_47.

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Satin, David G. "Erich Lindemann’s Activities at Harvard." In The Challenge of Community Mental Health and Erich Lindemann, 443–509. New York, NY : Routledge, 2021.: Routledge, 2020. http://dx.doi.org/10.4324/9780429331374-9.

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Goldfield, Norbert, Robert Crittenden, Durrell Fox, John McDonough, Len Nichols, and Elizabeth Lee Rosenthal. "COVID-19 Crisis Creates Opportunities for Community Health Resilience Plan." In Public Health, Public Trust and American Fragility in a Pandemic Era, 159–68. London: Routledge, 2023. http://dx.doi.org/10.4324/9781003426257-8.

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Bramwell, Donna, Kath Checkland, Jolanta Shields, and Pauline Allen. "2000s: Transforming Community Services." In Community Nursing Services in England, 61–73. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-17084-3_6.

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AbstractThe new millennium saw the publication of The NHS Plan in 2000, which bought a welcome focus to community health services (CHS) and the role of community nursing. We outline the proposals contained in the plan which furthered the quasi-marketisation of the NHS and increased commissioning of health care at the local level of Primary Care Trusts (PCTs)—replacing Health Authorities (HAs) and Primary Care Groups (PCGs). A further review by Lord Darzi and subsequent policy, Transforming Community Services: Enabling new patterns of provision (DoH, 2009) instigated the separation of commissioning/provision and laid out timetables for how PCTs were to do this. The long held roles of the district nursing service continues in this era, although not always clearly defined, understood or acknowledged and policy attempts to expand their remit feature heavily. This included more clinical tasks as well as focusing on such things as public health/health protection and promotion programmes that improve health and reduce inequalities. This chapter also describes the uncertainty for frontline nurses that the Transforming Community Services (TCS) brought in terms of who their employer would be or what management arrangements they would work under given the establishment of some standalone Trusts, some third sector and some combined acute/community Trusts. The aims of the TCS programme were bold but in reality achieved little by the end of the era.
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Satin, David G. "The Ending of the Lindemann Era at Harvard University." In The Challenge of Community Mental Health and Erich Lindemann, 554–98. New York, NY : Routledge, 2021.: Routledge, 2020. http://dx.doi.org/10.4324/9780429331374-11.

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Satin, David G. "Seeking a Place at Harvard for the Social Ideology." In The Challenge of Community Mental Health and Erich Lindemann, 374–442. New York, NY : Routledge, 2021.: Routledge, 2020. http://dx.doi.org/10.4324/9780429331374-8.

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Goldfield, Norbert. "Fitting Community Health Resilience Plan (CHRP) into the Existing Healthcare Delivery Patchwork." In Public Health, Public Trust and American Fragility in a Pandemic Era, 169–80. London: Routledge, 2023. http://dx.doi.org/10.4324/9781003426257-9.

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Conference papers on the topic "Harvard Community Health Plan"

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Clyde, J. David, Zaza Mamulaishvili, Lan Bentsen, and Terry L. Thoem. "Development of a Proactive Community Medical Services Plan in Georgia." In SPE International Conference on Health, Safety, and Environment in Oil and Gas Exploration and Production. Society of Petroleum Engineers, 2008. http://dx.doi.org/10.2118/111137-ms.

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Siregar, Kemal N. "MODELING OF ELECTRONIC STUDENT HEALTH RECORD FOR MONITORING STUDENT’S HEALTH BY COMMUNITY HEALTH CENTER, SCHOOL AND PARENTS IN INDONESIA." In International Conference on Public Health. The International Institute of Knowledge Management, 2021. http://dx.doi.org/10.17501/24246735.2020.6107.

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Schools regularly collect student health data. School health is organized to improve the ability of students to live healthy so that students can learn, grow, and develop in harmony and become quality human resources. In Indonesia, school health priorities are included in the 3rd National MediumTerm Development Plan strategy. However, in Indonesia students, health data is underutilized because data documentation on paper causing some difficulties in terms of storage, use for monitoring and further analysis. The participation and involvement of parents, schools and community health centers in monitoring the health status of students today is still very limited due to the lack of information that can be accessed easily. Objectives: To design a student health record application model that can display student health examination results and connect the data to community health centers, schools and parents in real time. Method: Designing student health record application model with the context diagram, Entity Relationship Diagram (ERD), Table Relational Diagram (TRD), and user interface input and output. Results: The results of this study are a comprehensive student health record system model. The student health record will be applied in the form of mobile devices used by students and parents, which are connected to schools and community health centers by web-based platform. Conclusions: The student health record application model shows a systematic solution that is user friendly, immediately captures data, displays the dashboard in real time, directly connects to parents, schools and community health centers. All of this in the future if implemented properly can early detect student health problems and monitor the health status of students. Keywords: Student health record, real-time data, web-based application, dashboard, monitoring student’s health
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Checkley, W., S. Pollard, T. Siddharthan, S. Hossen, N. Rykiel, S. Quaderi, O. Flores-Flores, et al. "Community Health Worker-supported Self-management Action Plan for Chronic Obstructive Pulmonary Disease Exacerbations: A Feasibility Intervention Trial." In American Thoracic Society 2023 International Conference, May 19-24, 2023 - Washington, DC. American Thoracic Society, 2023. http://dx.doi.org/10.1164/ajrccm-conference.2023.207.1_meetingabstracts.a2842.

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Isni, Khoiriyah, and Kartika Anggraeni Adira Rahmatun. "Community Participation to Promote Disaster Risk Reduction in Yogyakarta, Indonesia: A Qualitative Study." In 2nd International Conference on Public Health and Well-being. iConferences (Pvt) Ltd, 2021. http://dx.doi.org/10.32789/publichealth.2021.1004.

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Ledoksari is one of the areas where natural disasters often occur, primarily floods every year. Therefore, the government designated the area as a disaster-resilient village to Promote Disaster Risk Reduction. Active community participation is needed for the success of the program. An evaluation program is required to explain this. The purpose of this study is to explore community participation in developing a Disaster-resilient Urban Village. This study is a qualitative method with in-depth interviews as data collection. Fifteen people were selected as research subjects by the purposive sampling technique. The study results show that the steps of activities in Ledoksari as a Disaster-resilient Urban Village are preparation, profiling, and disaster risk analysis. Then, the movement continued with mapping, community action plan, simulation, and review. Participation in planning, implementing, evaluating, and utilizing the results is formed community participation. Meanwhile, the lack of public awareness to be actively involved in each activity was claimed as a barrier. The community has participated well and actively in the implementation and utilization of the results. But, the study shows the whole community has not been completely involving in the planning and the evaluation process.
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Rahardjo, Setyo Sri, and Bhisma Murti. "Factors Associated with Service Performance among Community Health Center Employees in Karanganyar, Central Java." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.41.

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ABSTRACT Background: Based on the strategic plan of the Karanganyar Health Office, the good accreditation and performance assessment of community health center have not yet been achieved. This is inseparable from the performance of the employee service per-formance. This study aimed to determine factors associated with service performance among community health center employees in Karanganyar, Central Java. Subjects and Method: A cross-sectional study was carried out in 21 community health centers, Karanganyar, Central Java, in October-November. A sample of 210 employees in community health worker was selected by simple random sampling. The dependent variable was service performance. The independent variables were age, edu-cation, tenure, incentive, motivation, skill, satisfaction, accreditation status of commu-nity health center, and working environment. The data were collected by question-naire. The data were analyzed by a multiple logistic regression. Results: Service performance increased with age ≥38 years (b= 1.09; 95% CI= 0.19 to 1.99; p= 0.018), education ≥diploma 3 (b= -0.40; 95% CI= -1.67 to 0.87; p= 0.535), tenure ≥3 years (b= -0.71; 95% CI= -1.79 to 0.37; p= 0.199), good incentive (b= 0.96; 95% CI= -0.28 to 2.19; p= 0.128), good motivation (b= 0.93; 95% CI= 0.09 to 1.77; p= 0.030), good skill (b= 0.97; 95% CI= 0.06 to 1.88; p= 0.037), satisfied (b= 0.92; 95% CI= 0.05 to 1.78; p= 0.037), and good working environment (b= 0.95; 95% CI= 0.11 to 1.80; p= 0.026). Conclusion: Service performance in community health center employees increases with age ≥38 years, ≥diploma, ≥3 years of service, good incentive, good motivation, good skill, satisfied, and good working environment. Keywords: service performance, employee, community health center Correspondence: Mujiran. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java, Indonesia. Email: mujiransismiharjo@gmail.-com. Mobile: +62 812-2603-915. DOI: https://doi.org/10.26911/the7thicph.04.41
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ORTIZ, GIANNINA, and CESAR GARITA. "A BUSINESS INTELLIGENCE APPROACH TO PRIORITIZE BRIDGE MAINTENANCE ACTIVITIES." In Structural Health Monitoring 2021. Destech Publications, Inc., 2022. http://dx.doi.org/10.12783/shm2021/36245.

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Given the general condition of road infrastructure in Costa Rica, the proper prioritization of maintenance activities for bridges is essential for government institutions to effectively plan and assign resource investments. This work presents the main results of an extension project developed by the e-Bridge program of the Costa Rica Institute of Technology, with the objective of designing and applying a methodology for prioritizing maintenance activities for bridges, taking as a case study the actual bridges managed by a specific regional municipality. To this end, first, a given set of bridges were inspected and evaluated. Then, with this detailed inventory information, a set of key bridge performance indicators were defined including structural condition, environmental variables, and socio-economical categories. Consequently, a tailor-made methodology was proposed to prioritize different kinds of maintenance activities for the respective bridges using the above-mentioned indicators. The methodology was implemented using a business intelligence tool to manage all the information and solve prioritization queries. This tool and the major findings of the project were shared during the project with community actors and municipality collaborators through several workshops. The resulting methodology and developed tool effectively support decision-making regarding bridge maintenance activities for the target municipality and could be applied nation-wide.
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Carnahan, Leslie R., Jennifer Newsome, Sarah Christian, Colleen Hallock, Brenda Soto, Yohana Ghdey, Linda Kasebier, Manorama Khare, Erica Martinez, and Vida Henderson. "Abstract PO-206: Community conversations on cancer: Creating and implementing a community engagement strategy for the 2022-2027 Illinois Comprehensive Cancer Control Plan through an academic – state public health department partnership." In Abstracts: AACR Virtual Conference: 14th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; October 6-8, 2021. American Association for Cancer Research, 2022. http://dx.doi.org/10.1158/1538-7755.disp21-po-206.

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Liu, Renxuan, and Duan Wu. "Re-establishing the balance: A New Community-based Chronic Disease Management Service Model in China." In 14th International Conference on Applied Human Factors and Ergonomics (AHFE 2023). AHFE International, 2023. http://dx.doi.org/10.54941/ahfe1003492.

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As China's aging process accelerates, chronic diseases such as diabetes and high blood pressure gradually become hidden dangers that endanger the health of the elderly. Based on this, China has formulated a hierarchical medical system for chronic diseases and proposed a community-based chronic disease management plan. However, there are some problems, such as insufficient service resources and unreasonable satisfaction of patients' needs in the actual implementation process. Based on the Kano model, this study analyzes the demands of patients with chronic diseases in the Chinese community at this stage. It matches their existing service subjects according to the priority of demands and then constructs a community-based chronic disease management service model. This study aims to accurately identify the demands of patients with chronic diseases, redistribute and reuse existing facilities and resources, and balance the supply and demand relationship among service subjects and patients. It can provide more humane health management services for chronic disease patients in the community context.
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Ashing, Kimlin T. "Abstract IA06: Leveraging the NIH CHE P30 supplement as a platform to stimulate a cancer center strategic plan for addressing community cancer needs and enhancing health equity." In Abstracts: Eighth AACR Conference on The Science of Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; November 13-16, 2015; Atlanta, Georgia. American Association for Cancer Research, 2016. http://dx.doi.org/10.1158/1538-7755.disp15-ia06.

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Heffernan, Maria, Patricia Fitzpatrick, Amy Bermingham, Ross Neville, Nicola Dervan, Clare Corish, Celine Murrin, and Brian Mullins. "Novel implementation of experiential learning in health and wellbeing in a university setting." In Seventh International Conference on Higher Education Advances. Valencia: Universitat Politècnica de València, 2021. http://dx.doi.org/10.4995/head21.2021.13069.

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Healthy UCD is a health promotion initiative in University College Dublin (UCD) which aims to create a sustainable healthy campus for all members of the UCD community. In recent years, Healthy UCD has worked with staff from across the university to provide opportunities for experiential learning to UCD students in areas related to health and wellbeing. The initiative currently has involvement in three modules: 1) Practice Placement – a core MSc in Clinical Nutrition and Dietetics module where students plan and implement a university-wide Healthy Eating Week, 2) Event Management – a core module undertaken by second-year BSc Sport & Exercise Management students, and 3) Student Health & Wellbeing – an undergraduate elective module which challenges students to reflect on issues which affect their own health and wellbeing and that of those around them and then develop a student-focused Healthy UCD campaign. This paper will outline how experiential learning is implemented in these modules, how students are assessed, and the perceptions of students who complete these modules.
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Reports on the topic "Harvard Community Health Plan"

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Reynolds, Julie C., Jennifer Sukalski, Susan C. McKernan, Brooke McInroy, and Peter Damiano. Evaluation of the Dental Wellness Plan. Community Health Center Experiences after Two Years. Iowa City, Iowa: University of Iowa Public Policy Center, July 2017. http://dx.doi.org/10.17077/2u4y-9bxy.

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Reynolds, Julie C., Raymond A. Kuthy, Jennifer Sukalski, Peter C. Damiano, Susan C. McKernan, and Brooke McInroy. Evaluation of the Dental Wellness Plan Community Health Center experiences in the first year. Iowa City, Iowa: University of Iowa Public Policy Center, March 2016. http://dx.doi.org/10.17077/397h-pigk.

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Garcia, Fransicso, Ada Wilkinson-Lee, Patricia Herman, Thomas Ball, Alexandra Armenta, Rick Rehfeld, and Gery Ryan. Does an Offer by Phone of Community Health Worker Support Increase Access to Primary Care for Women Who Are Newly Enrolled in a Health Plan? Patient-Centered Outcomes Research Institute® (PCORI), October 2019. http://dx.doi.org/10.25302/10.2019.ihs.130604356.

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McFadden, Alison, Camila Biazus-Dalcin, and Nicole Vidal. Evaluation of a Gypsy/Traveller Community Health Worker service: Final Report. University of Dundee, April 2024. http://dx.doi.org/10.20933/100001300.

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This report evaluates the two-year Community Health Worker (CHW) service in Scotland delivered by a third sector organisation, Minority Ethnic Carers of People Project (MECOPP), which provided training to Gypsy/Travellers to advocate for their community on health and social care issues. The service, which was created as part of the Scottish Government and COSLA's joint action plan to address inequalities faced by Gypsy/Travellers , was designed with the intention to improve their health and wellbeing. Funding for the service was secured by The Scottish Public Health Network and the Directorate for Chief Medical Officer. The evaluation was conducted by the Mother and Infant Research Unit (MIRU) at the School of Health Sciences, University of Dundee, and covered the initial two-year period from August 2021 to August 2023. There has been extensive evidence showing that Gypsy/Travellers residing in the UK tend to face significant health disparities, resulting in outcomes that are not as favourable as those of the general population and other similarly disadvantaged groups. Gypsy/Travellers face high rates of homelessness, inadequate education, unemployment, poverty, and regular experiences of racism and discrimination . This profoundly affects their mental health and overall well-being. Additionally, the potential for lack of trust between Gypsy/Travellers and healthcare professionals impacts health seeking behaviour and health service provision, as there are also barriers in accessing responsive health services and preventative care interventions. Evidence indicates that community-based lay roles can improve healthcare access, reduce costs, and promote knowledge exchange between communities and health services through trusted individuals . This project aimed to evaluate the implementation of the Gypsy/Traveller CHW service, including barriers and facilitators, and make recommendations for its future scale-up. Objectives included describing the roles and activities of the CHWs, exploring the acceptability and feasibility of the service, identifying implementation barriers and facilitators, describing any modifications made, and examining the perceived benefits and disadvantages of the CHW service.
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Nikula, Blair, and Robert Cook. Status and distribution of Odonates at Cape Cod National Seashore. National Park Service, 2024. http://dx.doi.org/10.36967/2303254.

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Odonates are significant components of most wetland habitats and important indicators of their health. At Cape Cod National Seashore (CACO), we compiled odonate records dating back to the 1980s and, based partly on that data, identified 41 wetland sites for sampling, representing six freshwater habitats (kettle pond, inter-dune pond, dune slack, riparian marsh, vernal pool, and bog). We surveyed these sites for adult odonates during the 2016?2018 field seasons. Ten sites were surveyed all three years (total 19-20 surveys/site); all ten had at least some historical data. The remaining 31 sites were surveyed for one field season, a total of 6-8 times each. We conducted 391 surveys, recording 53,435 individuals and 74 species (45 dragonflies and 29 damselflies); not all individuals were identified to species. Abundance and species richness varied significantly between habitats. For all individuals recorded, abundance was greatest at vernal pools and kettle ponds. Riparian sites had the lowest abundance. Species richness was highest at kettle ponds, including several species of conservation concern, two listed as Threatened by the state of Massachusetts. Riparian marshes and dune slacks had relatively low richness. Among the 10 sites surveyed three years, we found significant annual variation in abundance and species richness. There was significant and generally greater between-site variation in abundance within a year than between years at sites. Community analysis found pond depth, habitat type, and presence of predaceous fish were significant factors explaining between-site variation in community composition. Habitats also differed significantly in community composition. Multidimensional scaling showed sites tend to cluster together by habitat type. Vernal ponds have the highest average community similarity to all other habitats (53.5%), with dune slack (52.9%), bog (52.0%) and inter-dune (51.5%) close behind. In contrast, riparian sites (46.3%) and kettle ponds (39.5%) are least similar to other habitats. Overall, 86 species of odonates have been recorded at CACO, a rich and diverse assemblage reflecting the variety and quality of freshwater habitats present. Although these habitats are relatively well-protected, stressors include climate change, nutrient inflow from adjacent development, road runoff, and trampling of emergent vegetation. A plan for monitoring is beyond the scope of this project. Ideally, it would be best to use the insight into odonate variation obtained from these surveys to develop a monitoring program designed to meet standards of statistical confidence and power currently employed in NPS monitoring programs.
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Mac Arthur, Ian, and Anne Hendry. The "Intermediate Care Hospital": Facility Bed-Based Rehabilitation for Elderly Patients. Inter-American Development Bank, February 2017. http://dx.doi.org/10.18235/0009360.

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Population aging and the growing burden of chronic disease are causing many countries to explore new options as they reorganize their health systems from acute care toward increased chronic care provision. There are several modalities to deliver recuperative intermediate care at a level between the hospital and primary care, but some patients will require a bed-based solution. For these individuals, inpatient non-acute facilities may provide superior outcomes at a lower cost than traditional care on a hospital ward. The international literature regarding this type of service reveals positive findings on provider and patient satisfaction, clinical outcomes, and cost-effectiveness. However, to achieve the best possible results, providers must establish and apply appropriate procedures for the identification of eligible patients, exercise rigorous protocols during their transfer, and ensure their comprehensive assessment and adhesion to a therapeutic plan managed by a multidisciplinary team. For developing countries considering the formulation of policies to promote the implementation of intermediate care facilities, Brazil's recent experience may offer a point of reference and some guidance, especially in terms of reconditioning small community hospitals with excess capacity for this purpose.
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Mahdavian, Farnaz. Germany Country Report. University of Stavanger, February 2022. http://dx.doi.org/10.31265/usps.180.

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Germany is a parliamentary democracy (The Federal Government, 2021) with two politically independent levels of 1) Federal (Bund) and 2) State (Länder or Bundesländer), and has a highly differentiated decentralized system of Government and administration (Deutsche Gesellschaft für Internationale Zusammenarbeit, 2021). The 16 states in Germany have their own government and legislations which means the federal authority has the responsibility of formulating policy, and the states are responsible for implementation (Franzke, 2020). The Federal Government supports the states in dealing with extraordinary danger and the Federal Ministry of the Interior (BMI) supports the states' operations with technology, expertise and other services (Federal Ministry of Interior, Building and Community, 2020). Due to the decentralized system of government, the Federal Government does not have the power to impose pandemic emergency measures. In the beginning of the COVID-19 pandemic, in order to slowdown the spread of coronavirus, on 16 March 2020 the federal and state governments attempted to harmonize joint guidelines, however one month later State governments started to act more independently (Franzke & Kuhlmann, 2021). In Germany, health insurance is compulsory and more than 11% of Germany’s GDP goes into healthcare spending (Federal Statistical Office, 2021). Health related policy at the federal level is the primary responsibility of the Federal Ministry of Health. This ministry supervises institutions dealing with higher level of public health including the Federal Institute for Drugs and Medical Devices (BfArM), the Paul-Ehrlich-Institute (PEI), the Robert Koch Institute (RKI) and the Federal Centre for Health Education (Federal Ministry of Health, 2020). The first German National Pandemic Plan (NPP), published in 2005, comprises two parts. Part one, updated in 2017, provides a framework for the pandemic plans of the states and the implementation plans of the municipalities, and part two, updated in 2016, is the scientific part of the National Pandemic Plan (Robert Koch Institut, 2017). The joint Federal-State working group on pandemic planning was established in 2005. A pandemic plan for German citizens abroad was published by the German Foreign Office on its website in 2005 (Robert Koch Institut, 2017). In 2007, the federal and state Governments, under the joint leadership of the Federal Ministry of the Interior and the Federal Ministry of Health, simulated influenza pandemic exercise called LÜKEX 07, and trained cross-states and cross-department crisis management (Bundesanstalt Technisches Hilfswerk, 2007b). In 2017, within the context of the G20, Germany ran a health emergency simulation exercise with representatives from WHO and the World Bank to prepare for future pandemic events (Federal Ministry of Health et al., 2017). By the beginning of the COVID-19 pandemic, on 27 February 2020, a joint crisis team of the Federal Ministry of the Interior (BMI) and the Federal Ministry of Health (BMG) was established (Die Bundesregierung, 2020a). On 4 March 2020 RKI published a Supplement to the National Pandemic Plan for COVID-19 (Robert Koch Institut, 2020d), and on 28 March 2020, a law for the protection of the population in an epidemic situation of national scope (Infektionsschutzgesetz) came into force (Bundesgesundheitsministerium, 2020b). In the first early phase of the COVID-19 pandemic in 2020, Germany managed to slow down the speed of the outbreak but was less successful in dealing with the second phase. Coronavirus-related information and measures were communicated through various platforms including TV, radio, press conferences, federal and state government official homepages, social media and applications. In mid-March 2020, the federal and state governments implemented extensive measures nationwide for pandemic containment. Step by step, social distancing and shutdowns were enforced by all Federal States, involving closing schools, day-cares and kindergartens, pubs, restaurants, shops, prayer services, borders, and imposing a curfew. To support those affected financially by the pandemic, the German Government provided large economic packages (Bundesministerium der Finanzen, 2020). These measures have adopted to the COVID-19 situation and changed over the pandemic. On 22 April 2020, the clinical trial of the corona vaccine was approved by Paul Ehrlich Institute, and in late December 2020, the distribution of vaccination in Germany and all other EU countries
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S. Abdellatif, Omar, Ali Behbehani, and Mauricio Landin. Luxembourg COVID-19 Governmental Response. UN Compliance Research Group, August 2021. http://dx.doi.org/10.52008/lux0501.

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The UN Compliance Research Group is a global organization which specializes in monitoring the work of the United Nations (UN). Through our professional team of academics, scholars, researchers and students we aim to serve as the world's leading independent source of information on members' compliance to UN resolutions and guidelines. Our scope of activity is broad, including assessing the compliance of member states to UN resolutions and plan of actions, adherence to judgments of the International Court of Justice (ICJ), World Health Organization (WHO) guidelines and commitments made at UN pledging conferences. We’re proud to present the international community and global governments with our native research findings on states’ annual compliance with the commitments of the UN and its affiliated agencies. Our goal as world citizens is to foster a global change towards a sustainable future; one which starts with ensuring that the words of delegates are transformed into action and that UN initiatives don’t remain ink on paper. Hence, we offer policy analysis and provide advice on fostering accountability and transparency in UN governance as well as tracing the connection between the UN policy-makers and Non-governmental organizations (NGOs). Yet, we aim to adopt a neutral path and do not engage in advocacy for issues or actions taken by the UN or member states. Acting as such, for the sake of transparency. The UN Compliance Research Group dedicates all its effort to inform the public and scholars about the issues and agenda of the UN and its affiliated agencies.
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9

Kaawa-Mafigiri, David, Megan Schmidt-Sane, and Tabitha Hrynick. Key Considerations for RCCE in the 2022 Ebola Outbreak Response in Greater Kampala, Uganda. Institute of Development Studies, November 2022. http://dx.doi.org/10.19088/sshap.2022.037.

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On 20 September 2022, an outbreak of the Sudan strain of Ebola Virus Disease – SVD – was announced as the first laboratory-confirmed patient was identified in a village in Mubende District in central Uganda. Uganda’s Ministry of Health (MoH) activated the National Task Force and developed and deployed a National Response Plan, which includes the activation of District Task Forces. The target areas include the epicentre (Mubende and Kassanda districts) and surrounding areas, as well as Masaka, Jinja and Kampala cities. This is of great concern, as Kampala is the capital city with a high population and linkages to neighbouring districts and international locations (via Entebbe Airport). It is also a serious matter given that there has been no outbreak of Ebola before in the city. This brief details how Risk Communication and Community Engagement (RCCE) activities and approaches can be adapted to reach people living in Greater Kampala to increase adoption of preventive behaviours and practices, early recognition of symptoms, care seeking and case reporting. The intended audiences include the National Task Force and District Task Forces in Kampala, Mukono, and Wakiso Districts, and other city-level RCCE practitioners and responders. The insights in this brief were collected from emergent on-the-ground observations from the current outbreak by embedded researchers, consultations with stakeholders, and a rapid review of relevant published and grey literature. This brief, requested by UNICEF Uganda, draws from the authors’ experience conducting social science research on Ebola preparedness and response in Uganda. It was written by David Kaawa-Mafigiri (Makerere University), Megan Schmidt-Sane (Institute of Development Studies (IDS)), and Tabitha Hrynick (IDS), with contributions from the MoH, UNICEF, the Center for Health, Human Rights and Development (CEHURD), the Uganda Harm Reduction Network (UHRN), Population Council and CLEAR Global/Translators without Borders. It includes some material from a SSHAP brief developed by Anthrologica and the London School of Economics. It was reviewed by the Uganda MoH, University of Waterloo, Anthrologica, IDS and the RCCE Collective Service. This brief is the responsibility of SSHAP.
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10

Smit, Amelia, Kate Dunlop, Nehal Singh, Diona Damian, Kylie Vuong, and Anne Cust. Primary prevention of skin cancer in primary care settings. The Sax Institute, August 2022. http://dx.doi.org/10.57022/qpsm1481.

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Overview Skin cancer prevention is a component of the new Cancer Plan 2022–27, which guides the work of the Cancer Institute NSW. To lessen the impact of skin cancer on the community, the Cancer Institute NSW works closely with the NSW Skin Cancer Prevention Advisory Committee, comprising governmental and non-governmental organisation representatives, to develop and implement the NSW Skin Cancer Prevention Strategy. Primary Health Networks and primary care providers are seen as important stakeholders in this work. To guide improvements in skin cancer prevention and inform the development of the next NSW Skin Cancer Prevention Strategy, an up-to-date review of the evidence on the effectiveness and feasibility of skin cancer prevention activities in primary care is required. A research team led by the Daffodil Centre, a joint venture between the University of Sydney and Cancer Council NSW, was contracted to undertake an Evidence Check review to address the questions below. Evidence Check questions This Evidence Check aimed to address the following questions: Question 1: What skin cancer primary prevention activities can be effectively administered in primary care settings? As part of this, identify the key components of such messages, strategies, programs or initiatives that have been effectively implemented and their feasibility in the NSW/Australian context. Question 2: What are the main barriers and enablers for primary care providers in delivering skin cancer primary prevention activities within their setting? Summary of methods The research team conducted a detailed analysis of the published and grey literature, based on a comprehensive search. We developed the search strategy in consultation with a medical librarian at the University of Sydney and the Cancer Institute NSW team, and implemented it across the databases Embase, MEDLINE, PsycInfo, Scopus, Cochrane Central and CINAHL. Results were exported and uploaded to Covidence for screening and further selection. The search strategy was designed according to the SPIDER tool for Qualitative and Mixed-Methods Evidence Synthesis, which is a systematic strategy for searching qualitative and mixed-methods research studies. The SPIDER tool facilitates rigour in research by defining key elements of non-quantitative research questions. We included peer-reviewed and grey literature that included skin cancer primary prevention strategies/ interventions/ techniques/ programs within primary care settings, e.g. involving general practitioners and primary care nurses. The literature was limited to publications since 2014, and for studies or programs conducted in Australia, the UK, New Zealand, Canada, Ireland, Western Europe and Scandinavia. We also included relevant systematic reviews and evidence syntheses based on a range of international evidence where also relevant to the Australian context. To address Question 1, about the effectiveness of skin cancer prevention activities in primary care settings, we summarised findings from the Evidence Check according to different skin cancer prevention activities. To address Question 2, about the barriers and enablers of skin cancer prevention activities in primary care settings, we summarised findings according to the Consolidated Framework for Implementation Research (CFIR). The CFIR is a framework for identifying important implementation considerations for novel interventions in healthcare settings and provides a practical guide for systematically assessing potential barriers and facilitators in preparation for implementing a new activity or program. We assessed study quality using the National Health and Medical Research Council (NHMRC) levels of evidence. Key findings We identified 25 peer-reviewed journal articles that met the eligibility criteria and we included these in the Evidence Check. Eight of the studies were conducted in Australia, six in the UK, and the others elsewhere (mainly other European countries). In addition, the grey literature search identified four relevant guidelines, 12 education/training resources, two Cancer Care pathways, two position statements, three reports and five other resources that we included in the Evidence Check. Question 1 (related to effectiveness) We categorised the studies into different types of skin cancer prevention activities: behavioural counselling (n=3); risk assessment and delivering risk-tailored information (n=10); new technologies for early detection and accompanying prevention advice (n=4); and education and training programs for general practitioners (GPs) and primary care nurses regarding skin cancer prevention (n=3). There was good evidence that behavioural counselling interventions can result in a small improvement in sun protection behaviours among adults with fair skin types (defined as ivory or pale skin, light hair and eye colour, freckles, or those who sunburn easily), which would include the majority of Australians. It was found that clinicians play an important role in counselling patients about sun-protective behaviours, and recommended tailoring messages to the age and demographics of target groups (e.g. high-risk groups) to have maximal influence on behaviours. Several web-based melanoma risk prediction tools are now available in Australia, mainly designed for health professionals to identify patients’ risk of a new or subsequent primary melanoma and guide discussions with patients about primary prevention and early detection. Intervention studies have demonstrated that use of these melanoma risk prediction tools is feasible and acceptable to participants in primary care settings, and there is some evidence, including from Australian studies, that using these risk prediction tools to tailor primary prevention and early detection messages can improve sun-related behaviours. Some studies examined novel technologies, such as apps, to support early detection through skin examinations, including a very limited focus on the provision of preventive advice. These novel technologies are still largely in the research domain rather than recommended for routine use but provide a potential future opportunity to incorporate more primary prevention tailored advice. There are a number of online short courses available for primary healthcare professionals specifically focusing on skin cancer prevention. Most education and training programs for GPs and primary care nurses in the field of skin cancer focus on treatment and early detection, though some programs have specifically incorporated primary prevention education and training. A notable example is the Dermoscopy for Victorian General Practice Program, in which 93% of participating GPs reported that they had increased preventive information provided to high-risk patients and during skin examinations. Question 2 (related to barriers and enablers) Key enablers of performing skin cancer prevention activities in primary care settings included: • Easy access and availability of guidelines and point-of-care tools and resources • A fit with existing workflows and systems, so there is minimal disruption to flow of care • Easy-to-understand patient information • Using the waiting room for collection of risk assessment information on an electronic device such as an iPad/tablet where possible • Pairing with early detection activities • Sharing of successful programs across jurisdictions. Key barriers to performing skin cancer prevention activities in primary care settings included: • Unclear requirements and lack of confidence (self-efficacy) about prevention counselling • Limited availability of GP services especially in regional and remote areas • Competing demands, low priority, lack of time • Lack of incentives.
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