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In May the United States House of Representatives voted to repeal the ACA using the American Health Care Act of 2017. [79] [80] On December 20, 2017, the individual mandate was repealed starting in 2019 via the Tax Cuts and Jobs Act of 2017. [81] The CBO estimated that the repeal would cause 13 million people to lose their health insurance by ...
Numerous actors and stakeholders can influence the movement of policy from inception to implementation. Well-maintained documentation and review of all key stakeholders involved in a policy can help advocates for a given policy—such as military reform, water rights, or disability legislation—prepare to address different ideologies, capacities, or interests of key actors. [5]
The Andersen healthcare utilization model is a conceptual model aimed at demonstrating the factors that lead to the use of health services. According to the model, the usage of health services (including inpatient care, physician visits, dental care etc.) is determined by three dynamics: predisposing factors, enabling factors, and need.
Unwarranted variations in medical practice refer to the differences in care that cannot be explained by the illness/medical need or by patient preferences. The term “unwarranted variations” was first coined by Dr. John Wennberg when he observed small area (geographic) and practice style variations, which were not based on clinical rationale. [5]
Numerous studies have shown the target age group gained private health insurance relative to an older group after the policy was implemented, with an accompanying improvement in having a usual source of care, reduction in out-of-pocket costs of high-end medical expenditures, reduction in frequency of Emergency Department visits, 3.5% increase ...
There were a number of different health care reforms proposed during the Obama administration.Key reforms address cost and coverage and include obesity, prevention and treatment of chronic conditions, defensive medicine or tort reform, incentives that reward more care instead of better care, redundant payment systems, tax policy, rationing, a shortage of doctors and nurses, intervention vs ...
The PRECEDE–PROCEED model is a participatory model for creating successful community health promotion and other public health interventions. It is based on the premise that behavior change is by and large voluntary, and that health programs are more likely to be effective if they are planned and evaluated with the active participation of ...
Intervention mapping provides a vocabulary for intervention planning, procedures for planning activities, and technical assistance with identifying theory-based determinants and methods for change. Intervention mapping can also help in adapting existing interventions to new populations and settings, [ 5 ] and provides a taxonomy of behavior ...