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Archive for: December 2012

Active Transportation Gets a New App

Dec 28, 2012, 2:16 PM

New York City’s new schedule app for several of the city’s subway lines joins similar apps and online schedules introduced in cities around the U.S. that can help people more accurately plan their travel timetables --and maybe even get in some exercise. Transportation planners say that giving easily accessible and real time bus and subway schedules can increase public transportation use because it allows a traveler to accurately plan the time it takes for a trip.

San Francisco has had an app similar to the one just introduced in New York since 2008, according to a recent story in the Wall Street Journal. And other cities provide travel information online and accessible by smartphone. According to the American Public Transportation Association, real time information is one reason for a growth of almost 3 percent in public transportation use in the U.S. during 2012. Cost savings is another reason people are switching to public transportation, according to APTA, which calculated that public transit users saved about $800 during the month of December compared to the cost of owning and using a car. APTA calculated full year savings for the last year at close to $10,000.

And unless there’s a bus or subway stop right in front of the house, public transportation often adds physical exercise for its users. The closest public transportation stop for many NewPublicHealth staffers, for example, can add 1,000 steps of walking each day.

Bonus Link: Read a NewPublicHealth interview with Wendy Spencer, CEO of the Corporation for National and Community Service. Spencer gave up her car when she took the job at CNCS and moved from Florida to Washington, D.C. and now walks to work and meetings.

This commentary originally appeared on the RWJF New Public Health blog.

Creating a System that Encourages Healthy Behaviors

Dec 27, 2012, 3:00 PM, Posted by Mitesh Patel

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While most people spend a few hours a year visiting the doctor, they spend another 5,000 waking hours without any direct contact from the U.S. health care system.  There has been an increasing amount of attention on how to design systems that encourage healthy behaviors among the population during their everyday activities.  Insights from behavioral economics provide opportunities to design systems that monitor, incentivize and provide feedback to encourage these changes. 

One proposal to change behavior is to increase price transparency in the U.S, with initiatives at the state and federal levels.  Lessons from other industries and concepts from behavioral economics demonstrate that this must be designed carefully to increase the likelihood that price transparency changes behavior. 

One example is the use of calorie-labeling in fast food restaurants.  While its intended outcome is to reduce consumer consumption, there are several reasons why it has thus far not been very successful. Consumers may not understand the caloric information or the problem may be self-control and not related to information at all. 

Using concepts from behavioral economics such as framing the information or making it more salient could improve its impact on reducing calorie consumption.

As the New Year approaches, millions of Americans will make resolutions to improve their diet, increase their exercise, or to quit smoking.  Let’s do our part to design systems that help our population meet their goals and increase healthy behavior. 

This commentary originally appeared on the RWJF Human Capital Blog. The views and opinions expressed here are those of the authors.

National Prevention Strategy Series: Corporation for National and Community Service

Dec 27, 2012, 11:30 AM

Corporation for National and Community Service CEO Wendy Spencer on the value of volunteering

As the year draws to a close, the most recent installment of the NewPublicHealth series on the National Prevention Strategy is especially appropriate. We spoke with Wendy Spencer, the CEO of the Corporation for National and Community Service (CNCS), a federal agency that engages more than 5 million Americans in volunteer community service. The mission of CNCS is to improve lives, strengthen communities, and foster civic engagement through service and volunteering.

 Guiding principles of CNCS that help promote the National Prevention Strategy include:

  • Put the needs of local communities first
  • Strengthen public-private partnerships
  • Use programs to build stronger, more efficient, and more sustainable community networks capable of mobilizing volunteers to address local needs, including disaster preparedness and response
  • Build collaborations wherever possible across programs and with other federal programs
  • Help rural and economically distressed communities obtain access to public and private resources
  • Support diverse organizations, including faith-based and other community organizations

During Hurricane Sandy, which struck the East Coast in late October, close to 900 national service members were deployed to states affected by the storm, and nearly 900 more were on standby. National service members assisted with shelter operations, call centers, debris removal, and mass care. “Before the recovery is complete,” said Wendy Spencer, “we expect thousands of national service members from AmeriCorps and Senior Corps programs to help families and local and state officials rebuild these communities.”

For its Hurricane Sandy response effort, CNCS coordinated with the Federal Management Agency (FEMA), National Voluntary Organizations Active in Disaster, the American Red Cross and state and local authorities.

NewPublicHealth recently spoke with Wendy Spencer, the CEO of CNCS, Asim Mishra, the agency’s chief of staff and Erwin Tan, MD, the CNCS designee on the National Prevention Council and Director of Senior Corps and Strategic Advisor for Veterans and Military Families.

NewPublicHealth: What is the mission of the Corporation for National and Community Service (CNCS)?

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Focus on Economic Inequality in 2013

Dec 26, 2012, 10:00 AM, Posted by Fenaba Addo

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My New Year's resolution for the U.S. health care system and population health is that there is more sustained attention to the fragile economic state of many of America’s families and households, especially as we continue to climb out of this most recent Great Recession. I say this in light of the strong empirical evidence that economic inequality continues to be inextricable linked to health disparities within our country. I also believe it is especially important at this moment in U.S. history, given the increasing calls to balance the federal budget by defunding social safety net programs— in particular those that provide social insurance to America’s most economically vulnerable populations.

A significant portion of the U.S. population is still either unemployed or underemployed.  Many Americans remain deeply concerned about health care costs or the threat of financial instability due to health-related problems. The passage and implementation of the Affordable Care Act was a positive step to ensure proper health care coverage for those previously shut out of private health insurance markets, such as young adults and individuals with pre-existing health conditions. It would be naïve, however, to think that just one policy will provide the economic security U.S. households need to be productive workers and active consumers.

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In 2013, Let’s Embrace Our Intellectual Diversity

Dec 24, 2012, 10:30 AM, Posted by Neale Mahoney

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If you’re looking for peace and joy this holiday season, don’t invite a liberal and a conservative health economist to your holiday party. Health economists from the political left and the political right tend to have very different views on what ails the U.S. health care system – and what should be done to fix it. After a glass or two of punch, they are likely to become loud and argumentative—dampening the holiday spirit.

But if you’re Barack Obama and John Boehner, and you’re looking to heal our health care system this holiday, invite over a few strident health economists and let the eggnog flow. There are important truths being articulated by both extremes of the health policy spectrum. A wise policy-maker would harness this diversity of wisdom.

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Happy Holidays from the RWJF Human Capital Blog!

Dec 24, 2012, 9:00 AM

Happy (almost) 2013, blog readers!

Last year we asked Robert Wood Johnson Foundation (RWJF) leaders, scholars, grantees and alumni to outline their New Year’s resolutions for our health care system, and what they thought should be the priorities for action in 2012. The responses we received were inspiring and thought provoking, and we hope that—unlike that resolution to go to the gym!—many of them were realized.

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But 2013 will be a new year. Our population is growing, becoming more diverse, and aging, and our health care system is changing to meet emerging needs. New research is being conducted, new models of care are being tested, and health policy continues to change at the state and federal levels.

We can only imagine what the coming year will hold, so we’ve again asked experts from the field to weigh in this holiday season to share their vision. Check back through early January to read their priorities for our health care system in 2013.

From all of us at the RWJF Human Capital portfolio, we wish you a very happy holiday season.

Do you have a New Year’s resolution for the health care system? Register below to leave a comment.

This commentary originally appeared on the RWJF Human Capital Blog. The views and opinions expressed here are those of the authors.

New Research on Public Health Systems and Services: Recommended Reading

Dec 21, 2012, 1:00 PM

The new issue of Frontiers in Public Health Services and Systems Research (PHSSR), an online journal that looks at early research on issues related to public health services and delivery, focuses on quality improvement in practice-based research networks.

This issue’s commentary, from the journal’s editor, Glen Mays, PhD, MPH, is about a series of studies sponsored by the Robert Wood Johnson Foundation that  look at how public health decision-makers are responding to accreditation, quality improvement, and public reporting initiatives during  ongoing fiscal problems. Mays is co-principal Investigator of the National Coordinating Center on PHSSR, Director of the Public Health Practice-Based Research Networks and the F. Douglas Scutchfield Endowed Professor at the University of Kentucky College of Public Health. Mays says that, overall, the current evidence shows that “these initiatives represent promising strategies for strengthening evidence-based decision-making and expanding the delivery of evidence-tested programs and policies in local public health settings.” 

Mays  adds that continued comparative research and evaluation activities are needed to provide more definitive evidence about which combination of strategies work best, for which population groups, in which community and organizational settings, and why.

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Pioneering Idea: Your Patient’s Community Health Needs Assessment on the Desktop

Dec 21, 2012, 10:06 AM, Posted by Ted Eytan

In medical school, we were taught an ahead-of-its-time curriculum called "Community Oriented Primary Care." It looks like now we're going to get to be able to practice it.

When I was with the Project HealthDesign (@PrjHealthDesign) team in Nashville earlier this year (see: A visit to Project HealthDesign and the patient voice, spoken through their observations of daily living | Ted Eytan, MD), we participated in an interesting exercise while wearing silly hats. It involved turning our thinking 180 degrees around about the future of health.

 

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Dentists, Nurses Top List of “Best Jobs of 2013”

Dec 21, 2012, 10:00 AM

Dentists and nurses are the occupations that will offer the best employment opportunity, salary, work-life balance, and job security in 2013, according to an annual ranking released by U.S. News & World Report. Other health care jobs also made the top tier, including physicians at number five, out of 100 occupations listed.

The dental profession should grow 21.1 percent by 2020, the piece says, and physicians will see “abundant job growth” in that same period. Nurses will also be in greater demand as the population ages, but the rankings note that nurses “will almost always have great hiring opportunity” because of the expanse of the profession.

U.S. News gives each profession is given an overall score calculated from seven component measures: 10-year growth volume, 10-year growth percentage, median salary, employment rate, future job prospects, stress level, and work-life balance.

See the full list.

This commentary originally appeared on the RWJF Human Capital Blog. The views and opinions expressed here are those of the authors.

Faces of Public Health: Thomas Frieden

Dec 20, 2012, 11:34 AM

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As we end the year and head into 2013, NewPublicHealth spoke with U.S. Centers for Disease Control and Prevention director Thomas Frieden, MD, MPH, about public health in 2012—and what’s ahead for 2013.

NewPublicHealth: What were the high points for public health in 2012?

Dr. Thomas Frieden: Two really stand out. First, public health got even better at finding outbreaks quickly and stopping them. We saw that with Listeria, E. Coli, Salmonella and with the fungal meningitis outbreak. That is important because we are seeing that there are an ever-increasing number of ways that outbreaks can start and spread and we need to be on our guard. The second highlight that comes to mind immediately was the Tips from Former Smokers Campaign. This is the first-ever federally funded national anti-tobacco campaign and it was a stunning success. We had very ambitious goals for it. We hoped that half a million people would try to quit and at least 50,000 people would succeed for good. Based on calls to quitlines—and we will know more in the next few months—it looks like the campaign probably had at least twice that impact. This is a campaign that will have saved tens of thousands of lives and probably paid for itself in pretty short order in terms of reduced medical and societal expenses. It shows that when you invest in tobacco control you can make a big difference and save a lot of lives.

NPH: And your hopes for public health in 2013?

Frieden: There are a lot of things that are important and we can make progress on in the coming year. First is to be safer from threats whether they are from this country or abroad, and public health works 24/7 to keep us safe both at the federal level as well as the state and local level. We do have challenges, though, in terms of the fiscal climate that we are in, and we need to ensure that we have the resources needed to keep Americans safe from threats.

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