A5080015606- Primary Care and Health Outcomes
- Food Security and Health in Diverse Populations
- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Migration, Health and Trauma
- Racial and Ethnic Identity Research
- Public Health Policies and Education
- Global Health Workforce Issues
- Economic and Financial Impacts of Cancer
- Healthcare Systems and Reforms
- Global Maternal and Child Health
- Health disparities and outcomes
- Global Health Care Issues
- Health Policy Implementation Science
- Homelessness and Social Issues
- Cultural Competency in Health Care
- COVID-19 and healthcare impacts
- Health, Nursing, Elderly Care
- Hepatitis B Virus Studies
- Long-Term Effects of COVID-19
- Geriatric Care and Nursing Homes
- Global Public Health Policies and Epidemiology
- Vaccine Coverage and Hesitancy
- Diabetes Management and Education
- Public Health in Brazil
Duke University
2017-2025
Duke Institute for Health Innovation
2024
Center for Neuro-Oncology
2020-2023
Center for Health and Gender Equity
2021
Imperial College London
2017
Primary Health Care
2017
Brookings Institution
2014-2015
University of London
2012
London School of Hygiene & Tropical Medicine
2012
London School of Economics and Political Science
2012
► Rehabilitation services are essential: They need to continue during a pandemic and after as they an essential component of high-value care offered for individuals across the lifespan optimise physical cognitive functioning reduce disability.► is affected: Globally, response COVID-19 shifting rehabilitation provided in all settings, introducing new burden on patients, families healthcare workers.► Measurement needed: A core set measures needs be adopted monitor health functional outcomes...
Accountable care--a way to align health care payments with patient-focused reform goals--is currently being pursued in the United States, but its principles are also applied many other countries. In this article we review experiences such reforms offer a globally applicable definition of an accountable system and propose conceptual framework for characterizing assessing reforms. The consists five components: population, outcomes, metrics learning, incentives, coordinated delivery. We...
Policy Points Science communication and health policy language often fail to adequately define contextualize systemic barriers—like structural racism wealth inequity—that contribute disparities in outcomes. Health practitioners should understand best practices for communicating research findings various audiences how disseminate messages that are culturally linguistically responsive different community needs. As no perfect term exists, adopting equity principles can help avoid dehumanizing...
Policy Points The rapid uptake of disadvantage indices during the pandemic highlights investment in implementing tools that address health equity to inform policy. Existing differ their design, including data elements, social determinants domains, and geographic unit analysis. These differences can lead stark discrepancies place-based risk scores depending on index utilized. Disadvantage are useful for identifying patterns risk; however, indiscriminate use have varied policy implications...
North Carolina Medicaid's Healthy Opportunities Pilots program is the country's first comprehensive to evaluate impact of paying community-based organizations provide eligible Medicaid enrollees with an array evidence-based services address four domains health-related social needs, one which housing. Using a mixed-methods approach, we mapped distribution severe housing problems and then examined design implementation in three regions. Four cross-cutting policy themes emerged: accounting for...
Policy makers and providers are under increasing pressure to find innovative approaches achieving better health outcomes as efficiently possible. Accountable care, which holds accountable for results rather than specific services, is emerging in many countries support such care innovations. However, these reforms challenging complex implement, requiring significant policy delivery changes. Despite global interest, the evidence on how implement successfully remains limited. To improve base...
The rising prevalence, health burden, and cost of chronic diseases such as diabetes have accelerated global interest in innovative care models that use approaches community-based information technology to improve or transform disease prevention, diagnosis, treatment. Although evidence on the effectiveness is emerging, scaling up extending these beyond their original setting has been difficult. We developed a framework highlight policy barriers—institutional, regulatory, financial—to...
The purpose of this study is to identify forms systemic racism experienced by Latinx communities in North Carolina during the COVID-19 pandemic as identified community health workers (CHWs) and community-based organization (CBO) leaders.We conducted three focus groups July 2022 (N=16). We performed qualitative analysis data using an iterative inductive approach original language Dedoose.Four central themes emerged: (1) Access resources for individuals; (2) Immediate, transitional, future...
The Latinx Advocacy Team & Interdisciplinary Network for COVID-19 (LATIN-19) is a unique multi-sector coalition formed early in the pandemic to address multi-level health inequities faced by communities North Carolina. We utilized National Institute on Minority Health and Disparities (NIMHD) Research Framework conduct directed content analysis of 58 LATIN-19 meeting minutes from April 2020 through October 2021. Application NIMHD facilitated comprehensive assessment complex multidimensional...
Over the past decade Ministry of Health Nepal and nonprofit Possible have partnered to deliver primary secondary health care via a public-private partnership. We applied an accountable framework that we previously developed describe delivery their integrated reproductive, maternal, newborn, child services in Achham district rural Nepal. In prospective pre-post study, examining pregnancies at baseline 541 follow-up over course eighteen months, found improvement population-level indicators...
To assist practices and institutions throughout the country in implementing clinical redesign supported by - aligned with payment reform, we present a case study of New Mexico Cancer Center (NMCC) based on numerous stakeholder interviews, literature reviews, comprehensive site visit. This explores complex barriers oncologists face improving quality outcomes cancer care reducing overall costs sustainable way. will explore following questions: How did NMCC to improve quality, enhance patient...
Abstract Background Effective payment mechanisms for healthcare are critical to the quality of care and efficiency responsiveness health systems meet specific population needs. Since its inception, Ghana’s National Health Insurance Scheme (NHIS) has adopted fee-for-service, diagnostic-related groups capitation methods, which have contributed provider reimbursement delays, rising costs poor rendered scheme’s clients. The aim this study was explore stakeholder perceptions feasibility...
The authors describe features of quality and cost measures needed to support accountable care payment reforms in oncology propose policy recommendations move systems that higher-value oncology.
The purpose of this study is to increase understanding the forms systemic racism experienced by Latinx communities in North Carolina during COVID-19 pandemic as identified community health workers (CHWs) and community-based organization (CBO) leaders.