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Lessons for major system change: centralization of stroke services in two metropolitan areas of England
Conclusions A combination of system (top-down) and distributed (bottom-up) leadership is important in enabling change. System leadership provides the political authority required to coordinate stakeholders and to capitalize on clinical leadership by aligning it with transformation goals. Policy makers should examine how the structures of system authority, with performance management and financial levers, can be employed to coordinate transformation by aligning the disparate interests of providers and commissioners.
Source: Journal of Health Services Research and Policy - June 5, 2016 Category: Health Management Authors: Turner, S., Ramsay, A., Perry, C., Boaden, R., McKevitt, C., Morris, S., Pursani, N., Rudd, A., Tyrrell, P., Wolfe, C., Fulop, N. Tags: Original Research Source Type: research

The Impact of Policy, Environmental, and Educational Interventions: A Synthesis of the Evidence From Two Public Health Success Stories
Motor vehicle safety and tobacco control are among the greatest public health achievements of the 20th century, according to the Centers for Disease Control and Prevention. As the number of miles traveled in the United States multiplied 10 times from the 1920s to the 1990s, the annual motor vehicle crash death rate per vehicle mile traveled decreased by 90%. Similarly, tobacco-related deaths from heart disease, stroke, and cancer were rapidly mounting over the first two thirds of the 20th century. Then, in the last third of the century, tobacco consumption decreased by more than 50%, and rates of heart disease and stroke d...
Source: Health Education - March 31, 2015 Category: Health Management Authors: Gielen, A. C., Green, L. W. Tags: Articles Source Type: research

Policy, Systems, and Environmental Change in the Mississippi Delta: Considerations for Evaluation Design
This article presents lessons learned from an evaluation of a community-based PSE initiative targeting stroke and cardiovascular disease prevention in the Mississippi Delta. Its purpose is to describe one approach to evaluating this type of PSE initiative, to stimulate discussion about best practices for evaluating PSE strategies, and to inform future evaluation and research efforts to expand practice-based evidence. The evaluation used a descriptive mixed-methods design and focused on the second year of a multisectoral, multiyear initiative. Cross-sectional data were collected in the summer and fall of 2010 using four dat...
Source: Health Education - March 31, 2015 Category: Health Management Authors: Kegler, M. C., Honeycutt, S., Davis, M., Dauria, E., Berg, C., Dove, C., Gamble, A., Hawkins, J. Tags: Articles Source Type: research

Population health-based approaches to utilizing digital technology: a strategy for equity
We describe our approaches to grantmaking and discuss lessons learned and their implications. When combined with sound policy strategies, emerging, scalable, digital technologies will likely become powerful allies for improving health and reducing health disparities.
Source: Journal of Public Health Policy - October 31, 2016 Category: Health Management Source Type: research