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Implementing federal food service guidelines in federal and private worksite cafeterias in the United States leads to improved health outcomes and is cost saving
AbstractPoor diet increases cardiometabolic disease risk, yet the impact of food service guidelines on employee health and its cost effectiveness is poorly understood. Federal food service guidelines (FFSG) aim to provide United States (U.S.) government employees with healthier food options. Using microsimulation modeling, we estimated changes in the incidence of cardiometabolic disease, related mortality, and the cost effectiveness of implementing FFSG in nationally representative model populations of government and private company employees across 5 years and lifetime. We based estimates on changes in workplace intake of...
Source: Journal of Public Health Policy - April 4, 2022 Category: Health Management Source Type: research

Estonia: Health System Review.
Authors: Habicht T, Reinap M, Kasekamp K, Sikkut R, Aaben L, van Ginneken E Abstract This analysis of the Estonian health system reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance. In 2017, the Estonian government took the historic step of expanding the revenue base of the health system, which has been a longstanding challenge. However, in terms of percentage of GDP it remains a small increase and long-term financial sustainability could still pose a problem. That said, if these additional funds are invested wisely, they ...
Source: Health systems in transition - October 3, 2018 Category: Health Management Tags: Health Syst Transit Source Type: news

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

The impact of global budgeting on treatment intensity and outcomes
Abstract This paper investigates the effects of global budgets on the amount of resources devoted to cardio-cerebrovascular disease patients by hospitals of different ownership types and these patients’ outcomes. Theoretical models predict that hospitals have financial incentives to increase the quantity of treatments applied to patients. This is especially true for for-profit hospitals. If that’s the case, it is important to examine whether the increase in treatment quantity is translated into better treatment outcomes. Our analyses take advantage of the National Health Insurance of Taiwan’s implementation...
Source: International Journal of Health Care Finance and Economics - September 30, 2014 Category: Health Management Source Type: research

Feeding the Problem, Seeking a Solution: India's Nutrition and Health Paradox
This essay is a description of the apparent cross-purposes at which certain limbs of the Indian government, specifically the Public Distribution System (PDS) and the National Programme for Prevention and Control of Diabetes, Cardiovascular Disease and Stroke (NPDCS), seem to be functioning: Some of the workings of the PDS contribute to poor health and non-communicable diseases, while the NPDCS endeavours to control non-communicable diseases. The lacunae and setbacks in public health engendered by the non-convergence of the goals of programmes geared to assure nutritional security and disease prevention are discussed. The r...
Source: Journal of Health Management - July 24, 2013 Category: Health Management Authors: Lakshmi, J. K. Tags: Brief Communication Source Type: research

Eliminating the Inappropriate use of Antipsychotics in Residents with Dementia by Using a Multidisciplinary Pharmacy and Therapeutics (P&T) Committee
The use of atypical antipsychotic drugs in long term care facilities continues to be the subject of news and government reports. These reports have generated concern about the utilization of antipsychotic drugs in patients with dementia related disturbances. The FDA Boxed Warning statement in the antipsychotics’ product information identifies a potential increased risk of mortality in elderly individuals taking antipsychotic medications for dementia-related behavior. The 2012 American Geriatric Society Beers Criteria also recommends avoiding antipsychotic medications use for behavior problems in dementia due to an increa...
Source: Journal of the American Medical Directors Association - February 25, 2013 Category: Health Management Authors: Susan J. Klem, Susan J. Klem, Matthew S. Wayne, Joseph G. Marek Tags: Poster Abstracts Source Type: research