Evolution of the Academic Health Department through public health academic and practice collaborations.
*Public Health Practice; Academic Medical Centers – Ohio; Collaboration – Methods; Community Networks; Continuing; Curriculum; Education; Faculty Role; Financial; Grants; Humans; Interinstitutional Relations; Interinstitutional Relations – History – Ohio; Local Government; Medical; Medical/*organization & administration; Ohio; Professional Practice – Education; Public Health – Education; Public Health Administration; Public Health Administration – Ohio; Public Health Professional/methods/*organization & administration; Schools; Training Support
In 1997, the Office of Public Health Practice was chartered at Northeast Ohio Medical University (NEOMED). Through this office, public health practitioners and academics have engaged in informal collaborations, formal collaborations, and formal agreements. Projects that have helped public health practitioners included a sanitarian preparation course, educational opportunities, and shared faculty arrangements. The academic programs have benefited through support in accreditation activities, teaching and precepting of public health and medical students, and advice on community-oriented curriculum. Formal affiliation agreements have been developed between the medical school and 5 local health departments, and public health practitioners have been given faculty appointments. Factors that have resulted in the longevity of Academic Health Department relationships through the Office of Public Health Practice include individuals dedicated to these relationships, agencies willing to support collaborative efforts, mutually beneficial activities, and a culture conducive to continued engagement.
Lee Amy F; Quade Thomas; Dwinnells Ronald
Journal of public health management and practice : JPHMP
2014
2014-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1097/PHH.0b013e3182a085b6" target="_blank" rel="noreferrer noopener">10.1097/PHH.0b013e3182a085b6</a>
Associations between Difficulty Paying Medical Bills and Forgone Medical and Prescription Drug Care.
*Fees; *Health Expenditures; *Health Services Accessibility; *Patient Compliance; *Prescription Fees; Adult; Aged; Bisexuals; Cross-Sectional Studies; Debt; Drug; Family Health; Female; Financial; Health Status; Health Surveys; Homeless Persons; Humans; Male; Medical; Middle Aged; Ohio; Population Characteristics; Prescriptions; Socioeconomic Factors; Special Populations; Young Adult
Problems paying medical bills have been reported to be associated with increased stress, bankruptcy, and forgone medical care. Using the Behavioral Model for Vulnerable Populations developed by Gelberg et al as a framework, as well as data from the 2010 Ohio Family Health Survey, this study examined the relationships between difficulty paying medical bills and forgone medical and prescription drug care. Logistic regression was used to examine associations between difficulty paying medical bills and predisposing, enabling, need (health status), and health behaviors (forgoing medical care). Difficulty paying medical bills increased the effect of lack of health insurance in predicting forgone medical care and had a conditional effect on the association between education and forgone prescription drug care. Those who had less than a bachelor's degree were more likely to forgo prescription drug care than those with a bachelor's degree, but only if they had difficulty paying medical bills. Difficulty paying medical bills also accounted for the relationships between several population characteristics (eg, age, income, home ownership, health status) in predicting forgone medical and prescription drug care. Policies to cap out-of-pocket medical expenses may mitigate health disparities by addressing the impact of difficulty paying medical bills on forgone care.
Baughman Kristin R; Burke Ryan C; Hewit Michael S; Sudano Joseph J; Meeker James; Hull Sharon K
Population Health Management
2015
2015-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1089/pop.2014.0128" target="_blank" rel="noreferrer noopener">10.1089/pop.2014.0128</a>