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Perceived Impacts of Health Care Reform on Large Urban Health Departments
CONTEXT: The Patient Protection and Affordable Care Act (ACA) is changing the landscape of health systems across the United States, as well as the functioning of governmental public health departments. As a result, local health departments are reevaluating their roles, objectives, and the services t...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4243798/ https://www.ncbi.nlm.nih.gov/pubmed/25423059 http://dx.doi.org/10.1097/PHH.0000000000000145 |
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author | Leider, Jonathon P. Castrucci, Brian C. Russo, Pamela Hearne, Shelley |
author_facet | Leider, Jonathon P. Castrucci, Brian C. Russo, Pamela Hearne, Shelley |
author_sort | Leider, Jonathon P. |
collection | PubMed |
description | CONTEXT: The Patient Protection and Affordable Care Act (ACA) is changing the landscape of health systems across the United States, as well as the functioning of governmental public health departments. As a result, local health departments are reevaluating their roles, objectives, and the services they provide. OBJECTIVE: We gathered perspectives on the current and future impact of the ACA on governmental public health departments from leaders of local health departments in the Big Cities Health Coalition, which represents some of the largest local health departments in the country. DESIGN: We conducted interviews with 45 public health officials in 16 participating Big Cities Health Coalition departments. We analyzed data reflecting participants' perspectives on potential changes in programs and services, as well as on challenges and opportunities created by the ACA. RESULTS: Respondents uniformly indicated that they expected ACA to have a positive impact on population health. Most participants expected to conduct more population-oriented activities because of the ACA, but there was no consensus about how the ACA would impact the clinical services that their departments could offer. Local health department leaders suggested that the ACA might create a broad range of opportunities that would support public health as a whole, including expanded insurance coverage for the community, greater opportunity to collaborate with Accountable Care Organizations, increased focus on core public health issues, and increased integration with health care and social services. CONCLUSIONS: Leaders of some of the largest health departments in the United States uniformly acknowledged that realignments in funding prompted by the ACA are changing the roles that their offices can play in controlling infectious diseases, providing robust maternal and child health services, and more generally providing a social safety net for health care services in their communities. Health departments will continue to need strong leaders to strengthen and maintain their critical role in protecting and promoting the health of the public they serve. |
format | Online Article Text |
id | pubmed-4243798 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-42437982014-11-26 Perceived Impacts of Health Care Reform on Large Urban Health Departments Leider, Jonathon P. Castrucci, Brian C. Russo, Pamela Hearne, Shelley J Public Health Manag Pract Original Articles CONTEXT: The Patient Protection and Affordable Care Act (ACA) is changing the landscape of health systems across the United States, as well as the functioning of governmental public health departments. As a result, local health departments are reevaluating their roles, objectives, and the services they provide. OBJECTIVE: We gathered perspectives on the current and future impact of the ACA on governmental public health departments from leaders of local health departments in the Big Cities Health Coalition, which represents some of the largest local health departments in the country. DESIGN: We conducted interviews with 45 public health officials in 16 participating Big Cities Health Coalition departments. We analyzed data reflecting participants' perspectives on potential changes in programs and services, as well as on challenges and opportunities created by the ACA. RESULTS: Respondents uniformly indicated that they expected ACA to have a positive impact on population health. Most participants expected to conduct more population-oriented activities because of the ACA, but there was no consensus about how the ACA would impact the clinical services that their departments could offer. Local health department leaders suggested that the ACA might create a broad range of opportunities that would support public health as a whole, including expanded insurance coverage for the community, greater opportunity to collaborate with Accountable Care Organizations, increased focus on core public health issues, and increased integration with health care and social services. CONCLUSIONS: Leaders of some of the largest health departments in the United States uniformly acknowledged that realignments in funding prompted by the ACA are changing the roles that their offices can play in controlling infectious diseases, providing robust maternal and child health services, and more generally providing a social safety net for health care services in their communities. Health departments will continue to need strong leaders to strengthen and maintain their critical role in protecting and promoting the health of the public they serve. Lippincott Williams & Wilkins 2015-01 2014-11-20 /pmc/articles/PMC4243798/ /pubmed/25423059 http://dx.doi.org/10.1097/PHH.0000000000000145 Text en © 2015 Wolters Kluwer Health | Lippincott Williams & Wilkins This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially. |
spellingShingle | Original Articles Leider, Jonathon P. Castrucci, Brian C. Russo, Pamela Hearne, Shelley Perceived Impacts of Health Care Reform on Large Urban Health Departments |
title | Perceived Impacts of Health Care Reform on Large Urban Health Departments |
title_full | Perceived Impacts of Health Care Reform on Large Urban Health Departments |
title_fullStr | Perceived Impacts of Health Care Reform on Large Urban Health Departments |
title_full_unstemmed | Perceived Impacts of Health Care Reform on Large Urban Health Departments |
title_short | Perceived Impacts of Health Care Reform on Large Urban Health Departments |
title_sort | perceived impacts of health care reform on large urban health departments |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4243798/ https://www.ncbi.nlm.nih.gov/pubmed/25423059 http://dx.doi.org/10.1097/PHH.0000000000000145 |
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