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Quarterly Department
Quarterly Article
September 2025 Isaac Weldon, Kathleen Liddell, Kevin Outterson,
Antimicrobial resistance (AMR) is a pressing global health crisis rooted in complex collective action problems. Despite the urgency, policy responses have not kept pace with the escalating threat of drug resistance. By recognizing the similarities between AMR governance and other shared-resource challenges in environmental governance, this article examines potential strategies for AMR governance. More
August 2025 Dorothy Y. Hung, LILLIAN C. LEVY, Thomas G. Rundall, ELINA REPONEN, WILLIAM HUEN, Stephen M. Shortell,
Lean management is a sociotechnical approach to quality improvement that aims for consistency in work processes and outcomes. This can be leveraged to reduce inequities by ensuring delivery of high-quality care to meet the needs of patients with diverse backgrounds. Despite recent efforts in the field, there is limited study on how managers implement health equity and workforce diversity goals as strategies to improve patient care. Given the important role of leadership in fostering workplace culture, we examined leader activities and specifically their use of lean management practices to support equity initiatives in health care. More
August 2025 LISA V. RUBENSTEIN, SYDNE J. NEWBERRY, ISHITA GHAI, ANEESA MOTALA, IDAMAY CURTIS, PAUL G. SHEKELLE, TODD H. WAGNER, L. DIEM TRAN, STEPHEN D. FIHN, KARIN M. NELSON,
Current primary care productivity measures do not account for investment in interprofessional primary care teams in relation to primary care goals and thus are insufficient for assessing and improving primary care efficiency and productivity. We explored alternative productivity measurement methods. More
August 2025 Amanda I. Mauri, Zoe Lindenfeld, Charley Willison, THERESE L. TODD, Jonathan Purtle, DIANA SILVER,
Individuals with behavioral health disorders are more likely to experience substantial harm from a police encounter, prompting reforms to minimize encounters between police and people experiencing a behavioral health crisis. One strategy involves expanding partnerships between certified community behavioral health clinic (CCBHC) mobile crisis teams and emergency response systems, often through two models: 911 referral, wherein a CCBHC’s behavioral health practitioner–only team responds to 911 calls, and co-response, wherein a CCBHC clinician joins a police or emergency medical services (EMS) team. More
August 2025 Maria-Elena De Trinidad Young, Danielle M. Crookes, Sarina Rodriguez, Fabiola Perez-Lua, Ninez A. Ponce, Alexander N. Ortega,
Federal and state immigration policies influence access to health insurance for Latino populations. Local jurisdictions also have immigration-related policymaking power, but there has been limited study of their influence on health care access. We examined the relationship between county-level immigration policy contexts and health insurance coverage of Latino adults and youth in California using two measures that capture local-level policy decisions and immigration policy–related social inequity. More
August 2025 Meghan Bellerose, Linqing Zheng, Arielle Desir, Rachel E. Fabi, Laura R. Wherry, Maria W. Steenland,
Health insurance coverage increases access to recommended pregnancy care, but undocumented immigrants are not eligible for pregnancy Medicaid coverage without state uptake of alternative policy options. Twenty-four states and the District of Columbia (DC) offer public insurance to undocumented immigrants who are income eligible for pregnancy Medicaid through the Children’s Health Insurance Program From-Conception-to-End-of-Pregnancy option or state funds. More
August 2025 Hossein Zare, Gerard Anderson,
The American Hospital Association determined that in 2022 nonprofit hospitals spent $129 billion on community benefits. This is more than the entire budget for the US public health service. Different organizations estimate different amounts of community benefit spending depending on their definition of community benefit. More
August 2025 John Billimek, Melina Michelen, Patricia J. Cantero, Noraima Chirinos, Rocio Salazar, Mary Anne Foo, Samantha Peralta, Brittany N. Morey, Jacqueline J. Chow, Salvador Zarate, Sora Park Tanjasiri, Alana M. W. Lebrón,
Community health workers (CHWs) are frontline public health workers who support the well-being and capacity building of residents disproportionately affected by health inequities. The purpose of this study is to examine diverse perspectives on the conditions for CHW success as CHWs were engaged in rapidly implemented, highly responsive education, vaccination, and recovery efforts during the COVID-19 pandemic in a large county in Southern California. More
August 2025 David B. Joyce, Jeffrey Swanson,
Extreme Risk Protection Orders (ERPOs) are an effective legal tool for reducing firearm suicide by temporarily removing access to firearms for certain individuals who exhibit dangerous behavior. Unlike most state laws restricting access to firearms based on status, ERPOs are predicated on the assessment of future risk of harm to self or other, as determined by civil court file finding. Emerging research indicates that separating those in crisis from lethal means reduces firearm mortality. We assess Maine’s unique approach and consider whether it is a replicable policy option for other states or should be modified to comport with other states’ more broadly applicable model. More
July 2025 Justin Markowski,
Context: Community health centers (CHCs) are a critical and growing part of the health care safety net, doubling over the past 15 years to expand access to essential health care services to over 31 million patients in traditionally underserved communities. However, increasingly, CHCs have opened care delivery locations in communities already served by another CHC, potentially creating competitive markets with unknown implications for how this safety net operates. More