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    In the September 2021 Issue of the Quarterly

    September 2021

    As this issue of the Quarterly goes to press, the global struggle with COVID-19 is midway through its second year. Infection rates are surging once…  More

  • Economic Aspects of Delivering Primary Care Services: An Evidence Synthesis to Inform Policy and Research Priorities

    September 2021

    In 2018, the Declaration of Astana renewed goals set forth 40 years earlier by the World Health Organization and the United Nations’ Children Fund regarding the importance of primary health coverage in achieving universal health coverage. However, policymakers are often unclear how best to use primary care resources for maximum economic impact. In this overview of systemic reviews, Lorcan Clarke from the London School of Economics and Trinity College Dublin and colleagues finds that specific task shifting among different health care workers, telemedicine, longer primary care consultations, and pay for performance mechanisms are some of the strategies that can have positive economic effects.   More

  • Population Health Innovations and Payment to Address Social Needs Among Patients and Communities With Diabetes

    September 2021

    In this study, Kathryn E. Gunter of University of Chicago and colleagues explore the experiences of eight grantee organizations from the Bridging the Gap: Reducing Disparities in Diabetes Care initiative sponsored by the Merck Foundation, which aims improve diabetes outcomes by transforming primary care and addressing social needs within evolving payment methods. The authors find that current payment mechanisms for health care services do not adequately support critical up-front investments in infrastructure to address medical and social needs, nor provide sufficient incentives to make addressing social needs a priority  More

  • County-Level Recreational Marijuana Policies and Local Policy Changes in Colorado and Washington State (2012-2019)

    August 2021

    In 2012, Colorado and Washington became the first states in the country to legalize marijuana and therefore “serve as quasi-natural experiments to examine how local jurisdictions have responded to state marijuana legalization.” In this study, Denise D. Payán, Paul Brown, and Anna V. Song of the University of California, Merced identified key county policymakers in those states and explored their arguments for or against marijuana facilities. The authors found that several counties in both Colorado and Washington have made substantial marijuana facility policy modifications since state legalization.   More

  • Evidence-Based Message Strategies to Increase Public Support for State Investment in Early Childhood Education: Results from a Longitudinal Panel Experiment

    August 2021

    Investments in early childhood education can have a long-lasting impact on health and well-being. This study by Jeff Niederdeppe of Cornell University and colleagues compared types of messages to garner public support, including simple advocacy messages, policy narratives (short stories with a setting, characters, and a plot that offers a policy solution to a social problem), and inoculation messages (messages designed to prepare audiences for building resistance to opposing messages). The authors found that narrative messages may be particularly effective in persuading individuals inclined to oppose such policies, while inoculation messages may protect favorable child care policy attitudes.   More

  • The Impact of Choosing Wisely Interventions on Low-Value Medical Services: A Systematic Review

    August 2021

    Choosing Wisely aims to reduce the use of unnecessary, low-value medical services through development of service-utilization recommendations. In this review, Betsy Q. Cliff of the University of Illinois Chicago School of Public Health and colleagues synthesized the literature on interventions identified as low value by Choosing Wisely. The authors found that health system interventions based on Choosing Wisely guidelines can reduce the use of low-value services. They also found that multicomponent interventions targeting clinicians are currently the most effective types of interventions.   More

  • Who Would Pay Higher Taxes for Better Mental Health? Results of a Large-Sample National Choice Experiment

    August 2021

    Context: The direct and indirect impacts of serious mental illness (SMI) on health care systems and communities represents a significant burden.…  More

  • Pursuing Value-Based Prices for Drugs: A Comprehensive Comparison of State Prescription Drug–Pricing Boards

    August 2021

    Context: Rising prescription drug costs are consuming a growing proportion of state and private budgets. In response, lawmakers have experimented with…  More

  • The Demise of Artificial Trans Fat: A History of a Public Health Achievement

    August 2021

    This article describes a strategic combination of research, advocacy, corporate campaigns, communications, grassroots mobilization, legislation, regulatory actions, and litigation against companies and government to secure a national policy to remove artificial trans fat from the US food system.  More

  • Beyond Causality: Additional Benefits of Randomized Controlled Trials for Improving Health Care Delivery

    July 2021

    From Scurvy to Streptomycin to Social Policy Their cases were as similar as I could have them. —James Lind, 17531 With deep roots in clinical…  More