...Lynn T. Kozlowski Abstract Harm reduction debates are important in health policy. Although it has been established that morality affects policy, this article proposes that perspectives from moral psychology help to explain the challenges of developing evidence-based policy on prohibition-only...

...Elizabeth Villiers Gemmette “Selective pregnancy reduction” is a medical procedure used to reduce a multiple pregnancy, often a multiple pregnancy induced by in vitro fertilization or drug therapy. In such instances, healthy embryos are sacrificed in order to maximize the chances of survival of the...

... reduce the number of hospital beds. The Michigan bed-reduction legislation was the creature of a coalition of powerful, organized “professional consumers” of health services who placed hospital cost containment on the political agenda and framed a solution. The provisions of the legislation were reshaped...

...Thomas Rice; Sally C. Stearns; Donald E. Pathman; Susan DesHarnais; Michelle Brasure; Ming Tai-Seale This study examines how the volume of privately insured services provided in hospital inpatient and outpatient departments changes in response to reductions in Medicare physician payments. We...

...Jerome L. Schwartz The passage of Proposition 13 in California resulted in a reduction of funds available to support local programs. It is important to assess what is happening in California and to communicate that information to the rest of the nation. Background is presented on the origins of...

... percent) long-term reduction in acute care spending per capita, but not with a significant reduction in total per capita spending. There is no evidence of a surge in acquisition of facilities or in costs following removal of CON regulations. Mature CON programs also result in a slight (2 percent...

... 1995 to 2004, we find that expanded capacity increased CA utilization overall and did so more rapidly for blacks, leading to a large reduction in the disparity. However, this reduction was not attributable to services provided by new entrants to the CA market, since they were located in mostly white...

... percent of charges. Reductions in financial vulnerability ranged from over 20 percent to 99.3 percent. The relation of these reductions to altered benefit structures and the policy implications of the results are discussed. Copyright © 1989 by Duke University Press 1989 References Adamache , K. W...

... concentration is not statistically significant. We simulate the impact of reducing hospital concentration to levels that would exist in moderately competitive markets. This produces a predicted overall premium reduction of more than 2 percent. However, in three of the nineteen rating regions, the predicted...

... public's lack of a common vocabulary to discuss end-of-life care. “Death panels,” however, taps into many Americans' fear of government involvement, that government's purchasing end-of-life discussions as commodities necessitates accountability and cost control. Standardization and reduction of humanity...

... available, bits of evidence can be pieced together to develop case studies of each area. Careful review of the available data often identifies internal inconsistencies and contradictions, but in none of the three sites is there a reduction in hospital use that is most plausibly attributed to HMO competition...

...John A. Nyman One of the most influential “lessons” of the RAND Health Insurance Experiment (HIE) is that cost sharing can reduce hospitalizations by about a quarter, with no effect on health for the average adult. In an earlier paper in this journal, I suggested that a portion of this reduction is...

...Cyril Roseman Immediately following adoption of Proposition 13 in California in June of 1978, the state legislature adopted a Bail-Out program which included procedures for monitoring the detrimental effects of disproportionate reductions in public health, inpatient and outpatient county budgets...

...Eugenia S. Carpenter; Pamela Paul-Shaheen This paper traces the implementation of Michigan's program for hospital bed reduction through four phases in the critical first 30 months following enactment: standard-setting, plan development, plan approval, and legislative oversight. Procedural...

... services to rise and simultaneously increasing the opportunity costs of spending for rehabilitation. The net effect of these cost increases is a reduction in the overall benefit/cost ratio that results from investments in rehabilitation. A number of predictions are made about how the United States will...

... waste reduction, recycling, and export/import control. Copyright © 1992 by Duke University Press 1992 References Alberta Hazardous Waste Management Committee 1979 . Reid Crowther and Partners Report: A Summary of Inventory and Present Disposal Practices: Fact Sheet 6. Edmonton: Alberta Hazardous...

...Robin Gauld In 2001, the New Zealand government commenced a program to reform the organization of publicly funded primary care services. While there have been several positive results of this reform, including the reduction of patient co-payments and the extension of the range of primary care...

... lessons learned based upon preliminary investigations into constructing and applying two indices, the disparity reduction profile to measure effort and the disparity index to measure outcomes. © 2006 by Duke University Press 2006 Allen, C. 2002 . Marketing Prevention for Societal Health . Paper...

... dropped out of the cost-sharing arms of the experiment. Indeed, almost all of the reduction in hospital use in the cost-sharing plans could be attributed to this voluntary attrition. If so, the RAND finding that cost sharing could reduce health care utilization, especially utilization in the form of...

... criteria which support the eventual reduction in need for abortion as a long-range policy goal and suggest key issues for consideration when such a policy is formulated. Copyright © 1978 by the Department of Health Administration, Duke University 1978 A version of this paper was presented to the 104th...