935 results match your criteria: "Kennedy School[Affiliation]"

Objective: To evaluate the costs and client outcomes associated with integrating screening and treatment for non-communicable diseases (NCDs) into HIV services in a rural and remote part in southeastern Africa.

Design: Prospective cohort study.

Setting: Primary and secondary level health facilities in Neno District, Malawi.

View Article and Find Full Text PDF

As policy innovation is essential for upscaling responsible innovation, understanding its relationship to value change(s) occurring or sought in sociotechnical systems is imperative. In this study, we ask: what are the different types of values in the policy process? And, how does value change influence policy innovation? We propose a disaggregation of values and value change based on a four-stream variant of the multiple streams framework (MSF), a conceptual lens increasingly used for explaining policy innovation in sociotechnical transitions. Specifically, we posit that the values that 'govern' problem framing, policy design, political decision making, and technological diffusion can evolve relatively independently, potentially leading to value conflict.

View Article and Find Full Text PDF
Article Synopsis
  • - Japan's universal healthcare is struggling economically due to an aging population, and this study explores dental expenditures using government insurance claims data, focusing on the dental cost per person (DCPP).
  • - Seven factors influencing DCPP were analyzed, including age, demographics, socioeconomic status, regional wealth, and the impact of initiatives like the 8020 campaign, with findings showing higher spending in older populations (75+) across the country.
  • - The analysis revealed that dental costs are affected by geographic location, income levels, and participation in government assistance programs, highlighting the need for strategic management to address rising healthcare costs as the population continues to age.
View Article and Find Full Text PDF

Introduction: Community health worker (CHW) programs have proven effective in improving diabetes control in many locations and settings, but data on feasibility and efficacy are lacking in the Middle East and settings of chronic violence. A Palestinian CHW program, Health for Palestine (H4P), addresses chronic diseases in West Bank refugee camps. Our study assesses the feasibility and effectiveness of the program's diabetes and hypertension interventions.

View Article and Find Full Text PDF

Importance: Persistence of COVID-19 symptoms beyond 2 months, or long COVID, is increasingly recognized as a common sequela of acute infection.

Objectives: To estimate the prevalence of and sociodemographic factors associated with long COVID and to identify whether the predominant variant at the time of infection and prior vaccination status are associated with differential risk.

Design, Setting, And Participants: This cross-sectional study comprised 8 waves of a nonprobability internet survey conducted between February 5, 2021, and July 6, 2022, among individuals aged 18 years or older, inclusive of all 50 states and the District of Columbia.

View Article and Find Full Text PDF

Signals of value drive engagement with multi-round information interventions.

PLoS One

October 2022

Harvard Kennedy School, Harvard University, Cambridge, Massachusetts, United States of America.

For information interventions to be effective, recipients must first engage with them. We show that engagement with repeated digital information interventions is shaped by subtle and strategically controllable signals of the information's value. In particular, recipients' expectations are shaped by signals from the "envelope" that surrounds a message in an information intervention.

View Article and Find Full Text PDF

Beyond nuclear deterrence.

Science

October 2022

Stephen Herzog is a senior researcher in nuclear arms control at the Center for Security Studies of ETH Zurich, Switzerland, and an associate of the Project on Managing the Atom of the Harvard Kennedy School's Belfer Center for Science and International Affairs, Cambridge, MA, USA.

In October 1962, the United States and the Soviet Union squared off in what game theorist and Nobel laureate Thomas Schelling described as a nuclear game of "chicken" that threatened humanity's survival. The Cuban Missile Crisis spurred six decades of efforts to limit the spread of nuclear weapons and inspired a generation of scientists to think critically about reducing atomic risks. Russian President Vladimir Putin's recent nuclear threats during the war in Ukraine are an unambiguous reminder that such dangers have outlived the Cold War.

View Article and Find Full Text PDF

The Costs of Long COVID.

JAMA Health Forum

May 2022

Department of Economics and Kennedy School of Government, Harvard University, Cambridge, Massachusetts.

View Article and Find Full Text PDF

Medicare Enters the Pharmaceutical Purchasing Business.

JAMA Health Forum

September 2022

Department of Economics and Kennedy School of Government, Harvard University, Cambridge, Massachusetts.

View Article and Find Full Text PDF

Challenges for the Beleaguered Health Care Workforce During COVID-19.

JAMA Health Forum

January 2022

Department of Economics and Kennedy School of Government, Harvard University, Cambridge, Massachusetts.

View Article and Find Full Text PDF

The COVID-19 pandemic (and its aftermath) highlights a critical need to communicate health information effectively to the global public. Given that subtle differences in information framing can have meaningful effects on behavior, behavioral science research highlights a pressing question: Is it more effective to frame COVID-19 health messages in terms of potential losses (e.g.

View Article and Find Full Text PDF

Background: Globally, over the past two decades, many countries have significantly reduced the rate of infant mortality. Yet, in Africa, Nigeria remains one of the countries with the highest infant mortality rate (IMR).

Methods: We conducted a population-level study using the 2018 Nigeria Demographic Health Survey (NDHS).

View Article and Find Full Text PDF

What clinicians of status owe health workers earning low wages has been changed by the events of the past 2 years of the COVID-19 pandemic, national racial reckoning, and increasing national income and wealth inequality. Reasons why clinicians of status should actively promote the interests of health workers earning low wages are numerous and urgent.

View Article and Find Full Text PDF

Use of smartphone mobility data to analyze city park visits during the COVID-19 pandemic.

Landsc Urban Plan

December 2022

United States Forest Service, Northern Research Station, Philadelphia, PA, USA.

Introduction: The COVID-19 pandemic focused attention on city parks as important public resources. However, monitoring park use over time poses practical challenges. Thus, pandemic-related trends are unknown.

View Article and Find Full Text PDF

To form truthful beliefs, individuals must expose themselves to varied viewpoints. And yet, people routinely avoid information that contradicts their prior beliefs-a tendency termed "selective exposure." Why? Prior research theorizes that exposure to opposing views triggers negative emotions; in turn, people avoid doing so.

View Article and Find Full Text PDF

Given the many contexts in which people have difficulty engaging with views that disagree with their own-from political discussions to workplace conflicts-it is critical to understand how conflictual conversations can be improved. Whereas previous work has focused on strategies to change individual-level mindsets (e.g.

View Article and Find Full Text PDF

Although homelessness ranks as one of society's most pressing and visible health equity challenges, the academic community has not actively addressed its health impacts, root causes, and potential solutions. Few schools and programs of public health even offer a basic course for students. In the COVID-19 pandemic era, academia must demonstrate urgency to address homelessness and educate learners, motivate fledgling researchers, inform policy makers, offer community-engaged and evidence-based studies, and join in the growing national debate about best approaches.

View Article and Find Full Text PDF

Background: Each year, thousands of older adults develop delirium, a serious, preventable condition. At present, there is no well-validated method to identify patients with delirium when using Medicare claims data or other large datasets. We developed and assessed the performance of classification algorithms based on longitudinal Medicare administrative data that included International Classification of Diseases, 10th Edition diagnostic codes.

View Article and Find Full Text PDF

Importance: Germany's unique approach to coverage determination and pricing has ensured that effective medicines remain on the market, often at prices reduced through negotiation. However, less is known about trade-offs of this approach with regard to initial availability of medicines.

Objective: To examine differences in the timing and scope of new medicines available in Germany and the US.

View Article and Find Full Text PDF

Policy landscapes are instruments that identify national regulations on human genome editing (HGE). After examining their ethical and political assumptions, we highlight their limitations and effects for Latin America. We suggest creating other landscapes, such as focusing on processes and drawing attention to potential 'circuits of use' within and across borders.

View Article and Find Full Text PDF