Http Dx Doi Org 10 2105 Ajph 2012 300692, Jun 1, 2012
Context: A literature review and environmental scan were conducted to develop a framework for int... more Context: A literature review and environmental scan were conducted to develop a framework for interventions that utilize linkages between clinical practices and community organizations for the delivery of preventive services, and to identify and characterize these efforts.
Many countries are importing managed care and price competition from the US to improve the perfor... more Many countries are importing managed care and price competition from the US to improve the performance of their health care systems. However, relatively little is known about how power is organized and exercised in the US health care system to control costs, improve quality and achieve other objectives. To close this knowledge gap, we applied social exchange theory to examine the power relations between purchasers, managed care organizations, providers and patients in the US health care system at three interrelated levels: (1) exchanges between purchasers and managed care organizations (MCOs); (2) exchanges between MCOs and physicians; and (3) exchanges between physicians and patients. The theory and evidence indicated that imbalanced exchange, or dependence, at all levels prompts behavior to move the exchange toward power balance. Collective action is a common strategy at all levels for reducing dependence and therefore, increasing power in exchange relations. The theoretical and research implications of exchange theory for the comparative study of health care systems are discussed. #
State health departments funded by the Centers for Disease Control and Prevention (CDC) State-bas... more State health departments funded by the Centers for Disease Control and Prevention (CDC) State-based Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases (NPAO) collaborate with multiple partners to develop and implement comprehensive obesity prevention and control programs. Evaluation of the first five years of the NPAO program (2003-2008) applied quantitative and qualitative methods to assess states' progress on key NPAO program requirements, including developing statewide partnerships and coordinating with partners to support obesity prevention and control efforts. This presentation describes the partnerships states developed and the contributions of principal partners, including participation in strategic planning processes and the provision of staffing support. It includes analysis of associations between an indicator of the strength of partnership involvement and other program accomplishments. Findings from case studies and descriptive stati...
To describe the potential role of the Internet as a vehicle for improving integration of care thr... more To describe the potential role of the Internet as a vehicle for improving integration of care through activating chronic kidney disease patients and their family members. Also, to describe how that potential is being developed through a website sponsored by the Medicare program in the United States. The Internet is expanding at a rapid rate, and health-related websites are one of its most popular features. Efforts to promote integration of care have focused mainly on providers up to now, and more emphasis is needed on the potential roles of patients. Chronically ill patients have particular needs for improved education about their conditions and enhanced involvement in care planning and treatment decisions. Medicare developed the Dialysis Facility Compare website to serve those goals for people with chronic kidney disease. We conducted qualitative research with 140 chronic kidney disease patients and family members, and 130 renal care professionals to evaluate and improve the Dialys...
Many countries are importing managed care and price competition from the US to improve the perfor... more Many countries are importing managed care and price competition from the US to improve the performance of their health care systems. However, relatively little is known about how power is organized and exercised in the US health care system to control costs, improve quality and achieve other objectives. To close this knowledge gap, we applied social exchange theory to examine the power relations between purchasers, managed care organizations, providers and patients in the US health care system at three interrelated levels: (1) exchanges between purchasers and managed care organizations (MCOs); (2) exchanges between MCOs and physicians; and (3) exchanges between physicians and patients. The theory and evidence indicated that imbalanced exchange, or dependence, at all levels prompts behavior to move the exchange toward power balance. Collective action is a common strategy at all levels for reducing dependence and therefore, increasing power in exchange relations. The theoretical and r...
Many countries are importing managed care and price competition from the US to improve the perfor... more Many countries are importing managed care and price competition from the US to improve the performance of their health care systems. However, relatively little is known about how power is organized and exercised in the US health care system to control costs, improve quality and achieve other objectives. To close this knowledge gap, we applied social exchange theory to examine the power relations between purchasers, managed care organizations, providers and patients in the US health care system at three interrelated levels: (1) exchanges between purchasers and managed care organizations (MCOs); (2) exchanges between MCOs and physicians; and (3) exchanges between physicians and patients. The theory and evidence indicated that imbalanced exchange, or dependence, at all levels prompts behavior to move the exchange toward power balance. Collective action is a common strategy at all levels for reducing dependence and therefore, increasing power in exchange relations. The theoretical and research implications of exchange theory for the comparative study of health care systems are discussed. #
4 MCR&R 55:1 (March 1998) (MCOs), which deliver health services through networks of p... more 4 MCR&R 55:1 (March 1998) (MCOs), which deliver health services through networks of participating physicians and hospitals (Miller 1988; Iglehart 1992; Miller and Luft 1994). To control costs in their networks, MCOs impose a variety of constraints and incentives on physician ...
Objective: As part of a national effort to prevent and control obesity, the Centers for Disease C... more Objective: As part of a national effort to prevent and control obesity, the Centers for Disease Control and Prevention's (CDC's) Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases (NPAO) provides funding to states to improve access to healthful food and increase opportunities for physical activity. The CDC also provides funding to states to build Coordinated School Health (CSH) programs across agencies and within schools to help reduce chronic disease risk factors. This paper investigates the possible role of these programs in state policy change.
State health departments funded by the Centers for Disease Control and Prevention&amp... more State health departments funded by the Centers for Disease Control and Prevention's Nutrition, Physical Activity, and Obesity Program collaborate with multiple partners to develop and implement comprehensive obesity prevention and control programs. A mixed-methods evaluation of 28 state programs over a 5-year period assessed states' progress on program requirements, including developing statewide partnerships and coordinating with partners to support obesity prevention and control efforts. States with greater partnership involvement leveraged more funding support for their programs, passed more obesity-related policies, and were more likely to implement obesity interventions in multiple settings. Case studies provided guidance for establishing and maintaining strong partnerships. Findings from this study offer emerging evidence to support assumptions about the centrality of partnerships to states' success in obesity program development and implementation and related health promotion activities.
are with RTI International; Eileen Zerhusen and Pamela Frederick are with the Centers for Medicar... more are with RTI International; Eileen Zerhusen and Pamela Frederick are with the Centers for Medicare & Medicaid Services; and Dorian Schatell is with the Medical Education Institute.
Context: A literature review and environmental scan were conducted to develop a framework for int... more Context: A literature review and environmental scan were conducted to develop a framework for interventions that utilize linkages between clinical practices and community organizations for the delivery of preventive services, and to identify and characterize these efforts.
To help address the challenges posed by the obesity epidemic in the United States, the U.S. Congr... more To help address the challenges posed by the obesity epidemic in the United States, the U.S. Congress authorized the Centers for Disease Control and Prevention to establish the Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases. In this article, we summarize the progress of the first 20 states funded by this program. The data presented are based on the information provided by the states in their semiannual progress monitoring reports on program activities from January through June 2004. The states have made progress in developing capacity and infrastructure for their programs, including leveraging financial resources and developing strong partnerships. In addition, they are planning and initiating environmental changes through legislation, and, although less frequently, through policies and other changes such as expanding physical activity opportunities. Collectively, the states are making progress in planning and implementing activities to prevent ...
Http Dx Doi Org 10 2105 Ajph 2012 300692, Jun 1, 2012
Context: A literature review and environmental scan were conducted to develop a framework for int... more Context: A literature review and environmental scan were conducted to develop a framework for interventions that utilize linkages between clinical practices and community organizations for the delivery of preventive services, and to identify and characterize these efforts.
Many countries are importing managed care and price competition from the US to improve the perfor... more Many countries are importing managed care and price competition from the US to improve the performance of their health care systems. However, relatively little is known about how power is organized and exercised in the US health care system to control costs, improve quality and achieve other objectives. To close this knowledge gap, we applied social exchange theory to examine the power relations between purchasers, managed care organizations, providers and patients in the US health care system at three interrelated levels: (1) exchanges between purchasers and managed care organizations (MCOs); (2) exchanges between MCOs and physicians; and (3) exchanges between physicians and patients. The theory and evidence indicated that imbalanced exchange, or dependence, at all levels prompts behavior to move the exchange toward power balance. Collective action is a common strategy at all levels for reducing dependence and therefore, increasing power in exchange relations. The theoretical and research implications of exchange theory for the comparative study of health care systems are discussed. #
State health departments funded by the Centers for Disease Control and Prevention (CDC) State-bas... more State health departments funded by the Centers for Disease Control and Prevention (CDC) State-based Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases (NPAO) collaborate with multiple partners to develop and implement comprehensive obesity prevention and control programs. Evaluation of the first five years of the NPAO program (2003-2008) applied quantitative and qualitative methods to assess states' progress on key NPAO program requirements, including developing statewide partnerships and coordinating with partners to support obesity prevention and control efforts. This presentation describes the partnerships states developed and the contributions of principal partners, including participation in strategic planning processes and the provision of staffing support. It includes analysis of associations between an indicator of the strength of partnership involvement and other program accomplishments. Findings from case studies and descriptive stati...
To describe the potential role of the Internet as a vehicle for improving integration of care thr... more To describe the potential role of the Internet as a vehicle for improving integration of care through activating chronic kidney disease patients and their family members. Also, to describe how that potential is being developed through a website sponsored by the Medicare program in the United States. The Internet is expanding at a rapid rate, and health-related websites are one of its most popular features. Efforts to promote integration of care have focused mainly on providers up to now, and more emphasis is needed on the potential roles of patients. Chronically ill patients have particular needs for improved education about their conditions and enhanced involvement in care planning and treatment decisions. Medicare developed the Dialysis Facility Compare website to serve those goals for people with chronic kidney disease. We conducted qualitative research with 140 chronic kidney disease patients and family members, and 130 renal care professionals to evaluate and improve the Dialys...
Many countries are importing managed care and price competition from the US to improve the perfor... more Many countries are importing managed care and price competition from the US to improve the performance of their health care systems. However, relatively little is known about how power is organized and exercised in the US health care system to control costs, improve quality and achieve other objectives. To close this knowledge gap, we applied social exchange theory to examine the power relations between purchasers, managed care organizations, providers and patients in the US health care system at three interrelated levels: (1) exchanges between purchasers and managed care organizations (MCOs); (2) exchanges between MCOs and physicians; and (3) exchanges between physicians and patients. The theory and evidence indicated that imbalanced exchange, or dependence, at all levels prompts behavior to move the exchange toward power balance. Collective action is a common strategy at all levels for reducing dependence and therefore, increasing power in exchange relations. The theoretical and r...
Many countries are importing managed care and price competition from the US to improve the perfor... more Many countries are importing managed care and price competition from the US to improve the performance of their health care systems. However, relatively little is known about how power is organized and exercised in the US health care system to control costs, improve quality and achieve other objectives. To close this knowledge gap, we applied social exchange theory to examine the power relations between purchasers, managed care organizations, providers and patients in the US health care system at three interrelated levels: (1) exchanges between purchasers and managed care organizations (MCOs); (2) exchanges between MCOs and physicians; and (3) exchanges between physicians and patients. The theory and evidence indicated that imbalanced exchange, or dependence, at all levels prompts behavior to move the exchange toward power balance. Collective action is a common strategy at all levels for reducing dependence and therefore, increasing power in exchange relations. The theoretical and research implications of exchange theory for the comparative study of health care systems are discussed. #
4 MCR&R 55:1 (March 1998) (MCOs), which deliver health services through networks of p... more 4 MCR&R 55:1 (March 1998) (MCOs), which deliver health services through networks of participating physicians and hospitals (Miller 1988; Iglehart 1992; Miller and Luft 1994). To control costs in their networks, MCOs impose a variety of constraints and incentives on physician ...
Objective: As part of a national effort to prevent and control obesity, the Centers for Disease C... more Objective: As part of a national effort to prevent and control obesity, the Centers for Disease Control and Prevention's (CDC's) Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases (NPAO) provides funding to states to improve access to healthful food and increase opportunities for physical activity. The CDC also provides funding to states to build Coordinated School Health (CSH) programs across agencies and within schools to help reduce chronic disease risk factors. This paper investigates the possible role of these programs in state policy change.
State health departments funded by the Centers for Disease Control and Prevention&amp... more State health departments funded by the Centers for Disease Control and Prevention's Nutrition, Physical Activity, and Obesity Program collaborate with multiple partners to develop and implement comprehensive obesity prevention and control programs. A mixed-methods evaluation of 28 state programs over a 5-year period assessed states' progress on program requirements, including developing statewide partnerships and coordinating with partners to support obesity prevention and control efforts. States with greater partnership involvement leveraged more funding support for their programs, passed more obesity-related policies, and were more likely to implement obesity interventions in multiple settings. Case studies provided guidance for establishing and maintaining strong partnerships. Findings from this study offer emerging evidence to support assumptions about the centrality of partnerships to states' success in obesity program development and implementation and related health promotion activities.
are with RTI International; Eileen Zerhusen and Pamela Frederick are with the Centers for Medicar... more are with RTI International; Eileen Zerhusen and Pamela Frederick are with the Centers for Medicare & Medicaid Services; and Dorian Schatell is with the Medical Education Institute.
Context: A literature review and environmental scan were conducted to develop a framework for int... more Context: A literature review and environmental scan were conducted to develop a framework for interventions that utilize linkages between clinical practices and community organizations for the delivery of preventive services, and to identify and characterize these efforts.
To help address the challenges posed by the obesity epidemic in the United States, the U.S. Congr... more To help address the challenges posed by the obesity epidemic in the United States, the U.S. Congress authorized the Centers for Disease Control and Prevention to establish the Nutrition and Physical Activity Program to Prevent Obesity and Other Chronic Diseases. In this article, we summarize the progress of the first 20 states funded by this program. The data presented are based on the information provided by the states in their semiannual progress monitoring reports on program activities from January through June 2004. The states have made progress in developing capacity and infrastructure for their programs, including leveraging financial resources and developing strong partnerships. In addition, they are planning and initiating environmental changes through legislation, and, although less frequently, through policies and other changes such as expanding physical activity opportunities. Collectively, the states are making progress in planning and implementing activities to prevent ...
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Papers by Amy Roussel