Journal of public health management and practice : JPHMP
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J Public Health Manag Pract · Sep 2019
Effectiveness of the Dual Dispatch to Cardiac Arrest Policy in Houston, Texas.
Houston policy is to dual dispatch medically trained firefighters, in addition to emergency medical services (EMS) units to out-of-hospital cardiac arrest (OHCA) cases. While believed to improve public health outcomes, no research exists supporting the policy that when firefighters respond before a better-equipped EMS unit, they increase the probability of survival. ⋯ The firefighter first responder not only improved response time but also greatly increased survivability independent of the arrival time of the better-equipped EMS unit, validating the public health benefit of the dual dispatch policy in Houston.
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J Public Health Manag Pract · Sep 2019
Improving Tribal Nation-Specific Mortality Numerators in the South and Eastern Tribes.
: The United South and Eastern Tribes, Inc, Tribal Epidemiology Center (TEC) has been conducting a Tribal Nation-specific mortality surveillance project for approximately 13 years. Coded death records are received from states via one of 3 data release methods (open, closed, direct) and matched to Tribal Nation electronic health records. Data quality varies depending on the method of data release. The TEC plans a new method to better identify Tribal Nation decedents and return more robust information to improve Tribal Nation-specific mortality data and strengthen Tribal data sovereignty.
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J Public Health Manag Pract · Jul 2019
Health Care Access and Receipt of Clinical Diabetes Preventive Care for Working-Age Adults With Diabetes in States With and Without Medicaid Expansion: Results from the 2013 and 2015 BRFSS.
This study aimed to assess whether the recent Medicaid expansion, as a natural experiment, was associated with better access to care and, as a consequence, better receipt of clinical diabetes care services. ⋯ Medicaid expansion did improve health care access but no significant improvement was found for receipt of clinical diabetes care for people with diabetes. Resources provided through Medicaid are vital for diabetes control and management.