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Family Centered Health Care: Evaluation to Engage Differing Perspectives
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| Presenter(s):
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| Debra Wagler,
Nevada State Health Division,
dwagler@dwcommunicate.com
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| Alyssa Rye,
University of Nevada Reno,
rye@unr.edu
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| Abstract:
In Nevada, families of children and youth with special health care needs report 41% do not receive family-centered care or medical homes (National Study 2006). In a 2006 survey, 49% of primary care providers in Nevada reported they deliver family-centered care/medical homes. While these statistics accurately describe the status of family-centered care, they do little to improve our understanding of the barriers for families experiencing family-centered care. Even though the status of family-centered care reported from the family perspective and the physician perspective is similar, the recommendations for change differ greatly. Evaluation serves as a tool to engage the parents and providers in developing guidelines for improving the delivery of family-centered care. A family-centered approach recognizes parent expertise as integral to the evaluation will involve families, physicians’ associations, and providers in the process for more practical and useful conclusions. The evaluation developed strategies to strengthen the physician-patient relationship.
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A Meta-Analytic Review on Stability of Early Antisocial Behaviors
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| Presenter(s):
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| Xinsheng Cai,
American Institutes for Research,
ccai@air.org
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| Abstract:
A meta-analysis was conducted to examine the magnitude of stability of antisocial behaviors with onset before age 6 and the variables affecting the stability effect sizes. Over 70 empirical research reports met inclusion criteria. Stability was coded as correlational effect sizes for the relationship between antisocial behaviors at Time 1 and Time 2. Results showed great variability in the weighted mean stability effect sizes. The effects of informants and subtypes of antisocial behaviors on the stability of antisocial behaviors were investigated. Demographic variables, such as social economic status, and race were found to have differential effect on boy and girl antisocial behaviors overtime. The findings suggest that antisocial behaviors in young children are not as stable as those in school age children and the information on antisocial behaviors in early childhood alone is insufficient to predict later antisocial behaviors accurately.
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Using Mixed Methods and a Flexible Design to Understand the Impact of the Medicare Prescription Drug Benefit on Low-Income Seniors
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| Presenter(s):
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| Susan Hewitt,
Health District of Northern Larimer County,
shewitt@healthdistrict.org
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| Stacy Page,
Health District of Northern Larimer County,
spage@healthdistrict.org
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| Deborah Delay,
Health District of Northern Larimer County,
ddelay@healthdistrict.org
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| Abstract:
Since 1996, The Health District of Northern Larimer County (Colorado) has provided prescription assistance to help low-income individuals afford needed medications. With the enactment of the Medicare Prescription Drug Benefit (Part D) in 2006, clients on Medicare were no longer eligible for prescription assistance. There was concern that some clients who transitioned to Medicare Part D would experience financial and other barriers that could limit their ability to take medications as prescribed. In 2006, a mixed-method study of clients who enrolled in Part D was undertaken to quantify changes in medication expenses and medication-taking behavior. As the complexity of the transition unfolded, the second year of the study used a mostly qualitative design to explore the “hits” and “misses” of this new policy on the health and welfare of low income seniors. The evaluation findings provided the foundation for changes to program eligibility protocols and informed policy advocacy.
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