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Imprisonment, opioids and health care reform: The failure to reach a highrisk population
حبس ، مواد افیونی و اصلاح مراقبت های بهداشتی: عدم دستیابی به جمعیت پرخطر-2020 The 2014 National Research Council report on American incarceration optimistically anticipated the Affordable
Care Act (ACA) would be “a turning point in the nations health care, and … will provide unprecedented access
to care for many people being released from correctional facilities.” However, the ACA was not designed to
proactively respond to risks associated with prisoner re-entry into society. Our overarching hypothesis is that
unmet health needs among previously incarcerated adults can be more fully understood by analyzing how unprescribed
use of drugs, such as opioids, is associated with economic and health problems and health care uninsurance
that in turn results in exclusion from needed health care services. Using several waves of the National
Longitudinal Study of Adolescent to Adult Health conducted before and after passage and implementation of
ACA, our analysis indicates that the above risk factors nearly fully mediate the association between previous
incarceration and failure to receive needed health care. We argue that these factors are likely intensified by a
reactive approach to health care reform that not only fails to cover many former prisoners, but also is lacking in
sufficient outreach programming, and as such is insufficient for adults with health problems and limited economic
resources - especially those using un-prescribed opioids. Future work should address the capacity of more
proactively organized public health programs to expand coverage to previously incarcerated populations - including
un-prescribed opioid users - and thereby reduce their health risks and vulnerability to repeated exposure
to law enforcement surveillance and criminal punishment. Keywords: Incarceration | Opioids | Affordable Care Act | Health care access | Health care policy |
مقاله انگلیسی |
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Big Data Lakes Can Support Better Population Health for Rural India - Swastha Bharat
دریاچه های داده های بزرگ می تواند سلامت مردم روستای Swastha Bharat هند را بهتر کند-2016 As India seeks to become a world power, theres maybe nothing
additional vital than the health and well-being of its citizens. Better
population health is one among the vital considerations in India.
While, those living in cities and massive cities have access to high
finish health services, the ample folks living in rural India, notably
within the remote elements of the country face issues of inadequate
facilities and poor access to attention. The inefficiencies and
inequities within the public health care access in India have pushed
forward the necessity for power and innovative solutions to
strengthen a similar. Paper identifies the large shortage of correct
health care facilities and addresses a way to give bigger access to
primary health care services in rural India. any this paper, it
conjointly addresses the important computing and analytical ability
of Big Data in process huge volumes of transactional information in
real time things to show the dream of Swastha Bharat (Healthy
India) into reality. Furthur the target of this paper is to suggest the
reforms within the health care sector and boosts the discussions on
how government will harness innovations within the big data
analytics to boost the health care system.
Keywords: Big Data Analytics | Health care in India | Big Data Lake | Big Data| Rural Health Care | e-Health Care | Swastha Bharat. |
مقاله انگلیسی |