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Powering Structural Change—and the willingness to challenge the status quo—is at the crux of public service The Wagner Diversity Council hosted its conference, Powering Structural Change , between March 28 – April 1, 2022 to engage the Wagner community in discussions about public service. In partnership with other student groups and guest speakers, the …
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Training Psychiatrists for Public Sector Care: A Survey of Residency Directors on Current Priorities and PreparationOBJECTIVE: This study assessed how resident psychiatrists are being prepared to deliver effective public-sector care. METHODS: Ten leaders in psychiatric education and practice were interviewed about which tasks they consider to be essential for effective …
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Robert Moses and the Modern City: The Transformation of New York"We are rebuilding New York, not dispersing and abandoning it": Robert Moses saw himself on a rescue mission to save the city from obsolescence, decentralization, and decline. His vast building program aimed to modernize urban infrastructure, expand the …
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The Promise of Evidence-Based ManagementMore and more, healthcare providers are committing to evidenced-based clinical practice as a rational way to deliver care. Rather than make decisions anecdotally, clinicians find that the addition of research provides statistical evidence for their …
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Socioeconomic Status and Dissatisfaction Among HMO EnrolleesObjectives. Member satisfaction is commonly used as an indicator of the quality of care delivered by health plans. Yet few contemporary studies have explored the extent to which individual patient characteristics influence dissatisfaction in HMOs. We …
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Hepatitis C Testing in Substance Use Disorder Treatment: The Role of Program Managers in Adoption of Testing ServicesBACKGROUND: Health care organizations do not adopt best practices as often or quickly as they merit. This gap in the integration of best practices into routine practice remains a significant public health concern. The role of program managers in the …
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Toward a Mandatory Working Policy for MenLawrence Mead addresses the problem of nonwork among low-income men, particularly low-income black men, and its implications for families and children. The poor work effort, he says, appears to be caused partly by falling wages and other opportunity …
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An Intervention to Improve Care and Reduce Costs for High Risk Patients with Frequent Health Services UseBackground A small percentage of high-risk patients accounts for a large proportion of Medicaid spending in the United States, which has become an urgent policy issue. Our objective was to pilot a novel patient-centered intervention for high-risk patients …
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Disparities in access to health care in three French regionsObjectives: This paper compares access to primary and specialty care in three metropolitan regions of France: Ile de France (IDF), Nord-Pas-de-Calais (NPC) and Provence-Alpes-Côte d’Azur (PACA); and identifies the factors that contribute to disparities in …
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Trust, Money, and Power: Lifecycle Dynamics in Alliances between Management Partners and Accountable Care OrganizationsContext Accountable care organizations (ACOs) are a prominent payment and delivery model. Though ACOs are often described as groups of health care providers, nearly 4 in 10 ACOs partner with a management company for services such as financial investment, …
Alumni In Action
Amanda Wind O'DonnellWhat led you to your current organization/role? Before joining Vote Run Lead (VRL) in 2017, I was CFO and Partner of a Technology company in NYC that I helped to scale from startup to industry leader. In 2015, we became the technology partner for the …
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Maternal obesity, caesarean delivery and caesarean delivery on maternal request: A cohort analysis from ChinaAbstract Background To quantify the association between maternal obesity and caesarean delivery, particularly caesarean delivery on maternal request (CDMR), a fast-growing component of caesarean delivery in many nations. Methods We followed 1 019 576 …
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Regional Variation in Total Cost per Radical Prostatectomy in the Healthcare Cost and Utilization Project Nationwide Inpatient Sample DatabasePurpose : Surgical treatment for prostate cancer represents a large national health care expenditure. We determined whether state level variation in the cost of radical prostatectomy exists and whether we could explain this variation by adjusting for …
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ProPSA and Diagnostic Biopsy Tissue DNA Content Combination Improves Accuracy to Predict Need for Prostate Cancer Treatment Among Men Enrolled in an Active Surveillance ProgramObjectives : To assess a novel application of the Prostate Health Index (phi) and biopsy tissue DNA content in benign-adjacent and cancer areas to predict which patients would eventually require treatment of prostate cancer in the Proactive Surveillance …
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Long-Term Satisfaction and Predictors of Use of Intracorporeal Injections for Post-Prostatectomy Erectile DysfunctionPurpose : Intracorporeal injections have low use rates and high discontinuation rates. We examined factors associated with intracorporeal injection use, long-term satisfaction with intracorporeal injection and reasons for discontinuation in men treated …
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A new approach to understanding racial disparities in prostate cancer treatmentObjective : Previous studies addressing racial disparities in treatment for early-stage prostate cancer have focused on the etiology of undertreatment of black men. Our objective was to determine whether racial disparities are attributable to …
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Association between Arsenic Exposure from Drinking Water and Hematuria: Results from the Health Effects of Arsenic Longitudinal StudyArsenic (As) exposure has been associated with both urologic malignancy and renal dysfunction; however, its association with hematuria is unknown. We evaluated the association between drinking water As exposure and hematuria in 7843 men enrolled in the …
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The global cancer divide: relationships between national healthcare resources and cancer outcomes in high-income vs. middle- and low-income countriesBackground : Cancer continues to rise as a contributor to premature death in the developing world. Despite this, little is known about whether cancer outcomes are related to a country’s income level, and what aspects of national healthcare systems are …
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New York Transportation JournalIn the lead article for this Journal, Rachel Weinberger interviews Chris Ward, Executive Director of the Port Authority and the New York Metropolitan Region. In this interview , Mr. Ward describes his vision for the agency and the challenges for the …
News
Your Alumni News for December 2017Stay informed Your Alumni News for December 2017 Dear Alumni, I hope this finds you well. As the end of the year approaches, I wanted to thank everyone who has given back to our Wagner family in 2017. It was an exciting finish to the year, both for the …
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To Leave An Area After Disaster: How Evacuees from the WTC Buildings Left the WTC Area Following the Attacks.How people leave a devastated area after a disaster is critical to understanding their ability to cope with risks they face while evacuating. Knowledge of their needs for communications about these risks is particularly crucial in planning for emergency …
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More than Just Exercise: Walking in Today's CitiesTransportation planners, policymakers, urban designers, and activists have expended considerable effort over the past few decades promoting walking as one of several alternatives to driving. More recently, the public health benefit of a physically active …
Alumni In Action
Brian HarveyWhy did you choose Wagner for graduate school? Working in the health field, I became acutely aware of the systemic challenges facing modern healthcare. In Canada, we face significant access pressures related to chronic illness and demographic trends. But …
Publication
Practice environments and job satisfaction and turnover intentions of nurse practitioners: Implications for primary care workforce capacityBACKGROUND: Health care professionals, organizations, and policy makers are calling for expansion of the nurse practitioner (NP) workforce in primary care to assure timely access and high-quality care. However, most efforts promoting NP practice have been …