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The Role of Social and Economic Research in Public Health Fran Ulmer 3/14/2006

The Role of Social and Economic Research in Public Health Fran Ulmer 3/14/2006. Improve health of the population Improve efficiency of health care system Make health care more affordable Expand access to health care Understand ingredients of community wellness and environmental health

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The Role of Social and Economic Research in Public Health Fran Ulmer 3/14/2006

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  1. The Role of Social and Economic Research in Public Health Fran Ulmer 3/14/2006

  2. Improve health of the population Improve efficiency of health care system Make health care more affordable Expand access to health care Understand ingredients of community wellness and environmental health Prevent accidents and high risk behavior Many more Goals of health research

  3. College of Health and Social Welfare Institute for Circumpolar Health Studies Center for Rural Health Center for Alcohol and Addiction Studies Center for Human Development Justice Center WAMI/Biomedical Program Biological Sciences Environment and Natural Resources Institute Geology, anthropology, sociology, psychology, nursing, journalism and public communication Many UAA Programs

  4. Program evaluation to help providers improve their programs Injury prevention Alcohol addiction and inhalant abuse Climate change/human health (Carl Hild) Specifics like studying traffic patterns and pediatric asthma, diesel exhaust effects (Mary Ellen Gordian) Institute for Circumpolar Health Studies

  5. Evaluations, like dental health aide program in rural Alaska Economics of telehealth/ANTHC Community control of alcohol (Matt Berman) Rural sanitation programs (Sharman Haley) NIOSH aircraft safety study (Lexi Hill) Cost of health care in Alaska ISER

  6. ISER enhances the well-being of Alaskans and others, through non-partisan research that helps people understand social and economic systems and supports informed public and private decision-making. ISER pursues it mission by Focusing attention on critical economic and social issues in Alaska , the Arctic , and similar regions; Engaging in basic and applied research leading to better understanding of those issues; and Disseminating knowledge through publications, community involvement, public service, and teaching. ISER Mission

  7. The Institute of Social and Economic Research was established by the Alaska Legislature in 1961. ISER is part of the College of Business and Public Policy at UAA. It has a core staff of about 30 faculty members, research associates, and support personnel. Roughly one-third of its budget is from university money and two thirds from grants and contracts. ISER staff members not only do research but also teach undergraduate and graduate courses. ISER maintains the state's largest economic database and forecasts population and employment growth. All of ISER's research findings are published and are available at UAA or online at www.iser.uaa.alaska.edu

  8. Alaska $5 Billion Health-Care Bill—Who’s Paying? by Mark Foster and Scott Goldsmith

  9. Alaska Health-care spending in 2005 Changes in spending since 1991 Health-care Coverage High-and Low-Cost Patients Are We Healthier Alaska/U.S. Cost Comparisons What’s Driving Costs? What do we do to improve health care in Alaska? Organization of Presentation

  10. Alaska Health Care Spending

  11. Total K-12 Spending, All Sources, $1.3 B Total Employment Wages, $11.8B How much is $5.3 billion in Alaska in FY2005

  12. Changes in Alaska Health Care Spending1991-2005

  13. Health Coverage in Alaska

  14. Employee/Employer Contributions to Health Insurance Premiums, Selected States #1 #6 #10 #17 #19 #27 #38 #49 Source: 2003 MEPS Data – Private Firm Family Coverage Premiums

  15. High Cost & Low Cost Patients

  16. Are Alaskans Healthier?1990-2005

  17. Substantial investments in rural Alaska Approximately 50% to 75% of villages Will the trend continue? Water and Sewer

  18. 24% of infants in villages with minimal water services are hospitalized for pneumonia (11 times the national average). Alaska low service vs. high service regions comparison: 3 times incidence of pneumonia and influenza Authors:Troy Ritter and Tom Hennessy (Centers for Disease Control and ANTHC) ADN 2/27/06 Does water and sewer investment improve health?

  19. Alaska – U.S. Cost Comparisons

  20. Medical/Surgical & Dental Procedures

  21. What is driving long term health care spending increases The Economics of Health & Health Care, Folland, Goodman, Stano, 4th Edition (2004), Chapter 8, Extrapolating from Rand Analysis of U.S. Health Care Expenditure Growth, 1945 – c.1990

  22. How do we improve health care in Alaska?

  23. Challenge: identify the issue, the funding, the talent to do research that can improve the health care delivery system and provide the research results in a format and a forum that will make a difference!

  24. Research Data and analysis Alternative programs/other jurisdictions Legislation/administration Innovation Partnerships/collaboration Community awareness/information Prevention Approaches for the future

  25. Commonwealth North Health Roundtable DHSS insurance coverage study Legislation Information: www.arctichealth.org UAA Health research think tank: HeaRTT United Way: community assessment/indicators AK Collaborative on Health& the Environment Healthy Alaskans 2010 (DHSS targets) Others? Initiatives

  26. The role of the University The role health care providers The role of community leaders The role of employers The role of individuals What can you do?

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