Browsing by Subject "Administration"

Now showing 1 - 4 of 4
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    Expanding the Curriculum in a School of Public Health
    (Frontiers Media, 2021-08-16) Jordan, Evan J.; Young, Sarah J.; Menachemi, Nir; Health Policy and Management, Richard M. Fairbanks School of Public Health
    Public health education has long been concentrated in a core set of public health disciplines such as epidemiology, biostatistics, and environmental health. Despite leaps forward in our understanding of the myriad influences on public health, little has changed in the organization of our educational systems. One issue brought to the forefront of public consciousness by the COVID-19 pandemic is the importance of leisure experiences, such as nature walks, to mental and physical well-being. In this descriptive best practice article, we discuss our approach to expanding the notion of a school of public health and provide examples of how disciplines and subjects outside of the “norms” of public health education, including leisure studies, can help better prepare students for their future in the field. Leisure studies is just one of many subject areas that can add value to public health pedagogy, and we envision many other subject areas and departments integrating into schools of public health in the future.
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    Political and administrative decentralization and responses to COVID-19: comparison of the United States and South Korea
    (Emerald, 2021) Park, Sanghee; Fowler, Luke
    Purpose: This study explains the variation of government responses to the pandemic by focusing on how centralization/decentralization in politics and administration creates conflicts and coordination problems. Specifically, the authors make comparisons between the U.S. and South Korea to reveal differences in macro-level structures and associated responses. One of the key points of comparison is the centralized, hierarchical governance system, which may thwart or facilitate a coordinated response. Design/methodology/approach: This is an in-depth comparative case study of the two countries that showed different trajectories during the initial response to COVID-19. The comparison allows us to highlight the long-standing debate about centralization/decentralization and offers implications for government responses to crises shaped by political systems and administrative structures. Findings: While there are inherent pros and cons to decentralization, the COVID-19 pandemic highlights the institutional limitations in American federalism and the advantages that centralized administrative coordination creates during times of crisis. American federalism has unveiled systematic problems in coordination, along with the leadership crisis in polarized politics. The response from South Korea also reveals several issues in the administratively centralized and politically polarized environment. Research limitations/implications: While the authors risk comparing apples and oranges, the variation unveils systematic contradictions in polarized politics and offers important implications for government responses in times of crisis. However, this article did not fully account for individual leadership as an independent factor that interacts with existing political/administrative institutions. Practical implications: There is certainly no one best way or one-size-fits-all solution to mitigating the COVID-19 pandemic in countries under different circumstances. This article demonstrates that one of the essential determining factors in national responses to the pandemic is how the political and administrative dimensions of centralization/decentralization are balanced against each other. Originality/value: Unlike previous studies explaining the country-level responses to COVID-19, this study focuses on the variance of political and administrative decentralization within each country from the political-administrative perspective and reveals the systematic contradictions in coordination and the leadership crisis in polarized politics.
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    Predictors of medication-related problems among medicaid patients participating in a pharmacist-provided telephonic medication therapy management program
    (Wiley Online Library, 2014-10) Snyder, Margie E.; Frail, Caitlin K.; Jaynes, Heather; Pater, Karen S.; Zillich, Alan J.; Medicine Faculty Volunteers, School of Medicine
    STUDY OBJECTIVE: To identify predictors of medication-related problems (MRPs) among Medicaid patients participating in a telephonic medication therapy management (MTM) program. DESIGN: Retrospective analysis of data from patients enrolled in a previously published study. DATA SOURCES: Two Medicaid administrative claims file databases (for health care utilization and prescription dispensing information) and one pharmacy organization file for MTM program information. PATIENTS: Seven hundred twelve adult Medicaid patients who participated in a statewide pharmacist-provided telephone-based MTM program and who received an initial medication therapy review. MEASUREMENTS AND MAIN RESULTS: The primary dependent variable was the number of MRPs detected during the initial medication therapy review. Secondary dependent variables were the detection of one or more MRPs related to indication, effectiveness, safety, and adherence. Predictor variables were selected a priori that, from the literature and our own practice experiences, were hypothesized as being potentially associated with MRPs: demographics, comorbidities, medication use, and health care utilization. Bivariate analyses were performed, and multivariable models were constructed. All predictor variables with significant associations (defined a priori as p<0.1) with the median number of MRPs detected were then entered into a three-block multiple linear regression model. The overall model was significant (p<0.001, R(2) = 0.064). Significant predictors of any MRPs (p<0.05) were total number of medications, obesity, dyslipidemia, and one or more emergency department visits in the past 3 months. For indication-related MRPs, the model was significant (p<0.001, R(2) = 0.049), and predictors included female sex, obesity, dyslipidemia, and total number of medications (p<0.05). For effectiveness-related MRPs, the model was significant (p<0.001, R(2) = 0.054), and predictors included bone disease and dyslipidemia (p<0.05). For safety-related MRPs, the model was significant (p<0.001, R(2) = 0.046), and dyslipidemia was a predictor (p<0.05). No significant predictors of adherence-related MRPs were identified. CONCLUSION: This analysis supports the relative importance of number of medications as a predictor of MRPs in the Medicaid population and identifies other predictors. However, given the models' low R(2) values, these findings indicate that other unknown factors are clearly important and that criteria commonly used for determining MTM eligibility may be inadequate in identifying appropriate patients for MTM in a Medicaid population.
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    Wayward Stories: A Rhetoric of Community in Writing Center Administration
    (2019-07) Hull, Kelin; Brooks-Gillies, Marilee; Buchenot, Andre; Layden, Sarah
    Six weeks in to my position as assistant director of the writing center and suddenly I was confronted by a cluster bombing of issues and concerns – microaggressions, depression, confusion, suspicion – each one separate but related, and threatening to tear a new hole in the already fragile foundation of community in my writing center. How do we feel, what do we do, how does a community survive when the story we’re experiencing isn’t the story we want or expected - when it is, in a word, terrible? After McKinney’s Peripheral Visions, we know our labor and our centers do not look, act, and feel cozy, iconoclastic, or focused on one-on-one tutoring all of the time. And yet, if we are going to continue to move beyond the grand narrative, a deep and meaningful understanding of community is essential. When we put our story in relation to our communities, then our story becomes just one thread in a much more complex tapestry. We cannot separate one person’s story from the story of the writing center. Each person, each story, is a stitch in the rhetorical fabric of community. Using critically reflexive stories to change and shape practice, this thesis highlights the grand narrative of community and shows how that narrative serves to stymie community growth. These stories resist boundaries. They are wayward. They are counter to the narratives around which we construct our lives. When we share stories and write together, we begin to understand the threads we’re all weaving into the tapestry – our community, stitched together through shared practice; a process that will never end, as each person comes and goes. The community will never be resolved, and in the ambiguity of boundlessness, comes a new way of seeing the world - through constellations and the dwelling in inbetween.