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Caulkins J.P.,Published by Wiley Periodicals Inc | Lee M.A.C.,Published by Wiley Periodicals Inc | Kasunic A.M.,Published by Wiley Periodicals Inc
World Medical and Health Policy | Year: 2012

On November 6, 2012, citizens in three U.S. states will vote on whether to legalize production, distribution, possession, and sale of marijuana for general-not just medical-use. Legalization is typically imagined as an up or down, binary choice. However, a comparison of 17 legalization proposals actively discussed in various U.S. states in 2012 reveals differences that would have important consequences for price, availability, arrest-risk, use, and, hence, health. This paper divides the proposals into three broad categories and assesses their political feasibility. It then addresses the implications of state-level legalization, and possible federal responses to it, for retail price, tax revenues, and spill-over effects in other states where marijuana would remain illegal. © 2012 Policy Studies Organization. Source


Aworunse O.,Published by Wiley Periodicals Inc | Lal L.S.,Published by Wiley Periodicals Inc | Ewer M.S.,Published by Wiley Periodicals Inc | Rosenau P.,Published by Wiley Periodicals Inc
World Medical and Health Policy | Year: 2012

This paper explores some of the concerns associated with the new group of oral anti-cancer agents from the standpoint of availability, direct costs to the patient, and pricing strategies. We sought to evaluate the availability in the United States and the United Kingdom based on approval times. We then consulted select insurance companies' websites for 2011, the online Medicare Part D donut-hole calculator, and the Cancer U.K. website for cost information. Nine oral targeted agents are approved both in the United States and United Kingdom. The date of approval was earlier in the United States compared to the United Kingdom for every medication, and Medicare patients have the highest out-of-pocket payments. Oral oncology products are available earlier in United States than in United Kingdom. Potential high out-of-pocket liability for Medicare patients is a greater obstacle to access than is the case for U.S. commercial insurance or National Health System (NHS) patients in the United Kingdom. © 2012 Policy Studies Organization. Source


Ruchiwit M.,Published by Wiley Periodicals Inc | Ruchiwit K.,Published by Wiley Periodicals Inc | Pawloski L.,Published by Wiley Periodicals Inc | Curtin K.M.,Published by Wiley Periodicals Inc
World Medical and Health Policy | Year: 2012

As a transitional country recently entering the Association of Southeast Asian Nation's (ASEAN) community, Thailand aims to improve its healthcare and health of its people. One means of better understanding the health status of a population is to examine how the overall health environment influences health status. For this study, we examine the impact of perceptions of the Thai health environment on the health status of Thai adults. Four hundred and two participants from three regions of Thailand were surveyed concerning sociodemographic variables, perceptions of health status, and perceptions of the internal and external health environment. The results revealed that those reporting their health status to be satisfactory believed that their living and working environment and availability of medical information and technology was good. In Thailand, the perception of having a good living and working environment as well as good medical information and innovative medical technology may have an important bearing on health status. © 2012 Policy Studies Organization. Source


Cameron A.W.,Published by Wiley Periodicals Inc | Causey S.T.,Published by Wiley Periodicals Inc | Livingston J.N.,Published by Wiley Periodicals Inc | Brandon D.T.,Published by Wiley Periodicals Inc | And 2 more authors.
World Medical and Health Policy | Year: 2012

The American Cancer Society's Cancer Facts and Figures for African Americans 2011-2012 (Atlanta) reports that African American men have the highest incidence of prostate cancer (ACS, 2011) and that African Americans have the highest death rate of any racial or ethnic group in the United States for nearly all cancers. The fact that 40 percent of African American males are being diagnosed with prostate cancer, and 16 percent of African males are estimated to die from the condition, demands research and action. This study examines the effectiveness of theater in comparison to standard workshop/lecture in educating African American males about prostate cancer. Employing a retrospective/pre- post-test design, the study recruited 127 men to attend theater and standard workshop/lectures. Researchers assessed the effectiveness of theater in increasing participants' knowledge and awareness about prostate cancer in comparison to standard workshop/lecture. Results of the study indicate statistically significant increases in knowledge for playgoers before and after the play. Participants also reported statistically significant increases in the likelihood of engaging in healthy pro-social prostate-related behaviors. In addition, results of the study indicate that the increase in knowledge for participants who attended the standard workshop/lecture was greater than the increase in knowledge for participants who attended the play. Thus standard workshop/lecture proved to be more effective in educating African American men about prostate cancer. The findings suggest that further research will be needed to identify more innovative educational tools to increase knowledge and alter health-related behaviors. © 2012 Policy Studies Organization. Source


Mohan S.,Published by Wiley Periodicals Inc | Smith C.A.,Published by Wiley Periodicals Inc | Corriveau N.L.,Published by Wiley Periodicals Inc | Kline-Rogers E.,Published by Wiley Periodicals Inc | And 4 more authors.
World Medical and Health Policy | Year: 2012

Over the past three decades the proportion of students classified as overweight has almost tripled. This trend in childhood obesity is a cause for concern. Stakeholders have come together to stem growth and implement healthy habits in childhood to not only prevent obesity, but also future cardiovascular risk. School-based health interventions have proven to be an effective medium to reach youth. Sustainable practices remain the largest determinant of long-term success of these programs. Project Healthy Schools, a community-university collaborative school-based health intervention program, sustainable practices have led to positive changes in participating middle schools. This collaborative has provided important insight on key factors needed for long-term sustainability for a school-based wellness program. These key factors are described under leadership, policy, finances, and reproducibility. Future school-based programs may plan for success with sustainability while drawing from our experience. © 2012 Policy Studies Organization. Source

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