James R Knickman
Biographic Data
| ID | 5379827 |
|---|---|
| NAME | James R Knickman |
| GIVEN NAMES | James R |
| FAMILY NAME | Knickman |
| SIGNATURE | KNICKMAN J R |
| AFFILIATIONS | New York University |
| VERIFIED | No |
| TOTAL WORKS | 18 |
| TOTAL CITATIONS | 104 |
| AUTHOR COUNT | 18 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1980 |
| LATEST PUBLICATION YEAR | 2011 |
| H-INDEX | 4 |
Transforming the Delivery of Care in the Post–Health Reform Era
The Patient Protection and Affordable Care Act (PPACA) affords opportunities to sustain the role of community health workers (CHWs). Among myriad strategies encouraged by PPACA are prevention and care coordination, particularly for chronic diseases, chief drivers of increased health care costs. Prevention and care coordination are functions that have been performed by CHWs for decades, particularly among underserved populations. The two key deliv…
Medical Vulnerability in America
This study explores the hypothesis that market change affects the medically vulnerable more than the non-medically vulnerable. Analysis of data measuring change between 1997 and 1999 indicates that access to care eroded for both groups, but no evidence emerges to suggest that the changes were systematically worse for the medically vulnerable. Paradoxically, some measures of satisfaction with actual care received improved between 1997 and 1999 for…
The Case For More Active Policy Attention To Health Promotion
Until recently, when anthrax triggered a concern about preparedness in the public health infrastructure, U.S. health policy and health spending had been dominated by a focus on payment for medical treatment. The fact that many of the conditions driving the need for treatment are preventable ought to draw attention to policy opportunities for promoting health. Following a brief review of the determinants of population health-genetic predisposition…
The 2030 Problem
Objective. To assess the coming challenges of caring for large numbers of frail elderly as the Baby Boom generation ages. Study Setting. A review of economic and demographic data as well as simulations of projected socioeconomic and demographic patterns in the year 2030 form the basis of a review of the challenges related to caring for seniors that need to be faced by society. Study Design. A series of analyses are used to consider the challenges…
Update From Funders
From The Robert Wood Johnson Foundation, Princeton, New Jersey. Correspondence to: James R. Knickman, PhD, Vice President for Research and Evaluation, The Robert Wood Johnson Foundation, PO Box 2316, Princeton, NJ 08543-2316
Predictors of homelessness among families in New York City
OBJECTIVES: This study examined predictors of entry into shelter and subsequent housing stability for a cohort of families receiving public assistance in New York City. METHODS: Interviews were conducted with 266 families as they requested shelter and with a comparison sample of 298 families selected at random from the welfare caseload. Respondents were reinterviewed 5 years later. Families with prior history of shelter use were excluded from the…
The Robert Wood Johnson Foundation
President (Schroeder) Vice President for Research and Evaluation; The Robert Wood Johnson Foundation; Princeton, New Jersey (Knickman)
Epilogue
Predictors of shelter use among low-income families
For poor housed and homeless families in New York City, NY, we examined the degree to which psychiatric and substance-abuse problems and victimization placed the families at elevated risk of requiring emergency housing, and we documented the prevalence of such problems. These problems were infrequently reported by both groups. However, past mental hospitalization, treatment in a detoxification center, childhood sexual abuse, and adult physical ab…
Social relationships and vulnerability to becoming homeless among poor families
Social relationships and vulnerability to becoming homeless among poor families
This study compares social relationships of 677 mothers in families requesting shelter with those of 495 mothers in housed families, randomly selected from the public assistance caseload in New York City. As hypothesized, women seeking shelter had experienced higher levels of a variety of childhood and adult events indicative of disruptions in social relationships. Contrary to our hypothesis, they were more likely than were housed mothers to have…
Pathways to Homelessness Among New York City Families
This article uses survey data to identify three pathways followed by homeless families in the period before they requested emergency shelter. The analysis groups 482 New York City families who were new entrants to homelessness into those whose longest residence in the year prior to the shelter request was as primary tenants in their own living quarters (43% of the sample), those who lived with others last year but who had once been primary tenant…
Alternative Models for Sheltering Homeless Families
This study assessed costs, quality of life, services, length of stay, and clienteles in 9 nonprofit shelters for families in New York City. It compared different types of nonprofit shelters and used published data to compare the nonprofits as a class to welfare hotels and city‐operated congregate shelters. The nonprofit models provided a reasonable quality of life, and both more and better coordinated services than the welfare hotels at a slightl…
Health Care
Local Simulations of Alternative Policies for Financing Services to the Elderly
Because of demographic, economic, and social pressures, it is likely that public programs benefitting the elderly population will be subject to much public debate and calls for the reform in the next few years. This paper presents an analysis of two prototypical reforms that are based on alternative views of government's role in caring for the elderly. One view focuses on means-testing as a method for restricting the role of government to caring …
Patterns of Expenditures Among High Utilizers of Medical Care Services
The authors of this study examine temporal patterns of medical expenditures by Medicare beneficiaries. A random sample of 204,917 individuals who were alive and in the program from 1974 to 1977 was investigated. Individuals hospitalized in 1974 were found to have twice the rate of hospitalization in 1975, 1976, or 1977 compared with individuals who were not hospitalized in 1974. The increased rate of hospitalization remained constant throughout t…
Regional Differences in Hospital Utilization
Regional differences in hospital utilization are quite substantial, especially between the East Coast and West Coast. To determine whether or not differences in the socioeconomic composition of regional populations explain observed regional differences in hospital utilization, the authors assessed patterns of utilization for a sample of 18,660 New York City residents, 18,881 Los Angeles residents, 10,921 persons living in Northeastern Standard Me…
The implementation of school finance reform
Predictors of homelessness among families in New York City
OBJECTIVES: This study examined predictors of entry into shelter and subsequent housing stability for a cohort of families receiving public assistance in New York City. METHODS: Interviews were conducted with 266 families as they requested shelter and with a comparison sample of 298 families selected at random from the welfare caseload. Respondents were reinterviewed 5 years later. Families with prior history of shelter use were excluded from the…
Pathways to Homelessness Among New York City Families
This article uses survey data to identify three pathways followed by homeless families in the period before they requested emergency shelter. The analysis groups 482 New York City families who were new entrants to homelessness into those whose longest residence in the year prior to the shelter request was as primary tenants in their own living quarters (43% of the sample), those who lived with others last year but who had once been primary tenant…
Predictors of shelter use among low-income families
For poor housed and homeless families in New York City, NY, we examined the degree to which psychiatric and substance-abuse problems and victimization placed the families at elevated risk of requiring emergency housing, and we documented the prevalence of such problems. These problems were infrequently reported by both groups. However, past mental hospitalization, treatment in a detoxification center, childhood sexual abuse, and adult physical ab…
Transforming the Delivery of Care in the Post–Health Reform Era
The Patient Protection and Affordable Care Act (PPACA) affords opportunities to sustain the role of community health workers (CHWs). Among myriad strategies encouraged by PPACA are prevention and care coordination, particularly for chronic diseases, chief drivers of increased health care costs. Prevention and care coordination are functions that have been performed by CHWs for decades, particularly among underserved populations. The two key deliv…
Alternative Models for Sheltering Homeless Families
This study assessed costs, quality of life, services, length of stay, and clienteles in 9 nonprofit shelters for families in New York City. It compared different types of nonprofit shelters and used published data to compare the nonprofits as a class to welfare hotels and city‐operated congregate shelters. The nonprofit models provided a reasonable quality of life, and both more and better coordinated services than the welfare hotels at a slightl…
Epilogue
The implementation of school finance reform
Patterns of Expenditures Among High Utilizers of Medical Care Services
The authors of this study examine temporal patterns of medical expenditures by Medicare beneficiaries. A random sample of 204,917 individuals who were alive and in the program from 1974 to 1977 was investigated. Individuals hospitalized in 1974 were found to have twice the rate of hospitalization in 1975, 1976, or 1977 compared with individuals who were not hospitalized in 1974. The increased rate of hospitalization remained constant throughout t…
Regional Differences in Hospital Utilization
Regional differences in hospital utilization are quite substantial, especially between the East Coast and West Coast. To determine whether or not differences in the socioeconomic composition of regional populations explain observed regional differences in hospital utilization, the authors assessed patterns of utilization for a sample of 18,660 New York City residents, 18,881 Los Angeles residents, 10,921 persons living in Northeastern Standard Me…
Local Simulations of Alternative Policies for Financing Services to the Elderly
Because of demographic, economic, and social pressures, it is likely that public programs benefitting the elderly population will be subject to much public debate and calls for the reform in the next few years. This paper presents an analysis of two prototypical reforms that are based on alternative views of government's role in caring for the elderly. One view focuses on means-testing as a method for restricting the role of government to caring …
Health Care
Pathways to Homelessness Among New York City Families
This article uses survey data to identify three pathways followed by homeless families in the period before they requested emergency shelter. The analysis groups 482 New York City families who were new entrants to homelessness into those whose longest residence in the year prior to the shelter request was as primary tenants in their own living quarters (43% of the sample), those who lived with others last year but who had once been primary tenant…
Alternative Models for Sheltering Homeless Families
This study assessed costs, quality of life, services, length of stay, and clienteles in 9 nonprofit shelters for families in New York City. It compared different types of nonprofit shelters and used published data to compare the nonprofits as a class to welfare hotels and city‐operated congregate shelters. The nonprofit models provided a reasonable quality of life, and both more and better coordinated services than the welfare hotels at a slightl…
Social relationships and vulnerability to becoming homeless among poor families
Social relationships and vulnerability to becoming homeless among poor families
This study compares social relationships of 677 mothers in families requesting shelter with those of 495 mothers in housed families, randomly selected from the public assistance caseload in New York City. As hypothesized, women seeking shelter had experienced higher levels of a variety of childhood and adult events indicative of disruptions in social relationships. Contrary to our hypothesis, they were more likely than were housed mothers to have…
Predictors of shelter use among low-income families
For poor housed and homeless families in New York City, NY, we examined the degree to which psychiatric and substance-abuse problems and victimization placed the families at elevated risk of requiring emergency housing, and we documented the prevalence of such problems. These problems were infrequently reported by both groups. However, past mental hospitalization, treatment in a detoxification center, childhood sexual abuse, and adult physical ab…
Epilogue
Predictors of homelessness among families in New York City
OBJECTIVES: This study examined predictors of entry into shelter and subsequent housing stability for a cohort of families receiving public assistance in New York City. METHODS: Interviews were conducted with 266 families as they requested shelter and with a comparison sample of 298 families selected at random from the welfare caseload. Respondents were reinterviewed 5 years later. Families with prior history of shelter use were excluded from the…
The Robert Wood Johnson Foundation
President (Schroeder) Vice President for Research and Evaluation; The Robert Wood Johnson Foundation; Princeton, New Jersey (Knickman)
Update From Funders
From The Robert Wood Johnson Foundation, Princeton, New Jersey. Correspondence to: James R. Knickman, PhD, Vice President for Research and Evaluation, The Robert Wood Johnson Foundation, PO Box 2316, Princeton, NJ 08543-2316
The Case For More Active Policy Attention To Health Promotion
Until recently, when anthrax triggered a concern about preparedness in the public health infrastructure, U.S. health policy and health spending had been dominated by a focus on payment for medical treatment. The fact that many of the conditions driving the need for treatment are preventable ought to draw attention to policy opportunities for promoting health. Following a brief review of the determinants of population health-genetic predisposition…
The 2030 Problem
Objective. To assess the coming challenges of caring for large numbers of frail elderly as the Baby Boom generation ages. Study Setting. A review of economic and demographic data as well as simulations of projected socioeconomic and demographic patterns in the year 2030 form the basis of a review of the challenges related to caring for seniors that need to be faced by society. Study Design. A series of analyses are used to consider the challenges…
Medical Vulnerability in America
This study explores the hypothesis that market change affects the medically vulnerable more than the non-medically vulnerable. Analysis of data measuring change between 1997 and 1999 indicates that access to care eroded for both groups, but no evidence emerges to suggest that the changes were systematically worse for the medically vulnerable. Paradoxically, some measures of satisfaction with actual care received improved between 1997 and 1999 for…
Transforming the Delivery of Care in the Post–Health Reform Era
The Patient Protection and Affordable Care Act (PPACA) affords opportunities to sustain the role of community health workers (CHWs). Among myriad strategies encouraged by PPACA are prevention and care coordination, particularly for chronic diseases, chief drivers of increased health care costs. Prevention and care coordination are functions that have been performed by CHWs for decades, particularly among underserved populations. The two key deliv…
Medicine (12 works) · Economics (10 works) · Business (9 works) · Economic growth (8 works) · Environmental health (8 works) · Political science (8 works) · Gerontology (7 works) · Gerontology (6 works) · Health care (6 works) · Homelessness and Social Issues (6 works)