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Analyzing National Health Reform Strategies With a Dynamic Simulation Model

Bibliographic Data

ID11026549
AuthorsBobby Milstein (0000-0002-5767-2524, Bobby Milstein is with the Syndemics Prevention Network, Centers for Disease Control and Prevention, Atlanta, GA. Jack Homer is with Homer Consulting, Voorhees, NJ. Gary Hirsch is an independent consultant in Wayland, MA.), James Homer (0000-0003-3690-9892, Centers for Disease Control and Prevention), Jack Homer (Bobby Milstein is with the Syndemics Prevention Network, Centers for Disease Control and Prevention, Atlanta, GA. Jack Homer is with Homer Consulting, Voorhees, NJ. Gary Hirsch is an independent consultant in Wayland, MA.), Gary Hirsch (0000-0001-5187-8794, Bobby Milstein is with the Syndemics Prevention Network, Centers for Disease Control and Prevention, Atlanta, GA. Jack Homer is with Homer Consulting, Voorhees, NJ. Gary Hirsch is an independent consultant in Wayland, MA.)
Year2010
Volume100
Issue5
Pages811-819
Publication date2010-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2009.174490
PMID20299653
PMCIDPMC2853627
OpenAlexW2162438528
LanguageEN
Citations received18
References cited33

Proposals to improve the US health system are commonly supported by models that have only a few variables and overlook certain processes that may delay, dilute, or defeat intervention effects. We use an evidence-based dynamic simulation model with a broad national scope to analyze 5 policy proposals. Our results suggest that expanding insurance coverage and improving health care quality would likely improve health status but would also raise costs and worsen health inequity, whereas a strategy that also strengthens primary care capacity and emphasizes health protection would improve health status, reduce inequities, and lower costs. A software interface allows diverse stakeholders to interact with the model through a policy simulation game called HealthBound

Actuarial science · Business · Economic growth · Economics · Environmental health · Health care · Health equity · Intervention (counseling) · Public economics · Quality (philosophy) · Risk analysis (engineering) · Scope (computer science) · Computer Science · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine · Nursing · Primary Care and Health Outcomes · Health Policy

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Unique citing works18
Citations per year1,2
Citation span2011 - 2026 (16)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 17

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