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**The Latest Research, Commentary, and News from Health Affairs**

**Friday, September 20, 2019**

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TODAY ON THE BLOG

QUALITY OF CARE

Moving More Electrons To Optimize New Adult Composite Immunization
Measures

By Angela K. Shen and Elizabeth Sobczyk

Composite measures go beyond vaccine-specific measures and provide a
systems-wide view of preventive care performance. Having new measures
that better reflect improved health outcomes, the processes that lead to
them, and systems of care delivery epitomize the next generation of
measures. Read More >>

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HEALTH AFFAIRS PODCAST

US Public Opinion About Gun Ownership

In a WTOP-FM interview, Health Affairs author Colleen Barry discusses
gun owners' and non-gun owners' views about a range of security
measures.

Listen here.

Read the article here
.

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IN THE JOURNAL

GLOBAL HEALTH POLICY

In Low- And Middle-Income Countries, Is Delivery In High-Quality
Obstetric Facilities Geographically Feasible?

By Anna D. Gage, Fei Carnes, Jeff Blossom, Jalemba Aluvaala, Archana
Amatya, Kishori Mahat, Address Malata, Sanam Roder-DeWan, Nana
Twum-Danso, Talhiya Yahya, and Margaret E. Kruk

Anna Gage and coauthors modeled the geographic feasibility of service
delivery redesign that shifted deliveries from primary care clinics to
hospitals in Haiti, Kenya, Malawi, Namibia, Nepal, and Tanzania. Under
the authors' hospital-only redesign, between 72.9 percent (Tanzania)
and 98.3 percent (Haiti) of pregnant women would need to travel two
hours or less, an increase in average travel time from seven minutes
(Kenya) to forty-six minutes (Tanzania). While the authors acknowledge
the challenges of implementing these changes, they note that because
primary care facilities are not able to consistently provide lifesaving
care, it is time to consider a hospital-only approach. Read More >>

Read the September 2019 Table of Contents

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HEALTH AFFAIRS EVENTS

PAST EVENT:  MILITARY HEALTH SYSTEMS

The August 2019 issue of Health Affairs examines the Military Health
System (MHS) and the pressures and opportunities that are similar to
those in the civilian sector. Get caught up with the Military Health
Systems event:  slides

(click on Download Event), video
, and
podcast
.

Access the August PRINT

or ONLINE

issue.

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delivered directly to your inbox.

**A CLOSER LOOK**-Oral Health

The Health Resources and Services Administration (HRSA) awarded more
than $85 million to 298 health centers to expand their oral health
service capacity through new infrastructure enhancements. In the
December 2016 Health Affairs theme issue on oral health
, James Crall and
colleagues describe
an
initiative designed to improve access to and quality of oral health care
for young children at twenty Los Angeles County federally qualified
health centers (FQHCs) with co-located medical and dental services.

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About Health Affairs

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at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
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Today , and Health Affairs
Sunday Update .  

Project HOPE is a global health and
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health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

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